HIPAA Privacy Policy
PROVIDER NOTICE
OF
PRIVACY PRACTICES
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.
Key Issues
Uses and Disclosures: We use health
information about you for treatment, to obtain
payment for treatment, for administrative
purposes, and to evaluate the quality of care
that you receive. Continuity of care is part of
treatment and your records may be shared with
other providers to whom you are referred.
Information may be shared by paper mail,
electronic mail, fax, or other methods. We may
use or disclose identifiable health information
about you without your authorization in several
situations, but beyond those situations, we will
ask for your written authorization before using
or disclosing any identifiable health
information about you. We may also use or
disclose your health information to provide you
with appointment reminders (such as voice mail
messages, postcards, or letters.)
Your Rights: In most cases, you have the
right to look at or get a copy of health
information about you. If you request copies, we
will charge you only normal photocopy fees. You
also have the right to receive a list of certain
types of disclosures of your information that we
made. If you believe that information in your
record is incorrect, you have the right to
request that we correct the existing
information.
Our Legal Duty: We are required by law to
protect the privacy of your information, provide
this notice about our information practices,
follow the information practices that are
described in this notice, and seek your
acknowledgement of receipt of this notice.
Before we make a significant change in our
policies, we will change our notice and post the
new notice in the waiting area. You can also
request a copy of our notice at any time. For
more information about our privacy practices,
contact the person listed below.
Complaints: If you are concerned that we have
violated your privacy rights, or you disagree
with a decision we made about access to your
records, you may contact the person listed
below. You also may send a written complaint to
the U.S Department of Health and Human Services.
The person listed below can provide you with the
appropriate address upon request. If you have
any questions or complaints, please contact:
mnm1984@hotmail.com
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