Notice of Privacy Policies
HIPAA NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
TABLE OF CONTENTS
TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS
OTHER USES AND DISCLOSURES
Opportunity to Object to Certain Uses and Disclosures
You have the right to tell us whether you want us to use or disclose your information for the following purposes:
To Individuals Involved in Your Care or Payment for Your Care. We may share medical information about you with your family members, friends, or any others involved in your medical care or who helps pay for it. We may also share you information as necessary to identify, locate, and notify family members, guardians, or others involved in your care about your location, and general condition.
For Disaster Relief. In some cases, we may share limited information about you to a disaster relief agency assisting in disaster relief efforts.
If you are not present or unable to tell us your preference, we may go ahead and share your information if your health care provider thinks that it may be best for you.
Other Permitted Uses and Disclosures
We may share your information when needed to lessen a serious and imminent threat to health or safety. When permitted by law, we may also share information in certain situations to help with public health and safety issues. For example, in preventing disease, reporting adverse medication reactions, or helping with product recalls. We may share information with a medical examiner or coroner when an individual dies. We may share information with health oversight agencies for activities authorized by law, and for certain specialized government functions such a national security and presidential protective services.
Required Uses and Disclosures
Use and Disclosure Requiring Your Authorization
Right to request how we contact you
It is our normal practice to communicate with you at your home address and daytime phone number you gave us when you scheduled your appointment, about health matters, such as appointment reminders. Sometimes we may send a text appointment reminder or leave messages on your voicemail. You have the right to request that our office communicate with you by alternative means or at an alternative location. You must submit your request in writing to us at the address below. We will agree to reasonable requests.
Right to release your medical records
Right to inspect and copy your medical and billing records.
Right to add information or amend your medical records.
Right to an accounting of disclosures.
Right to request restrictions on uses and disclosures of your health information.
You have the right to ask for restrictions on certain uses and disclosures of your health information. This request must be in writing and submitted to our Privacy Officer. You must tell us the type of restriction you want and to whom it applies. We are generally not required to agree to such a request, with one exception. You have a right to restrict any disclosure of personal health information for payment purposes or for our health care operations if you have paid for services out-of-pocket and in full.
Right to complain.
If you believe your privacy rights have been violated, please contact us personally, and discuss your concerns. You may also file a written complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing such a complaint.
OTHER INFORMATION ABOUT THIS NOTICE
Compliance with Laws
Right to Request a Paper Copy
Revisions to This Notice
Questions and Contact
If you have any questions about this notice or about how your health information is used or shared by us, please contact us at: