MACOMB/CLINTON WOUND & HYPERBARIC CENTER
NOTICE AND ACKNOWLEDGEMENT

Download/Print PDF file of the Health Insurance Portability and Accountability Act (HIPAA) HERE
and
Download/Print PDF file of HIPAA Acknowledgement form HERE

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

This Notice of Privacy Practices is being provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA). This Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information in some cases. Your "protected health information" means any of your written and oral health info, including demographic data that can be used to identify you. This is health information that is created or received by your health care provider, and that relates to your past, present or future physical or mental health or condition

Download/Print PDF file of the Health Insurance Portability and Accountability Act (HIPAA) HERE
and
Download/Print PDF file of HIPAA Acknowledgement form HERE

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Macomb / Clinton Center for Wound Care
and Hyperbaric Medicine, LLC.
www.HyperbaricAndWoundCare.com

 

  
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