Pediatric New Patient Form

Confidentiality:  As a patient of Dr. Alex Kaminsky, you have certain privacy expectations as well as rights and our clinic is fully compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules for health care providers.  We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information.  We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information.

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