YOUR PROTECTED HEALTH INFORMATION
We understand that your medical information is personal to you and we are committed to protecting that information.
We are required by law to:
- Make sure that protected health information about you is kept private
- Provide you with a notice of our privacy practices and your rights with respect to protected health information about you
- Follow the conditions of the privacy notice that is currently in effect
Uses And Disclosures Of Medical Information About You
The following categories describe different ways that we use and disclose protected health information that we have and share with others. The explanation is provided for your general information only.
Medical Treatment: We use previously provided medical information about you to provide you with current or prospective medical treatment or services. Therefore, we may, and most likely will, disclose medical information about you to doctors, nurses, technicians, medical students or hospital personnel who are involved in taking care of you. We may also discuss your medical information with you to recommend possible treatment options or alternatives that may be of interest to you.
Payment: We may use and disclose medical information about your services and procedures so that they may be billed and payment collected from you, insurance companies, or any third party.
Health Care Operations: We may use and disclose medical information about you so that we can run our Practice more efficiently and make sure that all of our patients receive quality care. These uses may include quality assessment, staff training, and practitioner and staff performance programs.
Appointment and Patient Recall Reminders: We may contact you by telephone or email to remind you of a future appointment with the practice. We may ask that you sign in writing at the Receptionist’s Desk a log on the day of your appointment with the practice.
Emergency Situations: We may disclose medical information about you to an organization assisting in a disaster relief efforts or in an emergency situation so that your family can be notified about your condition, status and location.
Other situations where we may disclose your health information: For research; as required by law; to avert a serious threat to health; for organ and tissue donation; in the event of public health risks; in response to government action or investigation; in response to a subpoena.
Changes To This Notice
We reserve the right to change this notice at any time.
If you believe your privacy rights have been violated, you may file a complaint with the Practice. Contact our office manager who will direct you on how to file an office complaint. All complaints must be submitted in writing. All complaints shall be investigated, without repercussions to you. The office manager can be reached at Olney Office Phone Number 301-774-6200.
You will not be penalized for filing a complaint.
Other Uses Of Medical Information
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your permission, unless those uses can be reasonably inferred from the intended uses above.
THIS SECTION DESCRIBES YOUR RIGHTS AND THE OBLIGATIONS OF THIS PRACTICE REGARDING THE USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION.
You have the following rights regarding medical information we maintain about you:
Right to Inspect and Copy: You have the right to inspect and copy medical information that may be used to make decisions about your care. To inspect and copy your medical record, you must submit your request in writing to our Compliance Officer. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies (tapes, disks, etc.) associated with your request. We may deny your request to inspect and copy in certain, very limited circumstances.
Right to Amend: If you feel that the medical information we have about you in your record is incorrect or incomplete, then you may ask us to amend the information.
Right to an Accounting of Disclosures: You have the right to request an Accounting of Disclosures. This is a list of the disclosures we made of medical information about you, to others.
Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You must make your request for restrictions in writing.
Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or a certain location.
Right to a Paper Copy of This Notice: You have the right to have a copy of this notice.
If you want the complete notice of privacy practices, it will be provided to you by the office staff. Any questions/complaints should be addressed to the Compliance Officer at:3401 Olandwood Court, Suite 104
Olney, MD 20832Olney Office Phone Number 301-774-6200