NOTICE OF PRIVACY PRACTICE
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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 of your Health Information.
Treatment- We may use your health care information to provide you with medical treatment/services and for treatment activities of other health care providers.
Payment- We may use your health information for payment activities including but not limited to determining plan coverage, billing/collection and assisting another health care provider with payment activities. We may release health information about you to a family member or legal guardian who is involved in paying for your medical care.
Operations- We may use your health information for operations-uses necessary to run our training or arranging for legal services.
Appointment reminders- We may use or disclose health information to remind you of your appointments for medical services.
Uses and Disclosures of Health Information required/permitted by law:
Required by Law/Law Enforcement- We may disclose your health information if required by federal, state, or local law, such as workers’ compensation, and if requested by law enforcement officials for purposes such as responding to a court order or warrant or obtaining information about a victim of a crime.·
Public Health and Safety- We may disclose your health information to prevent a serious threat to the health and safety of you, others, or the public and for public health activities, such as those intended to prevent or control.
Food and Drug administration (FDA) and Health Oversight Agencies- We may disclose health information relative to adverse events with respect to food, supplements and products.
Lawsuits/Disputes- We may disclose your health information if under court/administrative order, subpoena or discovery request after attempting to inform you of the request.
Coroners, Medical Examiners and Funeral Directors- We may release your health information so they can carry out their duties.
National Security/Intelligence Activities and Protective service- We may release your health information to authorized agencies for national security purposes.
Inmates- We may disclose your health information to a correctional institute so they may protect the health and safety of you and others.
Your rights regarding your Health Information:
Right to inspect and copy- You have the right to inspect and get a copy of health information used in decisions about your care.
Right to amend- You have the right to request your information be amended if you feel the information is inaccurate or incomplete. You must provide a reason in support of your amendment request.
Right to accounting of disclosures- You have the right to request a free list of disclosures every 12 months. The list will not include disclosures to third party payers.
Right to request restrictions- You have the right to request a restriction or limitation on your health information·
Right to request confidential contacts.
Right to paper copy of this notice
Policies surrounding possible breaches of your protected health information:
Your protected health information (PHI) will not be used for fundraising or marketing
In certain instances, you have the right to restrict disclosures to your health plan
Your PHI will not be used for fundraising purposes