Privacy Practice Acknowledgement:
Understand that under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights to privacy regarding your protected health information.
The Privacy Rule defines individually identifiable health information as information that relates to:
-the individual's past, present, or future physical or mental health condition
-the provision of health care to the individual
-the past, present, or future payment for the provision of health care to the individual.
And that identifies the individual or for which there is reasonable basis to believe can be used to identify the individual.