You will need to sign that you have read the following privacy practices when you come in for your office visit.
Other Uses of Medical Information
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use and disclose medical information about you, you may revoke your permission, we will thereafter no longer use or disclose medical information about you for the reason covered by written authorization. You understand that we are unable to take back any disclosure we have already made under your authorization. We are required to retain our records of the care that we provided to you for six years.
Privacy Officer
The Provider's Privacy Officer is: Erina Savage, 3101 S. Maryland Pkwy Suite 102, Las Vegas, NV 89109
Phone: (702) 732-4491 Fax: (702) 732-1036
