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345 Kinderkamack Rd
Westwood NJ, 07675


201-664-0787
201-664-0367

201-664-2334-fax

 

Patient Privacy

Notice of Privacy Practices

  1. Maintain the privacy of your medical information.
  2. Provide you with a notice of our privacy practices.
  3. Post a copy of our Notice of Privacy Practices in a conspicuous place in our office.
  4. Abide by the terms of our Notice of Privacy Practices.

Your rights as a patient under HIPAA: YOU MAY

  1. Request a copy of certain portions of your medical records.
  2. Request that your medical information in our records be changed if you feel it is not accurate.
  3. Receive an accounting of the manner in which your medical information has been disclosed to various persons or agencies other than approved routine uses such as for the purposes of insurance, billing, and as needed by your other doctors.
  4. Request restrictions on how we use or disclose your medical information.
  5. Request that we communicate with you in a certain manner or at a certain location (For example, at home rather than at work, or directly rather than through your spouse.)
  6. File a complaint with us or the Secretary of the Department of Health and Human Services if you believe your rights under HIPAA have been violated.

All patients will be asked to sign acknowledging the receipt of this NOTICE OF PRIVACY PRACTICES from us. This notice describes how your medical information may be used and disclosed by us and how you may gain access to your medical information. Please review the following carefully so that you will understand your rights as a patient under the federal Health Insurance Portability and Accountabilty Act (HIPAA).

If you have any questions about the privacy of your records, please do not hesitate to contact our office.

Copyright © 2011 Galitsis and Bovino, 345 Kinderkamack Rd, Westwood NJ, 07675
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