Common use of Right to File a Complaint Clause in Contracts

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact Xxxxx Xxxxxxx, M.D. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 4 contracts

Samples: Policies and Agreement, Policies and Agreement, Policies and Agreement

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Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice organization or with the Secretary of the Department of Health and Human Services. To file a complaint with our practiceorganization, contact Xxxxx XxxxxxxCompliance Officer, M.D. , J&R MEDICAL, 0000 XXXXXXXX XX., XXXXX 000 XXXXXXXX, XX 00000. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 2 contracts

Samples: jandrmedical.com, cdnmedia.endeavorsuite.com

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice organization or with the Secretary of the Department of Health and Human Services. To file a complaint with our practiceorganization, contact Compliance Officer, Wheelers Medical Supply LLC, 00000 Xxxxx XxxxxxxXxxx Xxx 000 X, M.D. Xxxxxxxxxxxx, XX 00000 . All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 1 contract

Samples: www.wheelersmedicalsupply.com

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact Xxxxx Xxxxxxx, M.D. Privacy Officer 404-257-5585. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 1 contract

Samples: Concierge Medical Agreement

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our my practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our my practice, contact Xxxxx XxxxxxxXxxxxx Xxxxxx at xxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx, M.D. (000) 000-0000. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 1 contract

Samples: uploads.documents.cimpress.io

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact Xxxxx Xxxxxxxcontact: CLARII HEALTH Attn: Privacy Officer 0000 Xxx Xxxxxxxx Drive, M.D. Suite 206 Columbia, MD 21046 (000) 000-0000 All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 1 contract

Samples: Patient Agreement

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Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice organization or with the Secretary of the Department of Health and Human Services. To file a complaint with our practiceorganization, contact Compliance Officer, UltraVoice, Ltd., 00 Xxxxx XxxxxxxXxxxxxx Xxxxxx Xxxx, M.D. Xxxxx 00, Xxxxxxx Xxxxxx, XX 00000. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 1 contract

Samples: www.deanrosecrans.com

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice organization or with the Secretary of the Department of Health and Human Services. To file a complaint with our practiceorganization, contact Compliance Officer, UltraVoice, Ltd., 00 Xxxxx XxxxxxxXxxxxxx Xxxxxx Xxxx, M.D. Xxxxx 00, Xxxxxxx Xxxxxx, XX 00000. All complaints must be submitted in writing. You will not be penalized for filing a complaint. 7.

Appears in 1 contract

Samples: www.deanrosecrans.com

Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact Xxxxx Xxxxxxx, M.D. the “Privacy Officer” designated above. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Appears in 1 contract

Samples: Agreement

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