The following is a brief summary of your rights and our responsibilities as detailed in the Notice of Privacy Practices (the "Notice"). This summary is for your convenience and is not a substitute for reading the entire Notice ( read notice ). This summary does not modify the terms of the Notice.

1. How this Medical Practice May Use or Disclose Your Health Information
• For treatment purposes by our Practice or other health care providers included in your treatment
• For payment purposes for our services to you, such as to your insurance carrier
• For Practice operations purposes, such as quality improvement, planning, staff development
• For our business associates, such as billing service and medical transcriptionists
• For a variety of other purposes, including appointment reminders, public health requirements, judicial proceedings, workers' compensation
2. When This Medical Practice May Not Use or Disclose Your Health Information
• Except as stated above, our Practice will not use or disclose your health information without your written consent.
3. Your Health Information Rights
• You have the right to request restrictions on certain uses and disclosures of your health information
• You have the right to request that you receive your health information in a specific way
• You have the right to inspect and copy your health information
• You have the right to request an amendment or supplement to your health information if you believe it is incorrect or incomplete
• You have the right to an accounting of disclosures of your health information
• You have a right to receive a paper copy of this Notice.
4. Special Rules Regarding Disclosure of Psychiatric, Substance Abuse and HIV-Related Information
• Additional restrictions apply to disclosures of health information that relates to care for the above-listed conditions.
5. Changes to this Notice of Privacy Practices
• Our Practice has the right to amend this Notice in the future and will provide you with a copy upon request. The current Notice will also be posted on our website: www.gastrocenter.org
6. Complaints
• Complaints about how our Practice handles your health information should be directed to our Privacy Officers; you may also submit a complaint to the Department of Health and Human Services. You will not be penalized for filing a complaint.