The right to be informed of any breach of your protected PHI. The right to receive a printed copy of this notice. We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. In addition, we also are required to abide by the privacy and practices outlined in this notice.* ____________________________________________ _________________________ Signature Date
The right to be informed of any breach of your protected PHI. The right to receive a printed copy of this notice. We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. In addition, we also are required to abide by the privacy and practices outlined in this notice.* ____________________________________________ _________________________ Signature Date
additional_use_of_information.docx