HIPAA Information & ConsentThe Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to protect your privacy. Implementation of HIPAA requirements officially began on April 14, 2003. This form is a "friendly" version. A more complex text is available upon requests.What this is all about: Specifically, there are rules and restrictions on who may see or be notified of your Protected Health Information (PHI). These restrictions do not include the normal interchange of information necessary to provide you with office services. HIPAA provides certain rights and protections to you as a patient. We balance these needs with our goal of providing yo with quality professional service and care. Additional information is available from the U.S. department of Health and Human Services. www.hhs.gov We have adopted the following policies1. Patient information will be kept confidential except as is necessary to provider services or to ensure that all administrative matters realated to your care are handled appropriately. This specifically includes the sharing of information with other healthcare providers, laboratories, health insurance payers as is necessary and appropriate for your care/ Patient files may be stored in open file ranks and will not contain any coding which identifies a patients condition or information which is not already a matter of public record. The normal course of providing care means that such records may be left, at least temporarily, in administrative areas such as the front office, examination room, etc. Those records will not be available to persons other than office staff. You agree to the normal procedures utilized within the office for handing of chards, patient records, PHI and other documents or information.2. It is the policy of this office to remind patients of their appointments. We do this by e-mail or text. We may send you other communications informing you of changes to office policy and new technology that you might find valuable or informative.3. You understand and agree to inspections of the office and review of documents which may include PHI by government agencies or insurance payers in normal performance of their duties.4. You agree to bring any concerns or complaints regarding privacy to the attention of the office manager or healthcare provider.5. Your confidential information will not be used for the purposes of marketing or advertising of products, goods or services.6. We agree to provide patients with access to their records in accordance with state and federal laws.7. We may change, add, delete or modify any of these provisions to better serve the needs of the practice and the patient.8. You have the right to request restrictions in the use of your protected health information and to request change in certain policies used within this office concerning your PHI. However, we re not obligated to alter internal policies to conform to your request.