NOTICE OF PRIVACY PRACTICES

This is a summary of our Privacy Practices, which describes how we may use and disclose your medical and personal information.

OUR PLEDGE TO PROTECT YOUR PRIVACY
[PhysiciansWebOffice.com], their providers and staff are committed to protecting the privacy of your information. So that we may best meet your medical needs, we share your medical records with providers involved in your care. We share your information only to the extent necessary to collect payment for the services we provide, to conduct our business operations, and to comply with the laws that govern health care. We will not use or disclose your information for any other purpose without your permission.

YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU

- to inspect and obtain a copy of your medical records with certain limitations;
- to request an amendment or addendum to your medical record;
- to an accounting of [PhysiciansWebOffice.com] disclosures of your medical information;
- to request restrictions on certain uses and disclosures of your medical information;
- to request when and where to contact you;
- to request a copy of this Notice of Privacy Practices.

WE MAY USE AND DISCLOSE YOUR PERSONAL AND HEALTH INFORMATION WITHOUT YOUR AUTHORIZATION FOR THE FOLLOWING PURPOSES:

- to provide you with medical treatment;
- to bill and receive payment for the treatment received;
- as required and permitted by law.
- for functions necessary to run the [PhysiciansWebOffice.com] and assure that our patients receive quality care;
- for public health activities (e.g. reporting abuse);
- for research purposes in limited circumstances;
- to a coroner, medical examiner, funeral director or organ procurement organization for certain purposes;
- to a court or administrative order, subpoena, discovery request or other lawful process;
- to a health oversight agency;

We reserve the right to change our privacy practices and update this Notice accordingly.

Please see more regarding privacy at: http://www.sacent.com/index.cfm/fuseaction/site.content/type/npp.cfm

By using this system you have read, agree and understood all of the above, my rights and Privacy Practices of [PhysiciansWebOffice.com] and Affiliates.