This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. Please review it carefully.
We are required by law to maintain the privacy of “protected health information.” Protected health information includes any identifiable information that we obtain from you or others that relates to your physical or mental health, the health care you have received, or payment for your health care.
As required by law, this notice provides you with information about your rights and our legal duties and privacy practices with respect to the privacy of protected health information. This notice also discusses the uses and disclosures we will make of your protected health information. We must comply with the provisions of this notice, although we reserve the right to change the terms of this notice from time to time and to make the revised notice effective for all protected health information we maintain. You can always request a copy of our most current privacy notice from the office of our Practice.
Permitted Uses and Disclosures
We can use or disclose your protected health information for purposes of treatment, payment and health care operations.
- Treatment means the provision, coordination or management of your health care, including consultations between health care providers regarding your care and referrals for health care from one health care provider to another. For example, a doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. Therefore, the doctor may review your medical records to assess whether you have potentially complicating conditions like diabetes.
- Payment means activities we undertake to obtain reimbursement for the health care provided to you, including determinations of eligibility and coverage and other utilization review activities. For example, prior to providing health care services, we may need to provide to your insurance carrier (or other third party payor) information about your medical condition to determine whether the proposed course of treatment will be covered. When we subsequently bill the carrier or other third party payor for the services rendered to you, we can provide the carrier or other third party payor with information regarding your care if necessary to obtain payment.
- Health Care Operations mean the support functions of our Practice related to treatment and payment, such as quality assurance activities, case management, receiving and responding to patient complaints, physician reviews, compliance programs, audits, business planning, development, management and administrative activities. For example, we may use your medical information to evaluate the performance of our staff in caring for you. We may also combine medical information about many patients to decide what services are not needed, and whether certain new treatments are effective.
Disclosures Related To Communications With You Or Your Family
We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you or relate specifically to your medical care through our office. For example, we may leave appointment reminders on your answering machine or with a family member or other person who may answer the telephone at the number that you have given us in order to contact you.
We may disclose your protected health information to your family or friends or any other individual identified by you when they are involved in your care or the payment for your care. We will only disclose the protected health information directly relevant to their involvement in your care or payment. We may also use or disclose your protected health information to notify, or assist in the notification of, a family member, a personal representative, or another person responsible for your care of your location, general condition or death. If you are available, we will give you an opportunity to object to these disclosures, and we will not make these disclosures if you object. If you are not available, we will determine whether a disclosure to your family or friends is in your best interest, and we will disclose only the protected health information that is directly relevant to their involvement in your care.
We will allow your family and friends to act on your behalf to pick up prescriptions, medical supplies, X-rays, and similar forms of protected health information, when we determine, in our professional judgment, that it is in your best interest to make such disclosures.
Organ and Tissue Donation
If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.
Military and Veterans
If you are a member of the Armed Forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.
Public Health Risks
We may disclose medical information about you for public health activities. These activities generally include the following:
- To prevent or control disease, injury or disability
- To report births and deaths
- To report victim of abuse, neglect, or domestic violence
- To report reactions to medications
- To notify people of product, recalls, repairs or replacements
- To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition
Health Oversight Activities
We may disclose medical information to federal or state agencies that oversee our activities. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws. We may disclose protected health information to persons under the Food and Drug Administration’s jurisdiction to track products or to conduct post-marketing surveillance.
Lawsuits and Disputes
If you are involved in a lawsuit or dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in a response to a subpoena, discovery request or other lawful process by someone else involved in the dispute.
We may release medical information if asked to do so by a law enforcement official:
- In response to a court order, subpoena, warrant, summons or similar process
- To identify or locate a suspect, fugitive, material witness, or missing person
- About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement
- About a death we believe may be the result of a criminal conduct
- About criminal conduct on our premises
- In emergency circumstances to report a crime; the location of the crime or victims or the identity, description or location of the person who committed the crime
Coroners, Medical Examiners and Funeral Directors
We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients to funeral directors as necessary to carry out their duties.
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary for the institution to provide you with health care, to protect your health and safety or the health and safety of others, or for the safety and security of the correctional institution.
As permitted by applicable law and standards of ethical conduct, we may use and disclose protected health information if we, in good faith, believe that the use of disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
When permitted by law, we may coordinate our uses and disclosures of protected health information with public or private entities authorized by law or by charter to assist in disaster relief efforts.
We collect information to provide better services to all of our users – from figuring out basic stuff like which language you speak, to more complex things like what type of device you’re using, and your screen dimensions. We collect information in the following ways:
Information you provide to us through this website
When you complete the contact form on this website you are asked to provide your name, email address, and a message. These communications are sent directly to our Practice, but may be stored on the webserver in the event of a connection failure. We use a third party service to maintain the integrity of communications from this website, therefore any information shared through this form is considered to be insecure. It is recommended that patients do not send sensitive information through this form such as social security numbers, insurance information, or medical information.
