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10515 Balboa Ave. Suite 390

Granada Hills, CA 91344

tel: (818)-360-4949

fax: (818)-366-6002

NOTICE OF PRIVACY PRACTICES

(Copies available upon request)

The Notice of Privacy Practices describes how the office of Morris Jagodowicz, M.D. will use and disclose your protected health information to provide treatment, to obtain payment, or for other purposes necessary to operate our office practice. Your protected health information includes the reason(s) for your visit, the type of care and treatment you may receive, and other information, including demographic information (e.g. your home address, age, gender, and so forth) that may be either necessary or helpful to identify you, or to assist Dr. Jagodowicz and others to provide necessary medical care.