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 read it carefully.

Our Obligation to You

We at The Bradley Clinic respect your privacy. This is part of our code of ethics. We are required by law to maintain the privacy of “Protected Health Information” (“PHI”) about you, to notify you of our legal duties and your legal rights, and to follow the privacy policies described in this notice.

“Protected health information” means any information, whether written, electronic, or oral, including demographic information, that relates to:

Use and Disclosure of Information about You

The Bradley Clinic may use and disclose your PHI, without your authorization, for purposes of treatment, payment and health care operations.

Other Uses and Disclosures That Do Not Require Your Authorization:

Uses or Disclosures That Do Require Your Authorization:

Your Legal Rights

Acknowledgement of Receipt

I have received a copy of the Notice of Privacy Practices for The Bradley Clinic.

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