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HIPAA- Privacy Statement
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Lakeland
Brandon
I understand that under the Health Insurance Portability & Accountability Act of 1996 (HIPAA), I have certain rights to privacy regarding my protected health information (PHI). I understand that this information can and will be used to:
Conduct, plan and direct my treatment and follow-up among the multiple healthcare providers who may be involved in the treatment directly and indirectly.
Obtain payment from third-party payers
Conduct normal healthcare operations such as quality assessments and physician certifications
I received, read, and understand your
Notice of Privacy Practices
containing a more complete description of the uses and disclosures of my PHI. I understand that this organization has the right to change its
Notice of Practices
from time to time and that I may contact this organization at any time to obtain a current copy of
Notice of Privacy Practices
.
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