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NOTICE of PRIVACY PRACTICES Effective 1101 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED and DISCLOSED and 2014-2023
Can also see a copy of this notice on our website. O. Box 700190 Kapolei Hawaii 96709-0190 OR Office of Civil Rights DHHS 90 7th Street Suite 4-100 San Francisco CA 94103 We will not retaliate against you for filing a complaint. DHS 8030 Rev. 10/2014. Form DHS 1123 Give us permission to disclose your health information to another person. We must have your permission to use or disclose psychotherapy notes and for all other uses and disclosures not described in this Notice. Receive notice from us...
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