To raise money for our organization, we may use and/or disclose PHI about you, including disclosure to a Novant Health regional foundation. Unless you provide an authorization, we will only share your name, address, telephone number, email, the dates you received treatment or services, the names of the treating physicians, the outcome and health insurance status. If you do not want to be contacted in this way, you may notify Novant Health Foundation at Please provide your full name and address.

Novant Health – HIPAA / Patient Privacy

Privacy policy information regarding HIPAA and patient privacy can be found on our hospital’s website.

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