HIPAA Compliance

​

We are committed to treating and using protected health information about you
responsibly. This Notice of Health Information Practices describes the personal
information we collect, and how and when we use or disclose that information. It also
describes your rights as they relate to your protected health information.

This Notice is effective May 31st, 2017 and applies to all protected health information as
defined by federal regulation.

Uses and Disclosures: We use your health information to document and plan treatment,
progress, planning, etc. We use your health information for payment. For instance, we
may need to send health information including procedures done and diagnoses to your
insurance company. We use your health information for regular health operations. For
example, our compliance officer regularly chooses medical records for audits. This
practice ensures that we are constantly working towards improved quality and
effectiveness. There are services provided in our organization through contacts with
business associates. Examples include outside labs, x-ray, and transcription services.
We may use or disclose information to notify or assist in notifying a family member,
personal representative, or other person responsible for your care, your location, and
general condition. The following are examples of other purposes for which your provider
of services is permitted or required to disclose confidential information without the
individual’s written authorization: Uses and disclosures for public health activities;
Reporting victims of abuse, neglect, or domestic violence; Disclosures for judicial and
administrative proceedings; Disclosures for law enforcement purposes; Uses and
disclosures for cadaveric organ, eye or tissue donation purposes; Disclosures to avert a
serious threat to health or safety; and Uses and disclosures for specialized government
functions.

Separate Statements for Certain Uses or Disclosures
The provider of services may contact patients with appointment reminders, requests for
the patient to contact the office staff for appointments, notices, and letters concerning
medical findings. The provider of services may also contact the patient about treatment
alternatives or other health related benefits and services that may be of interest to the
individual.

Individual Rights
Although your health record is the physical property of the provider of services, the
information belongs to you. You have the right to: Request restrictions on certain uses
and disclosures of your information; Revoke your authorization to use or disclose health
information except to the extent that action has already been taken. Receive
confidential communications; Obtain a copy or inspect your health information; Amend
protected health information; Receive an accounting of disclosures of protected health
information. The provider of services has 30 days with which to comply with a patient
request to review or copy their health information. The provider of services is allowed an
additional 30 days if the record is off site. The provider of services may charge a fee for
copying the health record. The physicians have the right to review the record and
remove any information that they deem to be harmful to either the patient or to another
individual; The patient will be supervised by the provider of services or ancillary staff
during any review of the record. Supervision is allowed and required to prevent the
removal or altering of the medical record. The provider of services will charge staff time
for this service.

HIPAA Privacy Notice
The provider of services is required by law to maintain the privacy of confidential
information and provide individuals with notice of its legal duties and privacy practices
with respect to such information; The provider of services is required to abide by the
terms of this Notice; and The provider of services reserves the right to change the terms
of its Notice and to make the new Notice provisions effective for all confidential
information that it maintains. Revisions to this Notice will be posted in the patient waiting
area.

Complaints
Individuals may complain to the Office Manager in writing to address below. You may
also contact the Secretary of the U.S. Department of Health and Human Services at 200
Independence Ave., S.W., Rm. 509F, HHH Building, Washington D.C. 20201. Further
Information-Please contact the provider of services administrator at their listed number
for further information.