HIPAA Information

• 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.
  
  Uses and disclosure
  Our practice collects personal health information on you that may be used for these primary purposes.
  
  1.Treatment- We will prepare a record of information each time we see you in or our of the office while you are under our care. This medical record is made to keep track of changes in your condition as well as remind us of your past care, treatment, allergies and other facts relevant to your overall health . This information may be passed on to other providers as part of a coordinated health care program for you.
  
  2. Payment- We must report elements of your personal health information such as specific treatments, visits and surgeries along with related diagnoses to third party payers to properly determine benefits payable on your behalf for the services we render. We only report the minimum necessary information to process the claim.
  
  3. Health care operations- In order to provide you with high quality health care we often need to be able to use your personal health information for purposes such as pre-registering you at the hospital if you ever need to be admitted or providing your pharmacy with a prescription so that it is ready to pick up when you arrive. We use the minimum amount of information to achieve these purposes
  
  In addition we will disclose your personal health information under the following circumstances
  • We receive a valid authorization from you
  • You give us oral authorization
  • We are required by law to disclose your personal health information to other such as public health agencies.
  
  
  Required disclosures We are required to disclose the information to you if you request it and we are required to disclose the information to the US DHHS for compliance determinations of this practice. We may disclose information about you with our your authorization for the following reasons.
  • When required by law, for judicial proceedings or law enforcement
  • For workers compensation
  • For uses and disclosures about descendants
  • Uses and disclosures for cadaver tissue donation
  • To alert a serious a serious threat to public health and safety
  • Disclosures about abuse, neglect, or domestic violence
  
  
  Other uses and disclosures will be made only with your written authorization and your may revoke such authorization by writing to us at our practice address or delivering a written revocation to us in person.
  
  We may periodically call you to remind you or appointments and we may advise you of treatment alternatives and benefits that may be of interest to you based on your health condition status.
  
  Your Rights
  You have a right to request restrictions on the use and disclosure of your personal health information. Our practice is not obligated to accept your restrictions. If we do accept the restrictions it must be complied with fully on our part.
  
  You have a right to inspect and have a copy of your personal health information. If you would like a copy, please request the information in writing or use a form available in our office for the request.
  
  You have the right to request amendments to your personal information. We will not amend any information we did not create. We are not obligated to make an amendment to your personal health information, but we will include your request for the amendment as part of your personal health information.
  
  You have a right in an accounting for the prior six years (but no earlier than the effective date of this notification) for uses and directions for purposes other than treatment, payment and health care operations of our practice. You have a right to a paper copy of this notification. The current version will be provided to you at your request.
  
  Our Duties
  We are obligated by law to protect your privacy and we will do our utmost to fulfill that duty to you. We will abide by all terms in this notification but we reserve the right to change the terms of this notice and the personal health information it protects. You are entitled to a copy of those changes.
  
  We will do our very best to make certain your rights are protected and we carry out our responsibilities to you. If you have any complaint we encourage you to contact us. It is our sincere desire to preserve your privacy and fulfill our duties. We will take no retaliatory action against any person for exercising their right to the resolution of a grievance. To the contrary we encourage your comments and criticisms. If we cannot resolve the issue for you, you have the right to file a grievance and make a complaint to the U.S. Department of Health and Human Services.
  
  To make a complaint or ask any questions concerning this policy please contact the office manager directly at 989.779.5270