STUART JACOB, DPM, FACFAS, FACFOM
WILLIAM J. GREEN, DPM

319 WEST BROAD STREET
BURLINGTON, NJ 08016

PATIENT PRIVACY STATEMENT

TO OUR PATIENTS:

WE ARE REQUIRED BY FEDERAL AND STATE LAWS TO MAINTAIN THE PRIVACY OF YOUR PROTECTED HEALTH INFORMATION. WE HAVE ALWAYS MAINTAINED PRIVACY OF YOUR RECORDS AND WILL CONTINUE TO DO SO. HOWEVER AS OF APRIL 14, 2003 WE ARE NOW REQUIRED BY LAW TO GIVE YOU A COPY OF OUR PRIVACY PRACTICES, OUR LEGAL DUTIES AND YOUR RIGHTS CONCERNING YOUR PROTECTED HEALTH INFORMATION.

TODAY AT YOUR VISIT YOU WILL BE GIVEN A COPY OF OUR PRIVACY PRACTICES AND WILL BE ASKED TO SIGN A PAPER (ACKNOWLEGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES) INDICATING THAT YOU HAVE RECEIVED A COPY OF THIS INFORMATION FROM OUR OFFICE.

OUR PATIENTS AND THEIR PRIVACY ARE VERY IMPORTANT TO US. WE WILL MAINTAIN THE SAME PRIVACY AND PROFESSIONALISM WITH YOUR PROTECTED HEALTH INFORMATION AS WE HAVE IN THE PAST.


STUART JACOB, DPM, WILLIAM GREEN, DPM AND STAFF





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