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This Notice describes how medical information about you may be used and disclosed and how you can access this information.

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Uses and Disclosures

We may use and disclose protected health information for:

• Treatment

• Payment

• Healthcare operations

• Legal and regulatory compliance

Your Rights

You have the right to:

• Access your medical records

• Request corrections to your records

• Request confidential communications

• Request restrictions on disclosures

• Receive a copy of this notice

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

U.S. Department of Health and Human Services
Office for Civil Rights

We will not retaliate against you for filing a complaint.