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Privacy Forms

Notice of Privacy Practice
THESE NOTICES DESCRIBE HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION, PLEASE REVIEW IT CAREFULLY.

We are required by law to maintain the privacy of protected health information and to provide individuals with notice of our legal duties and privacy practices with respect to protected health information. We are required to abide by the terms of these notices for as long as it is in effect.

If you have any questions regarding these notices, please contact

Brad Marzolf
HIPAA Compliance Officer
205 W. Green Street
Ithaca, New York 14850
607-277-4911