A NOTICE ABOUT OUR PRIVACY POLICY
We are providing you with this notice of our Privacy Policy in accordance with the Federal Health Insurance Portability and Accountability (HIPPA) Act of 1996. This Act regulates hoe we use and disclose your protected health in formation. Your protected health information, or PHI, is persona; information that concerns your past, present or future physical and mental health condition. This notice explains your right to access and control your PHI.
Your Rights:
All requests must be in writing. We will provide you with the appropriate request form. We are not required to agree to your requests.
Use and Disclosures for Treatment, Payment, or Operations
Treatment: We will use and disclose your PHI to provide, coordinate, and manage your healthcare. For example, if you were refereed by another physician for treatment, we will provide that physician with part or all of your medical records.
Payment: We will use your PHI to obtain payment for our services. For example, we may submit claims on your behalf to your insurance company, or disclose selected PHI to a company which performs billing or collections services for us.
Operations: We may use your PHI to carry out other operations of our medical practice. Our practice may share minimal PHI with business associates which perform services for us. Our business associates are pledged to safeguard your privacy.
Reminders or Treatment Options: We may contact you and remind you of your next appointment. We may provide information to you about treatment alternatives or other services that may be of interest.
Uses and Disclosures without your authorization: We may use and disclose your PHI for public health purposes, for health oversight activities, to report abuse or neglect, for Workers’ Compensation programs, or for national security and intelligence.
Our Duties:
We are required by law to maintain the privacy of your PHI and provide you with this notice of our legal duties and privacy practices with respect to PHI. We will follow the terms of the notice provisions effective for all PHI that we created or received prior to issuing the revised notices. We will not implement any changes prior to its effective date. Any revised notice will be posted in the lobby and be available from our Privacy Officer.
Privacy Complaints:
You may complain to our Privacy Officer if you believe your privacy rights have been violated. You may also complain to the Secretary of Health and Human Services. You will not be retaliated against for filling a complaint.
We are providing you with this notice of our Privacy Policy in accordance with the Federal Health Insurance Portability and Accountability (HIPPA) Act of 1996. This Act regulates hoe we use and disclose your protected health in formation. Your protected health information, or PHI, is persona; information that concerns your past, present or future physical and mental health condition. This notice explains your right to access and control your PHI.
Your Rights:
- You have the right to request restrictions on certain uses and disclosures of your PHI
- You have the right to choose how and where we contact you
- You have the right to inspect or copy your medical records both in print and electronically
- You have the right to request amendments to your records
- You have the right to receive an accounting of some disclosures of your PHI
- You have the right to opt out of receiving fundraising communications
- You have the right to receive notifications of a breach of your unsecured PHI
All requests must be in writing. We will provide you with the appropriate request form. We are not required to agree to your requests.
Use and Disclosures for Treatment, Payment, or Operations
Treatment: We will use and disclose your PHI to provide, coordinate, and manage your healthcare. For example, if you were refereed by another physician for treatment, we will provide that physician with part or all of your medical records.
Payment: We will use your PHI to obtain payment for our services. For example, we may submit claims on your behalf to your insurance company, or disclose selected PHI to a company which performs billing or collections services for us.
Operations: We may use your PHI to carry out other operations of our medical practice. Our practice may share minimal PHI with business associates which perform services for us. Our business associates are pledged to safeguard your privacy.
Reminders or Treatment Options: We may contact you and remind you of your next appointment. We may provide information to you about treatment alternatives or other services that may be of interest.
Uses and Disclosures without your authorization: We may use and disclose your PHI for public health purposes, for health oversight activities, to report abuse or neglect, for Workers’ Compensation programs, or for national security and intelligence.
Our Duties:
We are required by law to maintain the privacy of your PHI and provide you with this notice of our legal duties and privacy practices with respect to PHI. We will follow the terms of the notice provisions effective for all PHI that we created or received prior to issuing the revised notices. We will not implement any changes prior to its effective date. Any revised notice will be posted in the lobby and be available from our Privacy Officer.
Privacy Complaints:
You may complain to our Privacy Officer if you believe your privacy rights have been violated. You may also complain to the Secretary of Health and Human Services. You will not be retaliated against for filling a complaint.