Telehealth Privacy Practices Acknowledgment

This document describes how your medical information may be used and disclosed during telehealth appointments, and how you can access this information. Please read carefully.

Privacy Practices

• Your health information is protected and used according to applicable laws and regulations.
• Telehealth appointments are conducted using encrypted and secure video and audio platforms.
• Only authorized personnel can access your private health information.
• You have the right to review and request corrections to your health information.
• Your information will not be shared without your consent, unless required by law.

Your Rights

• You may request limits on how your information is used or shared.
• You may request a list of disclosures or revoke consent for telehealth at any time.
• You may ask questions or express concerns about privacy by contacting our office.