HIPAA
Notice
SUMMARY OF PRIVACY PRACTICES
This summary of our privacy practices is contains a
condensed version of our Notice of Privacy Practices. Our full-length
Notice follows this summary.
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.
We understand that your medical information is personal to you,
and we are committed to protecting the information about you.
As our patient, we create medical records about your health,
our care for you, and the services and/or items we provide to
you as our patient. By law, we are required to make sure that
your protected health information is kept private.
How will we use or disclose your information? Here are a few
examples (for more detail please refer to the Notice of Privacy
Practices that follows this summary):
- For medical treatment
- To obtain payment for our services
- In emergency situations
- For appointment and patient recall reminders
- To operate our Practice more efficiently and ensure all our patients receive quality care
- For research
- To avert a serious threat to health or safety
- For organ or tissue donation
- For worker’s compensation programs
- In response to certain requests arising out of lawsuits or other disputes
If you believe your privacy rights have been violated, you
may file a complaint with the Practice or with the Secretary
of the Department of Health and Human Services. To file a complaint
with the Practice, contact our practice administrator. All complaints
must be submitted in writing. You will not be penalized for
filing a complaint. You have certain rights regarding the information
we maintain about you. These rights include:
- The right to inspect and copy
- The right to amend
- The right to an accounting of disclosures
- The right to request restrictions
- The right to a paper copy of this notice
- The right to request confidential communications
For more information about these right please see the detailed
Notice of Privacy Practices that follows this summary.
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