Privacy Notice

Central Ohio Primary Care Privacy Policy

Central Ohio Primary Care (COPC) respects your privacy and does not collect any personal data from you as you visit the COPC web site.

COPC staff or personnel will not contact you unless you specifically request such contact, either by phone or e-mail.

Please carefully review our Notice of Privacy Practices to learn how medical information may be used and disclosed.

If you have specific questions regarding patient privacy or you would like to file a complaint, please do not hesitate to contact us at the COPC Administrative Offices.

Downloadable Privacy Forms

Notice of Privacy Practices
HIPAA Authorization Form – Authorization for Use/Disclosure of Protected Health Information
Request to Access Medical Record – Please complete this form and bring it with you during your next appointment.
Request for Accounting of Disclosures
Request for Amendment to Medical Record
Complaint Regarding Uses or Disclosures of Health Information
Request for Confidential Communications
Request for Restriction


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