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If this happens, you may request a review of the denial. You may ask us to amend your health information if you believe that it is incorrect or incomplete.

You have the right to receive a list of the disclosures we have made of your medical information since April 14, 2003.

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED BY BOWIE INTERNAL MEDICINE ASSOCIATES AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. We are required by law to maintain the privacy of your medical information and to provide you with notice of our legal duties and privacy practices.

Your request must be in writing and must provide an alternate way we can contact you confidentially. You may request access to inspect and copy your medical information maintained in cur records, including medical and billing records. Upon receipt, we will act on your request within 21 days.

If we must deny your request we will send you a written denial.

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