At this office, we always keep your health information secure and confidential. A new law requires us to continue maintaining your privacy, to give you this notice and to follow the terms of this notice. This notice describes how your health information may be used and disclosed and how you can access this information. Please review it carefully.
The law permits us to use or disclose your health information to those involved in your treatment, for example, a review of your file by a specialist doctor whom we may involve in your care.
We may use or disclose your health information for payment of your services. For example, we may send a report of your progress to your insurance company.
We may use or disclose your health information for our normal healthcare operations. For example, we may send a report of your progress to your insurance company.
We may use your information to contact you either by phone or with a reminder card in the mail to remind you of an upcoming appointment. If you are not home, we may leave a message on voice mail or with a person who may answer the telephone.
In an emergency, we may disclose your health information to a family member or another person responsible for your care.
We may release some or all of your healthcare information when required by law.
If this practice is sold, your information will become the property of the new owner.
Except as described above, this practice will not use or disclose your health information without your prior written authorization.
You may request in writing that we not use or disclose your health information as described above. We will let you know if we can fulfill your request.
You have the right to know of any uses or disclosures we make with your health information beyond the above normal uses.
In the event that you need your records and x-rays transferred to another practice, our office will mail them for you. We will not release any records or x- rays to you. We may also charge a reasonable fee for the copies.
You have the right to request an amendment or change to your health information. Provide us with your request in writing. If you wish to include a statement in your file, please provide it to us in writing. We may or may not make the change you request, but we will be happy to include your statement in your file. If we agree to an amendment or change, we will not remove or alter earlier documents, but will add new information.
You will receive a copy of this notice. If we change any of the details of this notice, we will notify you of this change in writing.
This notice is effective as of October 31, 2005.