RMG HIPPA.pdf

You have the right to request amendment of medical information, a list of disclosures, restrictions on use or disclosure, and confidential communications. The Clinic must protect your medical information, provide this Notice, and follow its terms. The Notice applies to the Clinic, its personnel, and other healthcare providers. You can request a list of disclosures, and the Clinic will provide the first list free, but may charge for additional lists. The Clinic may use and disclose your medical information for treatment, payment, and operations, and may disclose it to family members, legal counsel, and others involved in your care. The Clinic is required to notify you of a breach of your unsecured medical information. The Notice may be changed, and a revised Notice will be published. The Clinic is committed to protecting your medical information and describes how it may be used and disclosed, including for public health, public safety, and government purposes.