Acknowledgement of Receipt of Notice of Privacy Practices
Dr. Lauren Greenberg
I hereby acknowledge that a copy of the current notice is in the reception area, and that a copy of any amended Notice of Privacy Practices will be available at each appointment. I will notify the office if I would like to receive a copy of any amended Notice of Privacy Practices.
For surgical patients: We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, or technicians, medical students, or other people who are taking care of you. We may also share medical information about you to other care providers to assist them in treating you.
The Associated Anesthesiologist Medical Group participates with the Plastic Surgery Center as part or an Organized Health Care Arrangement (OCHA). As such, health care providers and the facility participating in the OHCA (both covered entities) produce a single joining privacy notice for purposes of HIPAA.