NOTICE OF PRIVACY PRACTICE 

 

OUR LEGAL DUTY  

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We are required by federal and state law to maintain the privacy of your health information. We are also required to give this notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the practices that are described in this notice while it is effect.  

 

We reserve the right to change our privacy practice and the terms of this notice at any time, provided, such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practice and the new terms of our notice effective for all health information that we maintain including health information we created or received before we made the changes. Any significant changes will be available upon request. You may request a copy at any time.  

 

TREATMENT  

We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.  

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PAYMENT  

We may disclose your health information to obtain payment for services we provided you.  

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HEALTHCARE OPERATIONS  

We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of the healthcare professional’s evaluation practitioner and provider performance, conducting training programs, accreditation, certification, and licensing activities.  

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PATIENT RIGHTS  

You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. Your request must specify the alternative means or location and provide a satisfactory explanation of how payments will be handled under the alternative means or location you request. You have the right to request that we amend your health information. Your request must be in writing and it must explain why the information should be amended.  

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FAMILY AND FRIENDS  

We must disclose your health information to you as described in the Patient Rights section of this notice. We may disclose your health information to a family member, friend, or other people to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we may do so.  

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PERSONS INVOLVED IN CARE  

We may use or disclose health information to notify or assist in the notification of a family member, your personal representative or another person responsible for your care, your location, your general condition, or death. If you are present, then prior to the use of your health information we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstance, we will disclose only health information that is directly relevant to the person’s involvement in your healthcare.

  

APPOINTMENT REMINDERS  

We may notify you of appointment reminders by using voicemail messages, message machines, text messages, postcards, letters, or email.  

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REQUIRED BY LAW:  

We may use or disclose your health information when we are required to do so by law.  

 

QUESTIONS AND CONCERNS  

If you have further questions or concerns, please contact StudioNine30 at 541-317-9381.