Your Information. Your Rights. Our Responsibilities.
To view or print a copy about privacy practices, please click on the following link: HIPAA Notice of Privacy Practices Form
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request in our office.
Questions about this form should be directed to Desiree C. Cabinte, Ph.D., LLC, Licensed Psychologist, 808-284-1807.
This form is from: http://www.hhs.gov/ocr/privacy/hipaa/modelnotices.html