NOTICE OF PRIVACY PRACTICES
HIPPA
(Health insurance portability and accountability act)
This notice describes how health information about you may be used and disclosed and how you can get access to the information.
Please review carefully!
Effective date: January 4, 2016, and remains in effect until this office replace it.
The health and billing records we maintain are the physical property in this office.
If you have any questions about this notice please contact the office number.
OUR PLEDGE REGARDING MEDICAL INFORMATION
This privacy of you medical information is important to us. We understand that your medical information is personal and we are committed to protecting it protected health information is the information we create and obtain in providing our services to you. We need this information to provide you with quality care and comply with certain legal requirements. Such information may include description of your symptoms, exemption and test results diagnoses, treatments, a plan for future care or treatment and billing -related information for those services. This notice will tell you about the way we may use and share your protected health information. We also describe your rights and certain duties we have regarding the use and disclosure of your protected health information.
OUR LEGAL DUTY LAW REQUIRES US TO
* Keep your medical information private.
* Give you this notice describing our legal duties, privacy practice and your rights regarding your medical information.
*Follow the term of the notice that in now in effect.
WE HAVE THE RIGHT TO
*Change our privacy practice and the terms of this notice at any giving time, provided that law permits the change.
*Make the changes in our privacy practice and the new terms of our notice effective for all medical information that we keep, including information previously created or received before the changes.
NOTICE OF CHANGE TO PRIVACY PRACTICES:
Before we make any important changes in our privacy practice, we will change this notice and make the new notice available upon request.
USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION
The following section describes different ways that we use and disclose medical information. Not every use or discloser will be listed. However we have listed all of the different way we are permitted to use and disclose medical information. We will not use or disclose your medical information for any purpose not listed below without your specific written authorization. Any specific written automation you provide may be revoked at any time by writing to us.
FOR TREATMENT
We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurse, office staff technicians, or other people who ate taking care of you. We may also share medical information about you to other healthcare provider to assist them in treating you.
FOR PAYMENT
Our office does not submit payment request to insurance company’s
Payment is due at time of appointment in full.
FOR HEALTH CARE OPERATION
We may use and disclose your medical information for our healthcare operations. This might include measuring and improving quality evaluation the performance of employees, conducting training programs and getting the certificate licenses and credentials we need to serve you. An example of the use of your information your health care operation is:
We may obtain service from business associates such as quality improvement outcome evaluation, protocol and clinical guidelines development, training programs, credentialing medical review legal services, and insurance. We will share information about you with such business associates as necessary to obtain these services.
Additional use and disclosures
In addition to use and disclosing your medical information for treatment ,payment and health care operation we may use and disclose medical information for the following purposes.
PATIENT CONTACT
We may contact you with appointment reminder with information about treatment alternatives, or with information about other health –related benefits and services that may be of interest to you.
Notification:
COMMUNICATION WITH FAMILY
We will not disclose any information about your medical records unless we have written authorization.
CONTROLLING DISEASE
As required by law, we may disclose your protected health information to public health or legal authorities changed with preventing or controlling disease injury or disability.
CHILD ABUSE OR NEGLECT
We may disclose protected information to public authorities as allowed by law to report child abuse or neglect.
FOOD AND DRUG ADMINISTRATION (FDA)
We may disclose to the FDA your health information relating to adverse event with respects to food, supplements, products defects, or post-marketing surveillance information to enable products recalls, repairs or replacements.
VICTIMS OF ABUSE, NEGLECT OR DOMESTIC VIOLENCE
We may disclose protected health information to appropriate authorities if we have reasonably that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may share you medical information if it is necessary to prevent a serious threat to your health or safety or the heath or safety of other. We may share medical information when necessary, to help law enforcement officials capture a person who has admitted to being part of a crime or has escaped form legal custody.
HEALTH OVERNIGHT ACTIVITIES
We may disclose medical information to an agency providing health oversight activates authorized by law including audits civil administrative or criminal investigations or proceeding, inspection, licensure or disciplinary action, or for similar reason related to the administration of healthcare.
COURT ORDER AND JUDICIAL AND ADMINISTRATIVE PROCEEDINGS
We may disclose your medical information in response to a court or administrative order, subpoena, discovery request or other lawful process. Under certain circumstances. We may share limited information with a law enforcement official concerning the medical information of suspect .fugitive, material witness, crime victim or missing person. We may share the medical information of an inmate or other person in lawful custody with a law enforcement official or correction institution under circumstances necessary for your health and safety of other individuals.
LAW ENFORCEMENT
Under certain circumstances we may disclose health information to law enforcement officials. These circumstance include reporting required by certain law (such as the reporting of certain types of wounds to other physical injury) pursuant to certain subpoenas or court orders reporting limited information concerning identification and location at request of a law enforcement official, reporting death crimes on our premises and crime in emergencies.
CORONERS MEDICAL EXAMINES AND FUNERAL DIRECTORS
We may disclose your protected health information to funeral directors or coroner consistent with applicable law to allow them to care out their duties.
YOUR INDIVIDUAL RIGHTS
YOU HAVE THE RIGHT TO
Request that we place additional restriction on our use or disclosure of you medical information by delivering the request in writing to our office. We are not required to grant request but we will comply with any request granted (except in the case of emergency).
Look at or get copies of you medical information. You may exercise this right by delivering your request in writing to our office using the form we provide to you upon request. We may charge you for each page and for postage if you want the copies mailed to you. You may appeal a denial of access to your protected health information, expect in certain circumstances.
Receive a list of all the times we or out business associated share your medical information for purpose other than treatment payment and health care operation and other specified exertion by delivering a written request to our office.
To get confidential communication of your medical information. We normally communicate with you about your medical information by sending you a letter to your home address or calling you via phone. We will accommodate your reasonable request asking you communicate your medical informant to you by different means or at a different place. Your request for such alternative communication of your medical information must be made in writing to our office.
Request that your health care record be amended to correct incomplete or incorrect information by delivering a written request. The physician or other health care provider is not requesting to make such amendments. If we accept your request to change the information, we will make reasonable efforts to tell other, including people you name, of the change and include changes in any future sharing of that information. If we deny your request you may respond with a statement of disagreement and require that the request for amendment and any denial be attached in all future disclosures of your protected health information.
QUESTIONS AND COMPLAINTS
If you have any questions about this notice, would like additional information, or want to report a problem regarding the handling of your information, please contact the office