Privacy Notice
This notice describes how medical information about you may be disclosed, and how you can gain access to this information. Please read it carefully.
The protection of privacy of your medical infomation is important to us. This notice informs you about your medical information may be used, and also about certain of your rights.
Use and Disclosure of Protected Health Information (PIH)
The HIPPA (Health Insurance Portability and Accountability Act), a federal law, provides that we may use your medical information for the following, without specific notice to you, or written authorization by you:(1) Treatment of you. For example, if we refer you to a specialist, we may provide data to that specialist. (2) Payment for our service. For example, under your health plan we are required to provide them with a diagnosis code for your visit, and a description of the services rendered. (3)Health care Operation. Our accoutant may see your name, dates of treatment and procedures during audits of our books.
Your PHI may be disclosed without further notice to you, or specific authorization by you, where:(1) required by law (2) required by public health purposes, (3) required by law to report child abuse (4) required by health oversight agency as authorized by law such as the Department of Health, or others. (5) requried by law in judicial and adminstrative proceedings, (6) requried for law enforcement purposes by a law enforcement official, (7) required by a coroner, or medical examiner, (8) permeitted by law, to a funeral director, (9) permitted by law, for organ donation purposes, (10) permitted by law to avert a serious threat to health, or safety, (11) permitted by law, and required by military authorities if you are a member of the armed forces of the United States.
OUr office will apply the stricter New York State law on information protection, regarding HIV/AIDS.
Unless you instruct us otherwise, we may leave a message for you on an ansering device, or with anyone who answers the phone at your residence, when we contact, by phone to remind you of appointment, or to provide information about treatment alternative.
If you prefer alternative methods of communication with you in a confidential manner, you can make such request in writing.
Any other use, or other uses/disclosures of your PHI will be made only with your written authorization, and which authorization you revoke, in writing.
Your Rights.
You have the right to:
(1) Request restrictions on certain of the uses, or disclosures described above. Except as stated below, we are not required to aggree to such restrictions.
(2) Inspect and obtain copies of your medical infromation (We will charge a reasonable fee of this).
(3) Request amendments, in writing, to your medical information, stating the reason for the requested amendment. You will be notified of your decision, still guided by your rights.
(4) Request an accounting of any disclosures, by us, of your medical information, except fo the following: disclosures made to you to carry out treatment, payment or health care operatons as requested by your written authorization as permitted or required under 45 CFR#164.502 for emergency or notification purposes for national security or intelligence purposes as permitted by law to correctional facilities or law enforcement officials as permitted by law disclosures made before April 14, 2003.
Our Rights and Obligations
We will maintain the privacy of your PHI. We will also provide individuals with notice of our legal duties and privacy practices.
We are required (our pledge) to abide by the terms of this notice as long as it remains in effect. We also reserve the right to revise this notice, and to make a new notice effective for all PHS that we maintain.
Any complaints about violation of your privacy rights should be made to the Secretary of the US Department of Health and Human Services, or with us.
The protection of privacy of your medical infomation is important to us. This notice informs you about your medical information may be used, and also about certain of your rights.
Use and Disclosure of Protected Health Information (PIH)
The HIPPA (Health Insurance Portability and Accountability Act), a federal law, provides that we may use your medical information for the following, without specific notice to you, or written authorization by you:(1) Treatment of you. For example, if we refer you to a specialist, we may provide data to that specialist. (2) Payment for our service. For example, under your health plan we are required to provide them with a diagnosis code for your visit, and a description of the services rendered. (3)Health care Operation. Our accoutant may see your name, dates of treatment and procedures during audits of our books.
Your PHI may be disclosed without further notice to you, or specific authorization by you, where:(1) required by law (2) required by public health purposes, (3) required by law to report child abuse (4) required by health oversight agency as authorized by law such as the Department of Health, or others. (5) requried by law in judicial and adminstrative proceedings, (6) requried for law enforcement purposes by a law enforcement official, (7) required by a coroner, or medical examiner, (8) permeitted by law, to a funeral director, (9) permitted by law, for organ donation purposes, (10) permitted by law to avert a serious threat to health, or safety, (11) permitted by law, and required by military authorities if you are a member of the armed forces of the United States.
OUr office will apply the stricter New York State law on information protection, regarding HIV/AIDS.
Unless you instruct us otherwise, we may leave a message for you on an ansering device, or with anyone who answers the phone at your residence, when we contact, by phone to remind you of appointment, or to provide information about treatment alternative.
If you prefer alternative methods of communication with you in a confidential manner, you can make such request in writing.
Any other use, or other uses/disclosures of your PHI will be made only with your written authorization, and which authorization you revoke, in writing.
Your Rights.
You have the right to:
(1) Request restrictions on certain of the uses, or disclosures described above. Except as stated below, we are not required to aggree to such restrictions.
(2) Inspect and obtain copies of your medical infromation (We will charge a reasonable fee of this).
(3) Request amendments, in writing, to your medical information, stating the reason for the requested amendment. You will be notified of your decision, still guided by your rights.
(4) Request an accounting of any disclosures, by us, of your medical information, except fo the following: disclosures made to you to carry out treatment, payment or health care operatons as requested by your written authorization as permitted or required under 45 CFR#164.502 for emergency or notification purposes for national security or intelligence purposes as permitted by law to correctional facilities or law enforcement officials as permitted by law disclosures made before April 14, 2003.
Our Rights and Obligations
We will maintain the privacy of your PHI. We will also provide individuals with notice of our legal duties and privacy practices.
We are required (our pledge) to abide by the terms of this notice as long as it remains in effect. We also reserve the right to revise this notice, and to make a new notice effective for all PHS that we maintain.
Any complaints about violation of your privacy rights should be made to the Secretary of the US Department of Health and Human Services, or with us.