privacy policy
This practice is required, by law, to maintain the privacy and confidentiality of your protected health information and to provide our patients with notice of our legal duties and privacy practices with respect to your protected health information.
Disclosure of Your Personal Health
Information
Treatment
We may disclose your health care information to other
healthcare professionals within our practice for the purpose
of treatment, payment or healthcare operations.
On occasion, it may be necessary to seek consultation regarding your condition from other health care providers associated with this practice.
It is our policy to provide a substitute health care provider, authorized by This practice to provide assessment and/or treatment to our patients, without advanced notice, in the event of your primary health care provider’s absence due to vacation, sickness, or other emergency situation.
Payment
We may disclose your health information to your insurance
provider for the purpose of payment or health care
operations.
Workers’ Compensation
We may disclose your health information as necessary to
comply with State Workers’ Compensation Laws.
Emergencies
We may disclose your health information to notify or assist
in notifying a family member, or another person responsible
for your care about your medical condition or in the event
of an emergency or of your death.
Public Health
As required by law, we may disclose your health information
to public health authorities for purposes related to:
preventing or controlling disease, injury or disability,
reporting child abuse or neglect, reporting domestic
violence, reporting to the Food and Drug Administration
problems with products and reactions to medications, and
reporting disease or infection exposure.
Judicial and Administrative
Proceedings
We may disclose your health information in the course of any
administrative or judicial proceeding.
Law Enforcement
We may disclose your health information to a law enforcement
official for purposes such as identifying or locating a
suspect, fugitive, material witness or missing person,
complying with a court order or subpoena, and other law
enforcement purposes.
Deceased Persons
We may disclose your health information to coroners or
medical examiners.
Organ Donation
We may disclose your health information to organizations
involved in procuring, banking, or transplanting organs and
tissues.
Research
We may disclose your health information to researchers
conducting research that has been approved by an
Institutional Review Board and with your informed consent..
Public Safety
It may be necessary to disclose your health information to
appropriate persons in order to prevent or lessen a serious
and imminent threat to the health or safety of a particular
person or to the general public.
Specialized Government
Agencies
We may disclose your health information for military,
national security, prisoner and government benefits
purposes.
Change of Ownership
In the event that This practice is sold or merged with
another organization, your health information/record will
become the property of the new owner.
- You have the right to request restrictions on certain uses and disclosures of your health information. Please be advised, however, that this practice is not required to agree to the restriction that you requested.
- You have the right to have your health information received or communicated through an alternative method or sent to an alternative location other than the usual method of communication or delivery, upon your request.
- You have the right to inspect and copy your health information.
- You have a right to request that this practice amend your protected health information. Please be advised, however, that this practice is not required to agree to amend your protected health information. If your request to amend your health information has been denied, you will be provided with an explanation of our denial reason(s)and information about how you can disagree with the denial.
- You have a right to receive an accounting of disclosures of your protected health information made by this practice.
- You have a right to a paper copy of this Notice of Privacy Practices at any time upon request.
Changes to this Notice of
Privacy Practices
This practice reserves the right to amend this Notice of
Privacy Practices at any time in the future, and will make
the new provisions effective for all information that it
maintains. Until such amendment is made, This practice is
required by law to comply with this notice.
This practice is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. If you have questions about any part of this notice or if you want more information about your privacy rights, please contact: us by calling this office. If the Doctor is not available, you may make an appointment for a personal conference in person or by telephone within 2 working days.
Complaints
Complaints about your Privacy rights or how this practice
has handled your health information should be directed to
the doctor, by calling this office. If the doctor is
not available, you may make an appointment for a personal
conference in person or by telephone within 2 working days.
If you are not satisfied with the manner in which this office handles your complaint, you may submit a formal complaint to:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201