HIPAA Notice of Privacy Practices

James River Family Medicine

107 13th St N

New Rockford, ND 58356

P: 701-947-2042 / F: 701-947-2041

Notice of Privacy Practices – Summary

James River Family Medicine is committed to protecting the privacy of your health information.

We may use or disclose your health information for:

• Treatment
• Payment
• Healthcare operations
• When required by law

Your Rights

You have the right to:

• Request a copy of your medical record
• Request corrections to your record
• Request restrictions on certain disclosures
• Request confidential communications
• File a complaint if you believe your rights have been violated

A full Notice of Privacy Practices document is available upon request, on your patient portal or during your first visit to the clinic.

Questions regarding this may be directed to:

James River Family Medicine