Protected Health Information

HIPAA Notice of Privacy Practices

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.

Printer-friendly version of HIPAA Notice of Privacy Practices (.doc)

Authorization of Release of Information Form

HIPAA and Maine law also require us to provide our patients, clients and members with the opportunity to disclose or share their confidential information through the use of an authorization or release form that includes certain legal language.  A global form has been developed to permit the individual to provide such permission easily.
Download form

 

For more information about Privacy and Security of Health Information, see the DHHS Privacy webpage.

 

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