This is our Notice of Privacy Practices, which we are required by law to post on this website, according to the Health Insurance Portability and Accountability Act of 1996.  If you have any questions about our policy, please contact our office.

Notice of Privacy Practices
Effective Date: April 14, 2003 

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.
 
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations (TPO) and for other purposes that are permitted or required by law.  It also describes your rights to access and control your PHI.  "Protected health information" is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition, and related health care services. 

Uses And Disclosures of Protected Health Information
Your protected health information (PHI) may be used and disclosed by your physician, our office staff, and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of physicians practice, and any other use required by law. 

Treatment. we will use and disclose your PHI to provide, coordinate, or manage your health care and any related services.  This includes the coordination or management of your health care with a third party.  For example, we would disclose your PHI, as necessary, to a home health agency that provides care to you.  For example, your PHI may be provided to a physician to whom you have been referred to, in order to ensure that the physician has all necessary information to diagnose or treat you. 

Payment. Your PHI will be used, as necessary, to obtain payment for your health care services.  For example, obtaining approval for hospital stay may require that your relevant PHI be disclose to the health plan to obtain approval for the hospital admission. 

Health care operations. we may use or disclose, as needed, your PHI in order to support the business activities of your physician’s practice.  These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, and conducting or arranging for other business activities.  For example, we may disclose your PHI to medical school students that see patients in our office.  In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician.  We may also call you by name in the waiting room when your physician is ready to see you.  We may use or disclose your PHI, as necessary, to contact you to remind you of your appointments. 
We may use or disclose your PHI in the following situations without your authorization.  These situations include: as Required By Law; Public Health Issues as required by law; Communicable Diseases; Health Oversight; Abuse or Neglect; Food and Drug Administration requirements; Legal Proceedings; Law Enforcement; Coroners, Funeral Directors, and Organ Donation; Research; Criminal Activities; Military Activity and National Security; Workers' Compensation; Inmates; and Required Uses And Disclosures.  Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500. 

Other Permitted and Required Uses And Disclosures will be made only with your consent, authorization, or opportunity to object, unless required by law.  You may revoke this authorization, at any time, in writing, except to the extent that your physician or the physician’s practice has taken an action in reliance on the use or disclosure indicated in the authorization.

Your Rights
You have the right to inspect and copy your PHI.  Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and PHI that is subject to law that prohibits access to PHI. 

You have the right to request a restriction of your PHI.  This means that you may ask us not to use or disclose any part of your PHI for the purposes of treatment, payment, or health care operations.  You may also request that any part of your PHI not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices.  Your request must state the specific restriction requested and to whom you want the restriction to apply.  Your physician is not required to agree to a restriction that you may request.  If the physician believes it is in your best interest to permit use and disclosure of your PHI, your PHI will not be restricted.  You will then have the right to use another Healthcare Professional.

You have the right to request to receive confidential communications from us by alternative means or at an alternative location.  

You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively, i.e. electronically. 

You may have the right to have your physician amend your PHI.  If we deny your request for amendment, you have the right to file a statement of disagreement with us, and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. 
You have the right to receive an accounting of certain disclosures we have made, if any, of your PHI. 
We reserve the right to change the terms of this notice and will inform you by mail of any changes.  You then have the right to object or withdraw as provided in this notice. 

Complaints
You may send complaints directly to us or the Secretary of Health and Human Services if you believe your privacy rights have been violated. You may file a complaint with us by notifying our Privacy Officer.  We will not retaliate against you for filing a complaint.


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