Orchard Park Fire District EMS

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notice of privacy practices

Orchard Park Fire District EMS, Inc. is committed to protecting your personal health
information. We are required by law to maintain the privacy of health information that
could reasonably be used to identify you, known as “protected health information” or
“PHI.” We are also required by law to provide you with the attached detailed Notice of
Privacy Practices (“Notice”) explaining our legal duties and privacy practices with
respect to your PHI.

We respect your privacy, and treat all healthcare information about our patients with
care under strict policies of confidentiality that our staff is committed to following at all
times.

If you have any questions or if you wish to file a complaint or exercise any rights listed in
this Notice, please contact our
HIPAA Compliance Officer:
Anthony Balester Jr
Orchard Park Fire District EMS, Inc.
3920 Taylor Rd
PO Box 488
Orchard Park, NY 14127
716-662-2619
Email HIPPA Compliance Officer

Effective Date of the Notice: 9/23/2013