NOTICE OF INFORMATION PRACTICES AND PRIVACY STATEMENT
Your Information. Your Rights.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Please review it carefully.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
donation requests and work with a medical examiner or funeral director
organ procurement organizations.
Notice of Privacy Practices • Page 7
For more information see: www.hhs.gov/ocr/privacy/hipaa/ understanding/consumers/noticepp.html.
Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our web site, and we will mail a copy to you.
10175 Slater Ave Suite 200, Fountain Valley, CA 92708
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