Compliance and Privacy Links:

Website Privacy Policy
HIPAA Joint Privacy Notice
Your Rights Under HIPAA
Authorize a Representative
Request an Accounting of Disclosures
Amend My Record
Request Confidential Communications

Request Records
Report a Privacy Violation

Report a Privacy Violation

You have the right to file a complaint if you believe that your privacy rights have been violated. We will not take action against you for filing a complaint. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services.

To report a privacy violation, complete the <Report Privacy Violation> below:

First Name

Last Name

Address (line 1)

Address (line 2)

City

State

Zip Code

Phone

Email Address

Complaint

Please only click Submit once