Notice of Privacy Practices

Effective date: [Date]

Important: HIPAA requires specific language in a Notice of Privacy Practices. This is a starting outline only. Have a healthcare attorney or compliance professional prepare or review your final NPP before you publish or distribute it.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our duties

Legacy Integrative Healthcare is required by law to maintain the privacy of your protected health information, to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your health information

[Describe uses for treatment, payment, and health care operations, and any other disclosures permitted or required by law. A qualified reviewer should complete this section.]

Your rights

[Describe the patient rights required by HIPAA, including the right to access records, request amendments, request restrictions, request confidential communications, and receive an accounting of disclosures.]

Complaints

If you believe your privacy rights have been violated, you may contact us at [PHONE PRETTY] or file a complaint with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

Contact

Privacy questions: [PHONE PRETTY], REPLACE_WITH_YOUR_EMAIL@yourdomain.com, 9854 Liberty Rd, Suite D, Randallstown, MD 21133.