Your Rights Regarding Part 2 Records
• Receive notice of how your Part 2 records may be used or disclosed and the limits on those uses and disclosures.
• Consent in writing to uses or disclosures of your Part 2 records beyond those otherwise permitted by law.
• Request restrictions on certain uses or disclosures, consistent with applicable law.
• File a complaint with us or with the U. S. Department of Health and Human Services if you believe your Part 2 privacy rights have been violated.
Our Responsibilities
• Protect the confidentiality of those records.
• Provide you with notice of our legal duties and privacy practices related to Part 2 records.
• Abide by the terms of this Notice currently in effect and notify you of material changes.
Redisclosure Notice
• Federal confidentiality law( 42 CFR Part 2) protects these records.
• Records disclosed under this authorization may be redisclosed only as permitted by federal law.
• 42 CFR Part 2 prohibits unauthorized use or disclosure of these records, including their use or disclosure in civil, criminal, administrative, or legislative proceedings against you, unless expressly permitted by law, my written consent, or a court order.
Other Uses of Your Health Information
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose health information about you by signing an authorization, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reasons covered by your written authorization.
Our Responsibilities
• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: hhs. gov / hipaa / for-individuals / notice-privacy-practices.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.
Effective April 2004 Revision History: 2 / 2026; 1 / 2025; 1 / 2023; 1 / 2021; 3 / 2018; 7 / 2015; 3 / 2007