PRIVACY NOTICE
Notice of Privacy Practices
Effective Date September 1, 2006
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.

OUR COMMITMENT TO PRIVACY

You have entrusted Summit Surgical Institute with the responsibility of providing health care for
you and your family. We are dedicated to maintaining your trust. We know that the privacy of
your personal medical information is important to you. That's why we take our responsibility to
protect the privacy of your personal medical information very seriously.

This privacy notice describes how we safeguard your privacy as we provide coverage and
services to you. It describes the personal information we collect about patients, how we use it,
and with whom we share it. This notice also explains your rights and certain obligations we
have regarding the use and disclosure of health information.

This notice applies to all of the records of your care generated by the Summit Vascular
Institute, including our physicians and medical staff at all our office locations.  This includes all
our employees, medical staffs, staff personnel, volunteers, students and trainees, as well as
those outside the organization with whom we've contracted for assistance for health care
services. All of these offices, sites and locations may share your medical information for
treatment, payment or health care operations, as described in this Notice and by law. Your
doctor may have different notices and policies about the use and disclosure of your medical
information created in his or her office or clinic. We are required by law to make sure that
medical information that identifies you is kept private, give you this notice of our legal duties
and privacy practices concerning your medical information, and follow the terms of the notice
that is currently in effect.

If you have any questions about this Notice of Privacy Practices, or questions or complaints
about how we handle your medical information, please contact:

Summit Surgical Institute
332 Summit Avenue
Hackensack, NJ  07601
phone: (201) 488-6445
fax:  (201) 488-6441
email:  Rose@SummitSurgicalinstitute.com
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Medical Disclaimer
The information on this web-site or by any links to or from this site is strictly presented for educational and entertainment purposes only.  This information is not
a recommendation for a specific treatment plan, product, or course of action or medical or healthcare provider.  In addition, this information may become out
of date over time.  It is important that you see a healthcare professional for detailed information about medical conditions and treatments.  This information is
not intended to be a substitute for the advice of a healthcare professional or a recommendation for any particular treatment plan.
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