CONFIDENTIALITY
SUMMARY NOTICE
OF PRIVACY PRACTICES:

This Summary Notice of Privacy Practices does not take the place of the full Notice of Privacy Practices. Both are available to you.  Click here for full notice or request a printed copy at any CMA location.

We are required by federal law to provide a Notice of Privacy Practices that describes how
health information that we maintain about you may be used or disclosed. The Notice describes each use and disclosure that we are permitted to make, and provides a description of your rights and our obligations under federal and state privacy laws.

USES AND DISCLOSURES
We are permitted to use and disclose your health information under a variety of circumstances.

Sometimes we must obtain your authorization before we use or disclose that information, but in other circumstances we may use your information without your authorization and without
informing you of the use or disclosure. Some of the reasons that we may use or disclose your
information include:
• to provide information about your health condition to others who may treat you;
• to provide information about the treatment that we provided in order to obtain payment from your health plan;
• to report a communicable disease, domestic violence or criminal activity; or
• to comply with a court order requiring the disclosure of your medical record.

These examples are merely illustrative. For a full description of the uses and disclosures that
we are permitted to make, consult the Notice of Privacy Practices.

YOUR RIGHTS
While the records that we maintain about you belong to us, under the federal privacy law you
have a variety of rights with respect to the information maintained in those records. For
instance, you have the right to access and copy the health information that we maintain about
you and to request that we amend any of the information that you believe is incomplete or
incorrect. Also, you may request that we provide you with a list of each disclosure that we have made of your health information. All of these rights are subject to some exceptions that are described fully in the Notice of Privacy Practices.

OUR OBLIGATIONS
We are required to provide you with our Notice of Privacy Practices and to abide by its terms.

We may amend the Notice from time to time. All amendments apply retroactively.

Our full Notice of Privacy Practices is posted in our offices and available from the front desk receptionist. Please read it carefully. If you have any questions or require additional information, please contact the office manager who can assist you or the CMA Privacy Officer at (540) 825-5595.