Please note that we maintain paper & electronic files that may contain private information about you that may include, but are not limited to your name, address, phone number, contact person, height & weight, diagnosis, prognosis, physician(s), prescriptions, plans of service & treatment, vital signs & other clinical impressions, insurance coverage(s), equipment rented & purchased from us, credit card number(s), dates of service, etc. We release, transfer & disclose the above information to, third parties to facilitate appropriate provision & review of services & billing for our clients of record. These files are legal' documents & are also used for education, evaluating the performance of our organization & planning purposes, We have measures in place to protect patient health information as required by law. These measures include, but are not limited to, security- precautions being in place in our buildings, vehicles, billing software, transactions with government entities, vendors, consultants, surveyors, your family or appointed representative & other appropriate parties, transmission of data to third-parties, telephonic & wireless communications, maintenance, retention & destruction of data, etc. You have the right to amend, retract, revoke consent to release, examine or obtain copies of the data that we have in your file & have released to others upon request. You can complain if you feel we have violated your rights by contacting us using the information on the top of this page. You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696- 6775, or visiting www.hhs.gov/ocr/privacy/hipaa/ complaints/. We will not retaliate against you for filing a complaint. If you have questions concerning any of the above, please contact our Privacy Officer, Cindy Justice at 1-858-726-2614. Effective 03/01/2021

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