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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