NOTICE OF PRIVACY PRACTICES
notice describes how medical information about you may be used and
disclosed, and how you can get access to this information. Please
review it carefully.|
Understanding Your Protected Health Information (PHI)
The PHI constitutes information created or noted by me, that can be used to identify you. It contains data about your past, present, or future health or condition, the provision of health care services to you, or the payment for such health care. I am required to provide you with this notice about my privacy procedures. This Notice must explain when, why and how I would use and/or disclose your PHI.
Please note that I reserve the right to change the terms of this Notice and my privacy policies at any time as permitted by law.
This Notice (and any changes) will be posted in my office (12820 Hillcrest, Suite 127, Dallas TX 75230) and on my website (www.billwilcox.com).
Address any questions about this notice to: Bill Wilcox, M.Ed., LPC, at the above address
You have the right to file a complaint; if you believe you privacy rights have been violated. Address complaint to the Privacy Contact, or to the Secretary of the Department of Health and Human Services. There will be no retaliation for registering a complaint.
Revised January 2006