Notice of Privacy Practices

Treatment

We may use your health information to provide, coordinate, or manage your health care and related services. For example, we may disclose your health information to other health care providers who are involved in your care, such as specialists or other treating clinicians.

Payment

We may use and disclose your health information to obtain payment for services we provide to you. For example, we may disclose information about your diagnosis and treatment to your health insurance company to obtain reimbursement for your care.

Health Care Operations

We may use and disclose your health information in connection with our health care operations. Health care operations include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, and conducting training programs.

Appointment Reminders

We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care.

As Required by Law

We will disclose your health information when required to do so by federal, state, or local law.

Public Health Activities

We may disclose your health information for public health activities, such as reporting communicable diseases, injuries, or vital statistics to public health authorities.

Health Oversight Activities

We may disclose your health information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections, and licensure.

Judicial and Administrative Proceedings

We may disclose your health information in response to a court or administrative order, or in response to a subpoena, discovery request, or other lawful process.

Law Enforcement

We may release your health information if asked to do so by a law enforcement official in limited circumstances, such as to identify or locate a suspect, fugitive, material witness, or missing person.

Serious Threats to Health or Safety

We may use and disclose your health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

Right to Inspect and Copy

You have the right to inspect and copy your health information that may be used to make decisions about your care. To inspect and copy your health information, you must submit your request in writing to our practice. We may charge a reasonable fee for the cost of copying, mailing, or other supplies associated with your request.

Right to Amend

If you feel that the health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our practice. To request an amendment, your request must be made in writing and submitted to our practice.

Right to an Accounting of Disclosures

You have the right to request an accounting of disclosures. This is a list of the disclosures we made of your health information for purposes other than treatment, payment, and health care operations.

Right to Request Restrictions

You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations. We are not required to agree to your request unless the request is to restrict disclosure to a health plan for a service you paid for out of pocket in full.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy.