Legal
HIPAA Notice of Privacy Practices
Last updated: January 1, 2026
Sample text for this template. Replace with your practice’s own policy, reviewed by qualified legal counsel.
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
We are required by law to maintain the privacy and security of your protected health information and to notify you of any breach that may compromise it.
How we use your information
We may use and share your health information to treat you, to run our practice and to bill for services, as permitted by law.
Your rights
You have the right to get a copy of your health records, request corrections, request confidential communications and receive a list of certain disclosures.
Website forms
Website contact and consultation forms are not intended for medical information. Please share clinical details only during your consultation or through our secure patient portal.
Questions or complaints
Contact our privacy officer using the details on our Contact page.