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.
OUR PLEDGE REGARDING MEDICAL INFORMATION
We are required by law to:
• make sure that your health information is kept private;
• give you this notice of our legal duties and privacy practices;
• follow the terms of the notice that is currently in effect
We understand that your health information is personal. We create a record of the care and services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. We are committed to protecting this information. This notice will tell you about
• the ways in which we may use and disclose your health information
• your rights
• our obligations regarding the use and disclosure of health information.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use or share your health information in certain ways. We will explain how and when we may use or share your health information. We are not able to list each specific way we may use or share your health information, but each situation will fall into one of the basic types of situations below:
CHANGES TO THIS NOTICE We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. Current copies of this notice will be available at our office sites. The effective date of the notice will be posted on the first page, in the top right-hand corner. COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with our health system by either contacting the office manager at the office where you received your care or with the U.S. Office of Civil Rights, Washington, DC. All complaints must be submitted in writing.
You will not be penalized for filing a complaint