EFTA00313933.pdf

Summery Notice of Privacy Practices BE USED AND DISCLOSED THIS SUMMARY DESCRIBES HOW MEDICAL INFORMATION ABOUT OUR PATIENTS MAY INFORMATIO N. PLEASE REVIEW THE SUMMARY. THE FULL AND HOW PATIENTS CAN GAIN AACCESS TO THIS NOTICE IS AVAILABLE UPON REQUEST. individuals with notice Our practice Is required by law to maintain the privacy of confidential information and to provide with respect to such information. We reserve the right to change the terms of of its legal duties and privacy practices information we maintain. We will provide written notice and make the new notice provisions effective for all confidential revised notice. Uses and Disclosure of Protected Health Information (PHIL payment • You will be asked to sign a consent form which permits us to use your PHI for treatment, and health care operations. • Other uses of your PHI will be made only with your written authorization. • We may disclose information to a person or persons you identify. unable • We may disclose information in the event of an emergency and in a situation where we are to obtain consent from you due to your communicat ion barriers. treatment • We may contact you to provide appointment reminders, test results, or information about alternatives or other health related benefits and services. In the event of your absence, we may leave a message at your home or office unless otherwise advised by you. Disclosures that may be made without your consent • Required by law • Public Health Issues • Communicable diseases • Health oversight • Abuse or neglect • Food and Drug Administration issues • Legal proceedings in response to court order • Law enforcement issues • Coroners, Funeral Directors, and organ donation • Research • Criminal activity • Military activity and National Security • Worker's Compensation • Inmates • Required Users Patient Rights • Inspect and copy your protected health information • Request restrictions of your protected health information • Receive confidential communications by alternative means or at an alternative location • Request amendment of protected health information • Receive an accounting of certain disclosures made by us • Obtain a paper copy of complete notice from us EFTA00313933