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.
The Health Insurance Portability and Accountability Act of 1996 (HIPPA) is a federal program that requires all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, are kept properly confidential. This act gives you, the patient, significant new rights to understand and control how your health information is used. HIPPA Provides penalties for covered entities that misuse personal health information.
As required by HIPAA, we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.
We will use and disclose your protected health and personal information to provide, coordinate or manage your healthcare and any related services. This includes, but not limited to, the coordination or management of your healthcare with a third-party. For example, we may disclose your protected health or personal information, as necessary, if, as a result of our services, you require treatment by another physician. Your protected health and personal information may be provided and/or released to such physician to ensure that the physician has the necessary information to diagnose or treat you.
Your protected health and personal information will be used, if requested, to obtain payment services by this practice. For example, if you desire to finance the cost of your treatment, this may involve disclosing protected, personal, and private information to a third party in order to secure financing.
We may use or disclose, as needed, your protected health and personal information in order to support the business activities of this office. These activities include, but not limited to, quality assessment activities; employment review activities; licensing; and conducting or arranging for other business activities. In addition, we may also use or disclose your protected health or personal information as necessary to contact you to provide (as applicable) appointment reminders or information about treatment alternatives or other health related benefits and services that may be of interest to you. We may use or disclose your protected health or personal information in certain situations where such disclosures are required by law, without your authorization or consent. Other uses and disclosures will be made only with your consent, authorization or opportunity to object unless required by law. You may revoke in writing any authorization you have given us except to the extent that we have already taken actions in reliance upon your prior authorization.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In any case we never sell or use your information for marketing purposes without your written permission. We may contact you for fundraising efforts, but you can tell us not to contact you again.
You have the following rights with respect to your protected health information which we explain below: