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HIPAA 45 C.F.R. § 164.530(c)and HITECH (Health Information Technology for Economic and Clinical Health) Act Privacy Rule: Patients may initiate and/or participate in communications with a provider using e-mail. If this situation occurs, the health care provider can assume (unless the patient has explicitly stated otherwise) that e-mail communications are acceptable to the individual. If you are a patient and communicating with us by e-mail, you accept and agree that we are not responsible for any privacy breach thus engendered.