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For each category of uses or disclosures, I will explain what I mean and provide examples.

The following categories describe different ways that I may use and disclose health information. How We May Use and Disclose Health Information About You Upon your request, I will provide you with any revised Notice of Privacy Practices by calling my office and/or facilities and requesting that a revised copy be sent to you in the mail, by asking for one at the time of your next visit, or by accessing my website. The new notice will be effective for all protected health information that I maintain at that time. I may change the terms of this notice at any time. Follow the terms described in this notice.Provide you with this notice of my legal duties and privacy with respect to health information about you.Make sure that health information that identifies you is kept private.This notice also describes your rights and explains certain obligations I have regarding the use and disclosure of health information. 'Health Information' is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. It also describes your rights to access and control your health information. This notice advises you about the ways in which I may use and disclose health information about you. This notice applies to all of the records of your care, whether made by me or by other personnel within my office and/or facilities. I need this record to treat you and to comply with certain legal requirements. I create and maintain a record of the care and services that you receive. I understand that health information about you and your health is personal and I am committed to maintaining the confidentiality of your health information. If you have any questions about this notice, please contact:

David Perellis NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.