We use health information about you for treatment, to get paid for treatment, for administrative purposes, and to evaluate the quality of care that you receive. For example, your health information may be shared with other providers to whom you are referred. Information may be shared by paper, electronic mail, fax, or other methods. We may use or disclose your health information without your authorization for several reasons. But beyond those situations, we will ask for your written authorization before using or disclosing your health information. If you sign as authorization to disclose information, you can later revoke it to stop any future uses and disclosures.
YOUR RIGHTS: In most cases, you have the right to look at or get a copy of your health information that we use to make decisions about you. If you request copies, we may charge you a cost-based fee. You also have the right to request a list of certain types of disclosures of your information that we have made. If you believe your health information is incorrect or information I am missing, you have the right to request that we correct the existing information or add the missing information.
OUR LEGAL DUTY: We are required by law to protect the privacy of your health information, provide this notice about our privacy practices, follow the privacy practices that are described in this notice, and seek your acknowledgement of receipt of this notice. We may change our policies at any time. For more information about our privacy policies, contact the front desk.
PRIVACY COMPLAINTS: If you are concerned that we have violated your privacy rights, or policies, or if you disagree with a decision we made about access to your health information, you may contact the front desk. You also may send written complaints to U.S. Department of Health and Human Services. The person at the front desk can provide you with the appropriate address upon request