Privacy Notice
Effective date of notice 4/1/2003
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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.
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GENERAL RULES
We respect our legal obligation to keep health information, that identifies you, private. The law obligates us to give you notice of our privacy practices.
Generally, we can only use your health information in our office or disclose it outside of our office, without your written permission, for purposes of treatment, payment or healthcare operations. In most other situations, we will not use or disclose your health information unless you sign a written authorization form. In some limited situations, the law allows or requires us to disclose your health information without written authorization.
RIGHT TO NOTICE
As a patient, you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA). We can use your protected health health information for treatment, payment and health care operations.
a) Treatment- We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
b) Payment- We may use and disclose your health information to obtain payment for services we provide to you.
c) Health care operations- We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activites, reviewing the competency or qualifications of healthcare professionals, evaluating provide performance, conucting training programs, accreditation, certification, licensing or credentialing activities.
Your Authorization
Most uses and disclosures that do not fall under treatment, payment, health care operations will require your written authorization. Upon sighning, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we will disclose health information to a family member, or anoth person responsible for your care, using our professional judgement. We will only disclose health information that is directly relevant to the person's involvement in your healthcare.
Marketing
We will not use your health information for marketing communications without your written authorization.
Required by Law
We may also use or disclose your health information when we are required to do so by law.
Abuse and Neglect
We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the victim of other crimes. We amy disclose your health information to the extent necessary to avert a serious threat to your or other people's health or safety.
National Security
We may disclose the health iformation of Armed
Forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to th eappropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provise you with appointments reminders via phone, email, or postal.
Your Rights as a Patient
You have the right to restrict the disclosure of your protected health information (in writing). The request for restiction may be denied if the information is required for treatment, payment or health care operations.
You have the right to receive confidential communications regarding your protected health information. You have the right to inspect and copy your protected health information. You have the right to receive an account of disclosures of your protected health information. You have a right to a copy of this notice of privacy practices.
Legal Requirements
The office of Dr. Joel B. Rose is required by law to maintain the privacy of your protected health information. We are required to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice at any time.
___________________________
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.
___________________________
GENERAL RULES
We respect our legal obligation to keep health information, that identifies you, private. The law obligates us to give you notice of our privacy practices.
Generally, we can only use your health information in our office or disclose it outside of our office, without your written permission, for purposes of treatment, payment or healthcare operations. In most other situations, we will not use or disclose your health information unless you sign a written authorization form. In some limited situations, the law allows or requires us to disclose your health information without written authorization.
RIGHT TO NOTICE
As a patient, you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA). We can use your protected health health information for treatment, payment and health care operations.
a) Treatment- We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
b) Payment- We may use and disclose your health information to obtain payment for services we provide to you.
c) Health care operations- We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activites, reviewing the competency or qualifications of healthcare professionals, evaluating provide performance, conucting training programs, accreditation, certification, licensing or credentialing activities.
Your Authorization
Most uses and disclosures that do not fall under treatment, payment, health care operations will require your written authorization. Upon sighning, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we will disclose health information to a family member, or anoth person responsible for your care, using our professional judgement. We will only disclose health information that is directly relevant to the person's involvement in your healthcare.
Marketing
We will not use your health information for marketing communications without your written authorization.
Required by Law
We may also use or disclose your health information when we are required to do so by law.
Abuse and Neglect
We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the victim of other crimes. We amy disclose your health information to the extent necessary to avert a serious threat to your or other people's health or safety.
National Security
We may disclose the health iformation of Armed
Forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to th eappropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provise you with appointments reminders via phone, email, or postal.
Your Rights as a Patient
You have the right to restrict the disclosure of your protected health information (in writing). The request for restiction may be denied if the information is required for treatment, payment or health care operations.
You have the right to receive confidential communications regarding your protected health information. You have the right to inspect and copy your protected health information. You have the right to receive an account of disclosures of your protected health information. You have a right to a copy of this notice of privacy practices.
Legal Requirements
The office of Dr. Joel B. Rose is required by law to maintain the privacy of your protected health information. We are required to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice at any time.