We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this notice about are privacy practices, our legal duties, and your rights concerning your health information. We must follow the practices that are described in this notice while it is in effect.
We reserve the right to change our our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of our notice effective for all health information that we maintain,including health information we created or received before we made the changes. Before we make significant change in our privacy practices, we will change this notice and make the new notice available upon request.
You may request a copy of our notice at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us.
We use and disclose health information about you for treatment, payment, and health care operations.
We may use or disclose your health information to a physician or other health care provider providing treatment to you. We may use and disclose your health care information to obtain payment for services we provide to you. We may use and disclose your health care information in connection with our health care operations. Health care operations include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.
In addition to our use of your health care information for treatment, payment, or health care operations, you may give us written authorization to use your health care information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.
We must disclose your health information to you as described in the patient rights section of this notice. We may disclose your health information to a family member, friend, or other person to the extent necessary to help with your health care or with payment for your health care, but only if you agree that we may do so.
We use or disclose health information to notify, or assist in the notification of a family member, your personal representative, or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information base on determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your health care. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or similar forms of health information.
We will not use your health information for marketing communications without your written authorization.
We may use use or disclose your information when we are required to do so by law. We may disclose your health information to appropriate authorities if we reasonably believe that your are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert serious threat to your health or safety or the health or safety of others We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose authorized federal health information required or lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institutions or law enforcement officials having lawful custody or protected health information of inmate or patient under certain circumstances. We may use or disclose your health information to provide your with appointment reminders such as voicemail messages or letters.
You have the right to look at or get copies of your health information with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot do so. You must make a request in writing and we will charge you a reasonable cost for expenses such as copies and staff time.
You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes, other than treatment, payment, health care operations and certain other activities for the last 6 years, but not before April 13, 2003. If you request an accounting more than a 12 month period, we may charge you a reasonable cost based fee for the additional requests.
You may request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement.
You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. You must make your request in writing. Your request must specify the alternative means or location and provide satisfactory explanation how payments are will be handled under the alternative means or location you request.
You have the right to request we amend your health information. Your request must be in writing and it must explain why the information should be amended. We may deny your request under certain circumstances.
If your receive this notice notice on our web site or by e-mail, you are entitled to receive this notice in written form. If you want more information about our privacy practices or have questions or concerns please contact us. If you are concerned that we may have violated your privacy rights, or you disagree with the decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or alternative locations, you may complain to us using the contact information listed in this web site, Dr. John M. Domanico. You may also submit a written complaint with the U.S. Department of Health and Human Services. We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or the U.S. Department of Health and Human Services.