ABOUT OUR NOTICE OF PRIVACY PRACTICES 

We are committed to protecting your personal health information in compliance with the law.  The attached Notice of Privacy Practices states:

- Our obligations under the law with respect to your personal health information.

- How we may use and disclose the health information that we keep about you.

- Your rights relating to your personal health information.

- Our rights to change our Notice of Privacy Practices.

- How to file a complaint if you believe your privacy rights have been violated.

- The conditions that apply to uses and disclosures not described in this Notice. 

- The person to contact for further information about our Privacy Practices.

We are required by law to give you a copy of this notice and to obtain your written acknowledgement that you have received a copy of this notice. 

Patient Acknowledgement of Receipt