HOME ILLINOIS BARIATRIC INFORMATION CONTACT PREPARING FOR SURGERY Things you can do to properly prepare for your surgery + Read more DAY OF SURGERY What you can expect on the day of your surgery... + Read more BILL PAYMENT Billing, Payments, Fees, & Insurance information... + Read more © Copyright 2014. Olympian Surgical Suites. All rights reserved.

HOME ILLINOIS BARIATRIC INFORMATION CONTACT YOUR HAVE THE RIGHT TO... Get an electronic or paper copy of your medical record Ask us to correct your medical record Request confidential communications Ask us to limit what we use or share Get a list of those with whom we have shared information Get a copy of this privacy notice Choose someone to act for you File a complaint if you feel your rights are violated YOUR HAVE CHOICES... For certain health information In these cases, you have both the right and choice to tell us to: In these cases, you have both the right and choice to tell us to: In these cases we never share your information unless you give us written permission: HOW DO WE TYPICALLY USE OR SHARE YOUR HEALTH INFORMATION? We typically use or share your health information in the following ways We can share health information about you for certain situations such as: Do research Comply with the law Respond to organ and tissue donation requests Work with a medical examiner or funeral director Address workers� compensation, law enforcement, and other government requests Work with a medical examiner or funeral director OUR RESPONSIBILITIES Our responsibilities to you © Copyright 2014. Olympian Surgical Suites. All rights reserved.