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Legacy Male Health Institute, P.A. Duties
Protecting your privacy and maintaining the security of your health
information is one of the most important responsibilities of Male
Fertility Specialist, P.A.
We are required by law to maintain the privacy of your protected
health information and to provide you with this notice of privacy
practices. We also are required to abide by the privacy policies and
practices that are outlined in this notice.
Right to Revise Privacy Practices
As permitted by law, we reserve the right to amend or modify our
privacy policies and practices. These changes in our policies and
practices may be required by changes in federal and state laws and
regulations. Upon request, we will provide you with the most
recently revised notice on any office visit. The revised policies
and practices will be applied to all protected health information we
maintain.
Requests to Inspect Protected Health Information
You may generally inspect or copy the protected health information
that we maintain. As permitted by federal regulation, we require
that requests to inspect or copy protected health information be
submitted in writing. You may obtain a form to request access to
your records by contacting our receptionist or Privacy Officer. Your
request will be reviewed and will generally be approved unless there
are legal or medical reasons to deny the request.
Complaints
If you would like to submit a comment or complaint about our privacy
practices, you can do so by sending a letter outlining your concerns
to:
Attn: Privacy Officer
Legacy Male Health Institute, P.A.
5616 Warren Parkway, Suite 101
Frisco, Texas 75034
If you believe that your privacy rights have been violated, you
should call the matter to our attention by sending a letter
describing the cause of your concern to the same address.
You will not be penalized or otherwise retaliated against for filing
a complaint.
Contact Person
The name and address of the person you can contact for further
information concerning our privacy practices is:
Attn: Privacy Officer
Legacy Male Health Institute, P.A.
5616 Warren Parkway, Suite 101
Frisco, Texas 75034
Telephone: 972.612.-7131
Effective Date
This Notice is effective on or after April 14, 2003.
The privacy policies and practices will be applied to all protected health information maintained at our vasectomy reversal clinic.
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