HIPAA Keep your information safe

We’re committed to transparency in every step of your care. Our HIPAA policies are here to keep your information secure and safe.

HIPAA Policy

The providers at Waldorf Women’s Care are here to serve your healthcare needs and are dedicated to providing you the best possible care. The intent of this policy is to clarify the role of the patient and the provider regarding billing issues. We ask that you carefully read the following Policy and sign the Practice Policy Agreement here.

  • Authorized Person's Consent

Waldorf Women's Care/WWC Gynecology & Aesthetics is a HIPAA-compliant office. Therefore, our staff is restricted by HIPAA rules and regulations in discussing the patient or the patient's medical information with anyone other than the patient, unless the patient has given us permission in writing to speak to someone else. If you, the patient, wish for us to have the ability to discuss your file, including any medical or financial information, please designate the individual(s).

  • Consent to Call, Email, Text

I understand that I may opt-out of receiving all such communications from my provider by emailing the Privacy Officer at: privacy@waldorfwomenscare.com.I understand that my provider's Privacy Notice is available on my provider's website and at wwwcgyn.com/hipaa-privacy-notice and that I may request a paper copy at my provider's reception desk.

  • Emergency Contact

Emergency Purposes only! No Personal Medical Information will be given to this person(s).

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