Email is the online transmission of text between two parties. We use third-party services that allow us to filter our e-mail messages for spam, unsolicited messages, and viruses. While e-mail communications are meant to be between two parties there are a variety of applications, services, and mechanisms in place between the sender’s computer and the recipient&rsquos;s computer. Because of this e-mail is not secure. Patient medical information, and other sensitive information should not be sent to our Practice through e-mail since the integerity and security of these messages cannot be guaranteed. We are not responsible for any breach of information in regard to your use of e-mail to send sensitive information to our Practice.
We may provide links to other Internet sites only for the convenience of World Wide Web users. Our Practice is not responsible for the availability or content of these external sites, nor do we warrant or guarantee the products, services or information described or offered at these other Internet sites. These sites will make their privacy policies available to you and are not part of this website. We are not responsible for any information you share with a third party website.
Cookies and Webserver Logging
A cookie is a text file placed on the hard drive of a computer by some webpages, web applications, and web servers. Cookies cannot run programs or deliver viruses to your computer. They are uniquely assigned to a visitor and can only be read by a Web server in the domain that issued the cookie. You can accept cookies (generally the browser's default setting) or decline them through your browser settings. Persistent cookies remain on a computer's hard drive until the visitor deletes them. Session cookies are deleted automatically when you close your browser.
We use various technologies to collect and store information when you visit our website, and this may include using cookies or similar technologies to identify your browser or device. Our website uses Google Analytics, a product that helps businesses and site owners statistically analyze the traffic to their websites and apps. When used in conjunction with advertising services, such as those using the DoubleClick cookie, Google Analytics information is linked, via our Google Analytics account and by Google, using Google technology, with information about visits to multiple sites. Google maintains a copy of their privacy policies here.
When you connect to our website, your web browser or mobile device transmits your IP address and other information to our webserver. This information including the time you accessed our website, where you came from, and what you viewed on our website is stored in our webserver logs and databases. This information is linked with other information such as cookies to allow us to provide a better experience to you as a website visitor.
Disclaimer of Liability
For documents available from this server, our Practice does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed.
- You have the right to request restrictions on our uses and disclosures of protected health information for treatment, payment and health care operations. However, we are not required to agree to your request.
- You have the right to reasonably request to receive communications of protected health information by alternative means or at alternative locations.
- Subject to payment of a reasonable copying charge as provided by state law, you have the right to inspect or obtain a copy of the protected health information contained in your medical and billing records and in any other Practice records used by us to make decisions about you, except for:
- Psychotherapy notes, which are notes recorded by a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint or family counseling session and that have been separated from the rest of your medical record.
- Information compiled in a reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.
- Protected health information involving laboratory tests when your access is required by law
- If you are a prison inmate and obtaining such information would jeopardize your health, safety, security, custody, or rehabilitation or that of other inmates, or the safety of any officer, employee, or other person at the correctional institution or person responsible for transporting you.
- If we obtained or created protected health information as part of a research study for as long as the research is in progress, provided that you agreed to the temporary denial of access when consenting to participate in the research.
- Your protected health information is contained in records kept by a federal agency or contractor when your access is required by law.
- If the protected health information was obtained from someone other than us under a promise of confidentiality and the access requested would be reasonably likely to reveal the source of the information.
- A licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to endanger your life or physical safety or that of another person
- The protected health information makes reference to another person (unless such other person is a health care provider) and a licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to cause substantial harm to such other person
- The request for access is made by the individual’s personal representative and a licensed health care professional has determined, in the exercise of professional judgment, that the provision of access to such personal representative is reasonably likely to cause substantial harm to you or another person
- You have the right to request a correction to your protected health information, but we may deny your request for correction, if we determine that the protected health information or record that is the subject of the request:
- Was not created by us, unless you provide a reasonable basis to believe that the originator of protected health information is no longer available to act on the requested amendment
- Is not part of your medical or billing records
- Is not available for inspection as set forth above
- Is not accurate and complete
- In any event, any agreed upon correction will be included as an addition to, and not a replacement of, already existing records.
- You have the right to receive an accounting of disclosures of protected health information made by us to individuals or entities other than to you for the period provided by law, except for disclosures:
- To carry out treatment, payment and health care operations as provided above
- To persons involved in your care or for other notification purposes as provided by law
- For national security or intelligence purposes as provided by law
- To correctional institutions or law enforcement officials as provided by law
- That occurred prior to April 14, 2003
- That are otherwise not required by law to be included in the accounting
- You have the right to request and receive a paper copy of this notice from us.
- The above rights may be exercised only by written communication to us. Any revocation or other modification of consent must be in writing delivered to us.
If you believe that your privacy rights have been violated, you should immediately contact our Practice or our Office Manager. All complaints must be submitted in writing. We will not take action against you for filing a complaint. You also may file a complaint with the Secretary of Health and Human Services.