Privacy Notices

For Medicare and Medicaid Patients:

• Statement of Patient Privacy Rights for Medicare and Medicaid Patients – Attachment Notice A – English - (.pdf, 1,065k)
• Statement of Patient Privacy Rights for Medicare and Medicaid Patients – Attachment Notice A – Spanish - (.pdf, 366k)
• Privacy Act Statement Legal Notice – Attachment Notice B – English - (.pdf, 31k)
• Privacy Act Statement Legal Notice – Attachment Notice B – Spanish - (.pdf, 91k)

For Non-Medicare and Non-Medicaid Patients:

• Notice About Privacy for Patients Who Do Not Have Medicare or Medicaid Coverage – Attachment Notice C – English - (.pdf, 342k)
• Notice About Privacy for Patients Who Do Not Have Medicare or Medicaid Coverage – Attachment Notice C – Spanish - (.pdf, 37k)