NOTICE OF PRIVACY PRACTICES
Heart to Hope Center is committed to protecting your health information. This notice describes how your medical and counseling information may be used and disclosed, and how you can access this information.
Your Rights: You have the right to request restrictions on certain uses and disclosures, request confidential communications, inspect and obtain a copy of your records, request amendments, and receive an accounting of disclosures.
Our Responsibilities: We are required by law to maintain the privacy of your health information, provide this notice of our privacy practices, and follow the terms of this notice.
Uses & Disclosures: We may use your information for treatment, payment, and healthcare operations. We will obtain your written authorization before using your information for any other purpose.
For more details, you may request a full copy of our Notice of Privacy Practices at any time. By submitting this form, you acknowledge receipt of this notice.
All information is kept strictly confidential and protected under HIPAA regulations.
