OUR COMMITMENT TO YOUR PRIVACY. Our organization is dedicated to maintaining the privacy of your identifiable health information. In conducting our business, we will create records regarding you and the treatment and services we provide to you. We are required by law to maintain the confidentiality of health information that identifies you. We also are required by law to provide you with this notice of our legal duties and privacy practices concerning your identifiable health information. By law, we must follow the terms of the notice of privacy practices that we have in effect at the time. To summarize, this notice provides you with the following important information: How we may use and disclose your identifiable health information Your privacy rights in your identifiable health information Our obligations concerning the use and disclosure of your identifiable health information.
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Samples: Authorization for Release of Information, Assignment of Benefits, Duplicate Equipment/Supplies, Authorization for Release of Information, Assignment of Benefits, Duplicate Equipment/Supplies, Authorization for Release of Information, Assignment of Benefits, Duplicate Equipment/Supplies