Your protected heath information (i.e. individually identifiable information, such as names, dates, phone or fax numbers, email addresses, home addresses, social security numbers) may only be used or disclosed by us in one or more of the following respects:
Any other uses or disclosures of your protected health information will be made only after obtaining your written authorization, which you have the right to revoke. A new privacy notice must be updated at age 18. Should this take place during treatment, please contact us.
Under the privacy rules, you have the right to:
We have the following duties under the privacy rules:
Please note that we are not obligated to:
This privacy notice is effective as of June 1, 2010. If you have questions regarding bthe information in the Notice, please contact our Privacy Officer at (920) 738-7600.