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Legal · legal review needed

Last updated: [DATE — LEGAL REVIEW NEEDED]

Purpose of this notice

This notice will describe how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our responsibilities

Verdugo Medical Care is required by law to maintain the privacy of your protected health information and to provide you with this notice of our legal duties and privacy practices.

How we may use and disclose your information

[TO BE COMPLETED BY THE CLINIC'S COMPLIANCE OR LEGAL ADVISOR]

Your rights

[TO BE COMPLETED BY THE CLINIC'S COMPLIANCE OR LEGAL ADVISOR]

Complaints

[TO BE COMPLETED BY THE CLINIC'S COMPLIANCE OR LEGAL ADVISOR]

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