This Health Insurance Portability & Accountability Act of 1996 ("HIPPA") is a federal program that requires that all medical and other individually indentifiable health information use and disclose by us is any significant new rights to understand and control how your health information is used. "HIPPA" provides penalties for cover entitiles that misuse personal health information.

As required by "HIPPA", we have prepared this explanation of how we are require to maintain the privacy of your health care operations.

We may use and disclose your medical records only for each of the following purposes: treatment, payment and health care operations.

• TREATMENT means providing coordinating or managing health care and related services by one or more health care providers. An example of this will include a physical examination.

• PAYMENT means such activities as obtaining reimbursement for services confirming coverage, billing or collection activities, and utilization review. An example of this will be sending a bill for your visit to your insurance company for payment.

• HEALTH CARE OPERATIONS include the business aspect of running our practice, such as conducting quality assesment and improvement activities, auditing function, cost-management analysis and customer services. An example would be internal quality assessment review.

We also create and distribute de-indentified health information by removing all references to individually identifiable information.

We may contact you to provide appointment reminders or information about treatment alternatives or other health related benefits and services that may be of interest to you.

Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken action relying on your authorization.

You have the following rights with respect to your protected health information, which you can exercise by presenting a written request to the privacy offer:

• The right to request restrictions on certain uses and disclosures of protected health information including those related to disclosures to family members, other relative, close personal friends, or any other person indentified by you. We are, however, not required to agree to a request restriction. If we do agree to a restriction, we must abide by it unless you agree in writing to remove it.

• The right to reasonable request to receive confidential communications of protected health information from us by alternative means or alternative locations.

• The right to inspect and copy your protected health information.

• The right to amend your protected health information.

• The right to receive and accounting of disclosures of protected health information.

• The right to obtains a full paper copy of this notice from us upon request.