Privacy Notice
WHO WILL FOLLOW THIS NOTICE:
This notice describes the information privacy practices followed by our employees, staff, and other office personnel. The practices described in this notice will also be followed by health care providers you consult with by telephone.
YOURS HEALTH INFORMATION:
This notice applies to the information and records we have about your health, health status, and the health care and services you receive at this office. We are required by law to give you this notice. It will tell you about the ways in which we may use and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:
FOR TREATMENT
We may use health information about you to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, office staff or other personnel who are involved in taking care of you and your health.
FOR PAYMENT
We may use and disclose health information about you so that the treatment and services you receive at this office may be billed to and payment may be collected from you, an insurance company or a third party.
FOR HEALTH CARE OPERATIONS
We may use and disclose health information about you in order to run the office and make sure that you and our other patients receive quality care.
APPOINTMENT REMINDERS
We may contact you as a reminder that you have an appointment for treatment or medical care at the office.
HEALTH RELATED PRODUCTS AND SERVICES
We may tell you about health related products or services that may be of interest to you. Please notify us if you do not wish to be contacted.
SPECIAL SITUATIONS
We may use or disclose health information about you without your permission for the following purposes, subject to all applicable legal requirements and limitations:
To Avert a Serious Threat to Health or Safety
Required By Law
We will disclose health information about you when required to do so by federal, state, or local law.
Research
We may use and disclose health information about you for research projects that are subject to a special approval process. We will ask you for permission if the researcher will have access to your name, address or other information that reveals who you are, or will be involved in your care at the office.
Military, Veterans, National Security and Intelligence
If you are or were a member of the armed forces, or part of the national security or intelligence communities, we may be required by military command or other government authorities to release health information about you.
Worker's Compensation
We may release health information about you for worker's compensation or similar programs. These programs provide benefits for work related injuries or illness.
Public Health Risks
We may disclose health information about you for public health reasons in order to prevent or control disease, injury or disability, or report births, deaths, suspected abuse or neglect, reactions to medications or problems with products.
Health Oversight Activities
We may disclose health information to a health oversight agency for audits, investigations, inspections, or licensing purposes.
Lawsuits and Disputes
If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. Subject to all applicable legal requirements, we may also disclose health information about you in response to a subpoena.
Law Enforcement
We may release health information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, summons or similar process, subject to all applicable legal requirements.
Coroners, Medical Examiners and Funeral Directors
We may release health information to a coroner or medical examiner. This may be necessary to identify a deceased person or determine the cause of death.
Family and Friends
We may disclose health information about you to your family members or friends if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection. We may also disclose health information to your family or friends if we can infer from the circumstances, based on our professional judgement that you would not object.
Other Uses and Disclosures of Health Information
We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific, written authorization. We must obtain your authorization separate from any consent we may have obtained from you. If you give us authorization to use or disclose health information about you, you may revoke that authorization in writing at any time.
Your Rights Regarding Health Information About You
Right to inspect and Copy
Right to Amend
Right to an Accounting of Disclosures
Right to Request Restrictions
Right to Request Confidential Communications
Right to a Paper Copy of This Notice
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of The Department of Health and Human Services. To file a complaint with our office, contact our privacy official at 407-208-1998.
This notice describes the information privacy practices followed by our employees, staff, and other office personnel. The practices described in this notice will also be followed by health care providers you consult with by telephone.
YOURS HEALTH INFORMATION:
This notice applies to the information and records we have about your health, health status, and the health care and services you receive at this office. We are required by law to give you this notice. It will tell you about the ways in which we may use and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:
FOR TREATMENT
We may use health information about you to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, office staff or other personnel who are involved in taking care of you and your health.
FOR PAYMENT
We may use and disclose health information about you so that the treatment and services you receive at this office may be billed to and payment may be collected from you, an insurance company or a third party.
FOR HEALTH CARE OPERATIONS
We may use and disclose health information about you in order to run the office and make sure that you and our other patients receive quality care.
APPOINTMENT REMINDERS
We may contact you as a reminder that you have an appointment for treatment or medical care at the office.
HEALTH RELATED PRODUCTS AND SERVICES
We may tell you about health related products or services that may be of interest to you. Please notify us if you do not wish to be contacted.
SPECIAL SITUATIONS
We may use or disclose health information about you without your permission for the following purposes, subject to all applicable legal requirements and limitations:
To Avert a Serious Threat to Health or Safety
Required By Law
We will disclose health information about you when required to do so by federal, state, or local law.
Research
We may use and disclose health information about you for research projects that are subject to a special approval process. We will ask you for permission if the researcher will have access to your name, address or other information that reveals who you are, or will be involved in your care at the office.
Military, Veterans, National Security and Intelligence
If you are or were a member of the armed forces, or part of the national security or intelligence communities, we may be required by military command or other government authorities to release health information about you.
Worker's Compensation
We may release health information about you for worker's compensation or similar programs. These programs provide benefits for work related injuries or illness.
Public Health Risks
We may disclose health information about you for public health reasons in order to prevent or control disease, injury or disability, or report births, deaths, suspected abuse or neglect, reactions to medications or problems with products.
Health Oversight Activities
We may disclose health information to a health oversight agency for audits, investigations, inspections, or licensing purposes.
Lawsuits and Disputes
If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. Subject to all applicable legal requirements, we may also disclose health information about you in response to a subpoena.
Law Enforcement
We may release health information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, summons or similar process, subject to all applicable legal requirements.
Coroners, Medical Examiners and Funeral Directors
We may release health information to a coroner or medical examiner. This may be necessary to identify a deceased person or determine the cause of death.
Family and Friends
We may disclose health information about you to your family members or friends if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection. We may also disclose health information to your family or friends if we can infer from the circumstances, based on our professional judgement that you would not object.
Other Uses and Disclosures of Health Information
We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific, written authorization. We must obtain your authorization separate from any consent we may have obtained from you. If you give us authorization to use or disclose health information about you, you may revoke that authorization in writing at any time.
Your Rights Regarding Health Information About You
Right to inspect and Copy
Right to Amend
Right to an Accounting of Disclosures
Right to Request Restrictions
Right to Request Confidential Communications
Right to a Paper Copy of This Notice
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of The Department of Health and Human Services. To file a complaint with our office, contact our privacy official at 407-208-1998.