Your Right to Privacy

The Health Insurance Portability and Accountability Act (HIPAA) is a new set of federal rules designed to protect the privacy of individual health information.

The rules govern how and when health care providers, including doctors and hospitals, may share information about patients with others. The rules also give patients rights to review and, in some situations, change their medical records.

HIPAA requires that all medical care providers give each patient:

• a notice of privacy practices (PDF) (privacy notice in Spanish)

and
• obtain the patient’s signature documenting that he/she has received the notice.

To authorize Mills-Peninsula to disclose your health information, please fill out the following form and return it to us.

• Form for Disclosing Health Information

To request access to your health information, please fill out the following form and return it to us.

• Form for Accessing your Health Information

Find ways to contact us here