HIPAA Notice of Privacy Practices

Effective Date: June 04, 2026

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.

At Diabetes & Endocrine Specialists of Southwest Ohio, we are committed to protecting the privacy of your Protected Health Information (PHI). This Notice describes our legal duties and privacy practices regarding your medical information under the Health Insurance Portability and Accountability Act (HIPAA).

1. Uses and Disclosures of Your Health Information

We may use and disclose your medical information for the following core purposes without requiring your explicit written authorization:

2. Permitted Disclosures Without Authorization

Federal regulations allow or require us to share your health information in specific administrative situations without your consent:

3. Your Privacy Rights Regarding Your PHI

As a patient of our practice, you hold specific legal rights under federal law:

4. Breaches and Updates

We are required by law to maintain the privacy of your PHI, provide you with this notice of our legal duties, and notify you following a breach of unsecured protected health information. We reserve the right to change our privacy practices, and any new updates will apply to all medical records we maintain.

5. File a Privacy Complaint

If you believe your privacy rights have been violated, you may file a complaint directly with our practice administrative office or with the Secretary of the Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

Privacy Officer / Administrative Desk
Diabetes & Endocrine Specialists of Southwest Ohio
5250 Far Hills Avenue, Suite 150
Dayton, OH 45429
Phone: (937) 356-9966