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Notice Of Privacy Practice

THIS NOTICE DESCRIBES HOW CHIROPRACTIC AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THAT INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.

Steven M. Horwitz, D.C., a Maryland Chiropractic Practice (the “Practice”), in accordance with applicable federal and state law, is committed to maintaining the privacy of your protected health information (“PHI”). Your PHI includes information about your health condition and the care and treatment you receive from the Practice. This Notice explains how your PHI may be used and disclosed to third parties. This Notice also details your rights regarding your PHI.

HOW THE PRACTICE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION (PHI)

The Practice, in accordance with this Notice and without asking for your express consent or authorization may use and disclose your PHI for the purposes of:

OTHER EXAMPLES OF HOW THE PRACTICE MAY USE YOUR PROTECTED HEALTH INFORMATION

OTHER USE & DISCLOSURES WHICH MAY

BE PERMITTED OR REQUIRED BY LAW

The Practice may also use and disclose your PHI, without your consent or authorization in the following instances:

AUTHORIZATION

Uses and/or disclosures, other than those described above will be made only with your written Authorization.

YOUR RIGHTS

Your have the right to:

PRACTICE’S REQUIREMENTS

The Practice:

EFFECTIVE DATE

This Notice is in effect as ofJanuary 1, 2003.