In the course of providing service to you, we create, receive, and store health information that identifies you. It is often necessary to use and disclose this health information in order to treat you, to obtain payment for our services, and to conduct health care operations involving our office. You may request a copy of the Notice of Privacy Practices that describes these uses and disclosures in detail. You are free to refer to this Notice at any time before you sign this consent document. As described in our Notice of Privacy Practices, the use and disclosure of your health information for treatment purposes includes 1.Care and services provided here 2.Disclosure of your health information as may be necessary or appropriate for you to receive follow-up care from another health professional 3.Disclosure of your health information for purpose of payment to: to a billing agent or vendor for processing claims or obtaining payment. to third-party payers or insurers for claims review, determination of benefits and payment. to auditors hired by third-party payers and insurers. . You have the right to ask us to restrict the uses or disclosures made for purposes of treatment, payment or health care operations, but as described in our Notice of Privacy Practices, we are not obligated to agree to these suggested restrictions. If we do agree, however, the restrictions are binding on us. Our Notice of Privacy Practices describes how to ask for a restriction.