Notice of Privacy Practices

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 responsibilities

[Describe PPH's duties regarding the privacy of your health information and notification of breaches.]

How we may use and disclose your health information

• Treatment: [Description and examples]
• Payment: [Description and examples]
• Health care operations: [Description and examples]
• Other uses and disclosures: [As permitted or required by law]

Uses that require your written authorization

[Including marketing and testimonials. Describe how to revoke authorization.]

Your rights

• Get a copy of your health records [details]
• Ask us to correct your records [details]
• Request confidential communications [details]
• Ask us to limit what we use or share [details]
• Get a list of those with whom we've shared information [details]
• Get a copy of this notice [details]
• File a complaint if you believe your rights have been violated [details]

Privacy contact

[Name or title of privacy officer and contact details]

Changes to this notice

[Describe how changes will be made available.]

Contact us

Questions about this page? Contact Peak Performance Health at 239.396.1670 orinfo@pphclinic.com.