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Steven
E. Stern M.D.P.A.
Notice
of Privacy Practices
This notice describes how medical
information about you may be used and disclosed and how you can
get access to this information. Please review it
carefully.
This notice takes effect on April 14, 2003 and remains in effect until we replace it.
The Federal Health Insurance and Portability Act of 1966 (HIPPA)
contains information that provides you with greater control over
how your medical information is used and disclosed. This includes
your medical records, billing and insurance information, and any
other information our office obtains from you.
Our practice is dedicated to maintaining the privacy of your
health information. We are required by law to maintain the
confidentially of your Health information.
How we may use and disclose of your medical information without
your authorization is listed in the following categories Not every
disclosure will be listed.
FOR TREATMENT: We may use medical information about you
to provide you with medical treatment or services I.e.. Blood
work, x-rays or medical referrals. We may disclose medical
information about you to doctors, nurses, technicians, medical
students or other people who are taking care of you.
We may also share information to other health care
providers to assist them in treating you.
FOR PAYMENT: We may use and disclose your medical
information for payment purposes.
FOR HEALTH CARE OPERATIONS: We may use and disclose your medical information for our health
care operations. This might include measuring and improving
quality, evaluating the performance of employees, conducting
training programs and getting the accreditation, certificates,
licenses and credentials we need to serve you.
ADDITIONAL USES AND DISCLOSURES
- To public health authorities and health oversight
agencies that are authorized by law to collect information
(example; preventing or controlling disease,)
- Lawsuits and similar proceedings in response to a
court or administrative order (i.e. subpoena).
- If required to do so by a law enforcement official.
Only if comes in the form of a court order I e Subpoena,
warrant etc
- When necessary to reduce or prevent a serious threat
to your health and safety or the health and safety of another
individual or the public. We will only make disclosures to a
person or organization able to help prevent the threat.
(Victims of abuse, neglect)
- If you are a member of the U S or foreign military
forces (including veterans) and if required by the appropriate
authorities.
- To federal officials for intelligence and national
security activities authorized by law.
- To correctional institutions or law enforcement
officials if you are an inmate or under the custody of a law
enforcement official.
- For workers Compensation and similar programs
- Funeral Directors, Coroners, Medical Examiners
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
- Communications. You can request that our practice
communicate with you about your health and related issues in a
particular manner or at a certain location For instance, you
may ask that we contact you at home rather than at your place
of work. We will accommodate reasonable requests.
- You can request a restriction in our use of disclosure
of your health information
for treatment, payment, or health care operations.
Additionally, you have the right to request that we restrict
our disclosure of your health information to only certain
individuals involved in your cart or the payment of your care
such as family members arid friends. We are not required to
agree to your request however, if we do agree, we are bound by
our agreement except when otherwise required by law, in
emergencies, or when the information is necessary to treat
you.
- You have the right to inspect and obtain a copy of the
health information that may be used to make decisions about
you, including patient medical records and billing records,
but not including psychotherapy notes. You must submit your
request in writing to Steven E Stern M D P.A.
- You may ask us to amend your health information if you
believe it is incorrect or incomplete, as long as the
information is kept by or for our practice. You may do so by
submitting a request in writing to Steven E Stern M D P A. You
must provide us with a reason that supports your request for
amendment.
- RIGHT TO A PAPER COPY. You are entitled to receive a
copy of this Notice of Privacy Practice. You may ask us to
give you a copy of this notice at any time.
To obtain a copy of this notice, contact Steven E Stern
M D P A.
- Right to file a complaint. If you believe your privacy
rights have been violated, you may file a complaint with our
practice or with the Secretary of the Department of Health and
Human Services. To file a complaint with our practice, contact
Steven E Stern M. D. P A or Privacy Officer. All complaints
must be submitted in writing. You will not be penalized for
filing a complaint.
- Right to provide an authorization for other uses and
disclosures. Our practice will obtain your written
authorization for uses and disclosures that are not identified
by this notice or permitted by applicable law.
If you have any questions regarding this notice or our health
information privacy contact our Privacy Officer. |