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Privacy Practices

Coplin Health Systems Systems has always been a leader in protecting patients’ medical information. Maintaining patient privacy is part of our mission to serve the needs of the patient first. Controlled use of medical information by staff at Coplin Health Systems is essential to providing optimum patient care.

The United States government created rules for the use and protection of medical and health information by hospitals, clinics and other medical practices.

The rules are a result of the 1996 Health Insurance Portability and Accountability Act (HIPAA). They are meant to provide all patients in the United States with standard privacy protections. One rule requires hospitals and clinics to provide all patients with a Notice of Privacy Practices to explain how patient medical information is used. The same rule requires hospitals and clinics to keep records showing that patients have received the notice.

Upon arriving at your first office visit, we are happy to provide you with this copy of Coplin Health Systems Notice of Privacy Practices. We hope it will answer any questions you may have about how patient medical information is used here. In accordance with the federal government HIPAA rules, please sign the form that came with this notice and bring it with you to your appointment or sign the agreement upon the appointment date in our office. By signing the form, it will show that you have received the notice; it will in no way affect the care you receive at Coplin Health Systems.

Contact your local Coplin Health Systems location for more information.


This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

Wirt County Health Services Association is a Federal Tort Claims Act (FTCA) deemed facility.



Click below to download privacy information and acknowledgement form.