This website will generate an HTML page and PDF you can use to help your users or customers understand your organization’s PHR data practices; for example, how your organization releases and secures its PHR data. Please read the Implementation Guide [PDF - 760 KB] to properly complete the form and display the Privacy Notice on your site.

If you would like your company logo to be displayed on HealthIT.gov to indicate that you are using the PHR Model Privacy Notice, please send an email to onc.request@hhs.gov once the Notice is displayed on your website. Send the company name, company contact, and URL of the Notice. Please also direct questions about the PHR Model Privacy Notice to this email address.