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Due to the privacy rules implemented through the Health Insurance Portability and Accountability Act (HIPAA), we are required to obtain your authorization for the healthcare providers or staff of the Sneeze & Snooze Clinic to discuss your medical and/or billing information with members of your family or other individuals. In the event of an emergency, or if you are unable to provide your authorization due to the severity of your medical condition, these rules can be waived.
This authorization will be in force until you exercise your right to revoke it, in writing, at any time.
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.