Skip to main content
Viewing the site for patients.For referring providers

Notice of Privacy Practices

Effective January 1, 2026

⚠ Placeholder text. This is a realistic template, not legal advice. Replace it with language reviewed by your counsel and privacy officer before launch.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our responsibilities

We are required by law to maintain the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your information

  • For treatment: to coordinate your care with other providers
  • For payment: to bill you or your insurer
  • For health care operations: quality improvement, training and audits
  • As required by law, for public health, or to avert a serious threat

Your rights

  • To see and get a copy of your record
  • To request a correction
  • To request restrictions on certain uses and disclosures
  • To request confidential communications
  • To a list of certain disclosures we have made
  • To a paper copy of this notice
  • To file a complaint with us or with the U.S. Department of Health and Human Services; we will not retaliate

Contact

Privacy Officer, Wrenfield Health, 4120 Northgate Parkway, Suite 200, Wrenfield, WA 98599. privacy@wrenfieldhealth.example.