We are required by law to maintain the privacy of our patients’ protected health information and to provide patients with notice of our legal duties and privacy practices with respect to protected health information. We are required to abide by the terms of this Notice for as long as it remains in effect.
We are dedicated to protecting your “nonpublic personal health information.” This will inform you how and why we collect that information and who has access to that information.
How We Collect Your Information
When you come to our practice through another agency, we may obtain that information from the agency. However, on your first visit to the office, we will ask you to complete a Release of Information in order to maintain correspondence with that agency.
We may also ask another individual/agency that referred you to give us information that will enable us to better treat you. This benefits you in that we will have information that has already been obtained by the referring entity.
Why We Collect This Information
Who Has Access To This Information
How We Protect Your Information
If you have any complaints concerning our privacy practices, please contact a privacy officer at this agency at (928) 445-0744.
You may also contact:
The Secretary of the Department of Health and Human Services
200 Independence Ave S.W. Room 509F, HHH Building, Washington, D.C. 20201