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![]() Notice of Privacy Practices for Protected Health Information This page describes how medical inforamation about you can be used and siclosed and how you can get access to this information. Please review it carefully. With your consent, the practice is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment and health care operations. Protected health information is the information we create and obtain in providing our services to you. Such information we create and obtain in providing our services to you. Such information may include documenting your symptoms, examination and test results, diagnosis, treatment and applying for future care or treatment. It also includes billing documents for those services. Examples of uses of your health information for treatment purposes: A nurse obtains treatment information about you and records in a health record. During the course of your treatment, the doctor determines a need to consult with another specialist in the area. The doctor will share the information with such specialist and obtain imput. Example of use of your health information for payment purposes: We submit a request for payment to your health insurance company. The health insurance company requests information from us regarding medical care givin. We will provide information to them about you and the care given. Example of use of your information for health care operations: We obtain services from our insurers or other business associates such as quality assessment, quality improvement, outcome evaluation, protocol and clinical guidelines development, training programs, credentialing, medical review, legal services and insurance. We will share information about you with such insurers or other business associates as necessary to obtain these services. Your Health Information Rights The health record we maintain and billing records are the physical property of the practice. The information in it, however, belongs to you. You have a right to:
If you want to excercise any of the above rights, please contact Gerri at 954-431-1600 in person or in writing, during normal business hours. She will provide you with assistance on the steps to take to excercise your rights. Our responsibilities The practice is required to:
We reserve the right to ammend, change, or eliminate provisions in our privacy practices and access practices and to enact new provisions regarding the protected health information we maintain. If our information practices change, we will ammend our Notice. You are entitled to receive a revised copy of the Notice by calling and requesting a copy of our "Notice" or by visiting our office and picking up a copy. To Request Information or File a Complaint If you have questions, would like additional information, or want to report a problem regarding the handling of your information, you may contact Gerri, Office Manager at 954-431-1600. Additionally, if you beleive your privacy rights have been violated, you may file a written complaint at our office by delivering the written complaint to the Office Manager. You may also file a complaint by mailing it or emailing it to the Secretary of Health and Human Services.
Notification Unless you object, we may use or disclose your protected health information to notify, or assist in notifying, a family member, personal representative, or other person responsible for your care, about your location, and about your general condition, or your death. Communication with Family Using our best judgement, we may disclose to a family members, other relative, close personal friend, or any other person you identify, health information relevant to that person's involement in your care or in payment for such care if you do not object or in an emergency. Food and Drug Administration (FDA) We may disclose to the FDA your protected health information relating to adverse events with respect to products and product defects, or post-marketing surveillance information to enable product recalls, repairs, or replacements. Workers Compensation If you are seeking compensation through Workers Compensation, we may disclose your protected health information to the extent necessary to comply with laws relating to Workers Compensation. Public Health As required by law, we may diclose your protected health information to public health or legal authorities charged with reventing or controlling disease, injury, or disability. Abuse & Neglect We may disclose you protected health information to public authorities as allowed by law to report abuse or neglect. Correctional Institutions If you are an inmate of a correctional insitituion, we may disclose to the insititution, or its agents, your protected health information necessary to your health and the health and safety of other individuals. Law Enforcement We may disclose your protected health information for law enforcement purposes as required by law, such as when required by court order, or in cases involving felony prosecutions, or to the extent an individual is in the custody of law enforcement. Health Oversight Federal law allows us to release your protected health information to appropriate health oversight agencies or for health oversight activities. Judicial/Administrative Proceeding We may disclose your protected health information in the course of any judicial or administrative proceeding as allowed or required by law, with your consent, or as directed by a proper court order. Other Uses Other uses and disclosures besides those identified in this Notice will be made only as authorized by law or with your written authorization and you may revoke the authorization as previously provided. Website If we maintain a website that provides information about our entity, this Notice will be on the website. |
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