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Notice_of_Privacy_Practices.pdf

We make every effort to keep the patient's name and record private. All information concerning a patient's identity or clinical care is released only when instructed to do so by the patient.

If you chose to use your health insurance company, they will receive our statement including the dates of the patient's visit, charges and diagnosis. As part of cost control efforts, managed care companies often ask for more clinical information, however. We will let you know if this should occur and what information the company has requested.

In all but few rare situations, your privacy is protected by state law and the ethical code of psychiatry. For minors who are mature enough to come unaccompanied by their parents to the clinic, confidentiality of information disclosed during their examination and treatment is respected.

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