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Workers’ Compensation
DPG may release your PI for workers’ compensation and similar
programs.

Disclosures Required by Law
DPG will use and disclose your PI when we are required to do so
by federal, state, or local law.

In addition to the above described uses and disclosures of your
PI, we may also use and disclose your PI under the following
unique circumstances.
Your Rights:

The Right to Inspect and Copy
You have the right to inspect and obtain a copy of your PI that
we maintain and have in our possession, including medical
records (if we maintain any) and billing records, but not including
psychotherapy notes. If you request copies, we will charge
you a fee for the costs of copying, mailing, labor, and supplies
associated with your request. To inspect and copy your PI, you
must submit your request in writing.

The Right to Amend your PI
If you feel that any PI we have about you is not correct or
incomplete, you may ask us to amend the information. You have
the right to request an amendment for as long as the information
is kept by DPG. To request an amendment, your request must
be made in writing. Additionally, you must provide a reason that
supports your request.

DPG reserves the right to deny your request for an amendment
if it is not in writing or does not include a reason to support the

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