. We will use your PHI to
provide you with the highest quality medical care possible. We will protect
the confidentiality of you PHI to the highest degree possible.
•In response to Federal Privacy Regulations, we
have created this brief summary of our Privacy Policies so you may
understand your rights and protections.
•If you would like a complete copy of our
policies, please request this, and we will provide you with a copy.
• We will collect and use Protected Health Information (PHI) as allowed by
state and federal laws.
• We will share PHI within our practice and outside of our practice when
necessary for your treatment or payment for your treatment.
• We will share PHI within our practice and outside of our practice as
necessary for your treatment.
• We will not release your PHI for any reason other than those
listed above unless the patient or their authorized representative signs a
written authorization or as otherwise permitted by law.
• We may use your PHI to remind you of appointments at the address and
telephone numbers you have provided us.
• Although our practice legally "owns" your medical record, you have a
right to request a copy. We will charge a fee for record copying, which will
depend on the size of the medical record. You have the right to request an
amendment to your medical record if you believe information is inadequate or
incomplete.
• When any information is released from your medical record, we will keep
a record of each authorization. Routine release of information for your
treatment, for payment of your treatment, or for operation of our practice
will not always be recorded.
• All physicians and staff of our practice must adhere to this policy.
Violations of Personal Health Information Security will not be tolerated,
and are grounds for disciplinary action.
• Our practice may revise this privacy policy at any time. Any revisions
will be effective upon the release of a revised privacy policy and will be
made available to patients upon request.
• A full copy of our privacy policy is available upon request. Policy Date: 4/01/03
