We are dedicated to maintaining the privacy of your medical information. In conducting our business, we will create records regarding you, and the treatment and services we provide to you.
We are required by law and our procedures to:
Maintain the confidentiality of your medical information.
Provide you with a notice of our legal duties, commitment and privacy practices concerning your medical information.
Follow the terms of our Notice of Privacy Practices that is currently in effect.
Your Rights You have the following rights regarding health information we maintain about you. This section explains your rights and how to exercise them.
You have the right to:
Ask Us to Restrict What We Use or Share
• You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to these requests. For example, we may deny if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. Requests will be honored unless a law requires us to share that information.
Request Confidential Communications
• You can ask us to contact you in a specific way (for example your work phone) or to send mail to a different address. We will honor all reasonable requests.
Obtain an Electronic or Paper Copy of Your Medical Record
• You can ask to inspect or get an electronic or paper copy of your medical record and other health information we maintain about you.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask Us to Correct or Amend Your Medical Record
• You can ask us to correct health information about you that you think is incorrect or incomplete.
• We may deny your request, but we will inform you in writing, usually within 60 days of your request. To request an amendment your request must be made in writing, submitted to the Privacy Officer.
Obtain a List of Those With Whom We’ve Shared Your Information
• You can ask us for a list (accounting) of the instances we have shared your health information for six years prior to the date you ask, with whom we shared it, and why.