We are required by law to protect the privacy of health information that may reveal your
identity, and to provide you with a copy of this notice which describes the health information
privacy practices of NASHAT Y. GABRAIL, MD, INC. and any affiliated health care providers that
jointly perform payment activities and business operations with our practice. A copy of our
current notice will always be posted in our reception area. You will also be able to obtain your
own copies by accessing our website at GabrailCancerCenter.com, calling our office at (330)
492-3345 or (330) 365- 2135, or asking for one at the time of your next visit.
If you have any questions about this notice or would like further information, please contact,
Practice Administrator, at (330) 492-3345.

IMPORTANT SUMMARY INFORMATION
Requirement for Acknowledgment of Notice of Privacy Practices. We will ask you to sign
a form that will serve as an acknowledgment that you have received this Notice of Privacy
Practices.

Requirement For Written Authorization. We will generally obtain your written authorization
before using your health information or sharing it with others outside our group practice. You
may also initiate the transfer of your records to another person by completing an authorization
form. If you provide us with written authorization, you may revoke that authorization at any
time, except to the extent that we have already relied upon it. To revoke an authorization,
please contact, Practice Administrator, at (330) 492-3345.

Exceptions To Requirement. There are some situations when we do not need your written
authorization before using your health information or sharing it with others. They are:
Exception For Treatment, Payment, And Business Operations. We are allowed to
use and disclose your health information without your consent to treat your condition,
collect payment for that treatment, or run our practice's normal business operations.
Exception For Disclosure To Friends And Family Involved In Your Care. We will
ask you whether you have any objection to including information about you in our
patient directory or sharing information about your health with your friends and family
involved in your care. More information about this exception is provided below.