I understand that as part of my health care, Kitsap General Surgery originates and maintains paper and/or electronic records describing my health history, symptoms, examinations, and test results, diagnosis, treatment, and any plans for future care or treatment. I understand that this information serves as:
A basis for planning my care and treatment,
A means of communication among the many health professionals who contribute to my care,
A source of information for applying my diagnosis and surgical information to my bill,
A means by which a third-party payer can verify that services billed were actually provided, and
A tool for routine healthcare operations such as assessing quality.
Kitsap General Surgery has a responsibility to protect the privacy of your health care information and to provide a Notice of Privacy Practices that describes how your health care information may be used and disclosed, how you can access your health information, and whom to contact if you have any questions, concerns, or complaints. We may change the Notice of Privacy Practices at any time. You may obtain a current copy of the Notice of Privacy Practices or ask questions at anytime.
I have had an opportunity to receive and review the Notice of Privacy Practices of Kitsap General Surgery.