隐私政策
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. 请仔细审阅.
The Health Insurance Portability 和 Accountability Act of 1996 (HIPAA) is a federal program that requires that all 医疗 和 牙科 records 和 other individually identifiable health information used or disclosed by us in any form, 是否电子, 书面或口头, 被妥善保密. 这个法案规定, 病人, 了解和控制如何使用您的健康信息的重要新权利. HIPAA provides penalties for covered entities that misuse Protected Health Information (PHI).
This Notice of Privacy Practices describes how we may use 和 disclose your Protected Health Information (PHI) to carry out treatment, payment or health care operations (TPO) 和 for other purposes that are permitted or required by law. 它还描述了您访问和控制受保护健康信息的权利. “受保护的健康信息”是关于您的信息, 包括人口统计信息, 这可能是你的身份，这与你的过去有关, present or future physical or mental health or condition 和 related health care services.
受保护健康信息的使用和披露
您的医生可能会使用和披露您受保护的健康信息, our office staff 和 others outside of our office that are involved in your care 和 treatment for the purpose of providing health care services to you, 来支付你的医疗费用, 支持实践的运作, 以及法律规定的其他用途.
治疗: 我们将使用和披露您的受保护健康信息来提供, 协调, 或者管理你的医疗保健和任何相关服务. 这包括与第三方协调或管理您的医疗保健. 例如, your protected health information may be provided to a physician to whom you have been referred to ensure that the health care professional has the necessary information to diagnose or treat you.
付款: 您受保护的健康信息将被使用, 根据需要, 获得医疗保健服务的报酬. 例如, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.
医疗操作: 我们可能会使用或披露, 需, your protected health information in order to support the business activities of your physician’s practice. 这些活动包括, 但不限于, 质量评估活动, 员工评审活动, 进行或者安排其他经营活动. 我们可能会使用或披露, 根据需要, 您受保护的运行状况信息，以支持此实践的业务活动. 除了, we may use a sign-in sheet at the registration desk where you will be asked to sign your name 和 indicate your physician. We may also call you by name in the waiting room when your physician is ready to see you. 我们可能会使用或披露您受保护的健康信息, 必要时, 联系你，提醒你的预约. We may call your home 和 leave a message (either on an answering machine or with the person answering the phone) to remind you of an upcoming appointment, 需要安排一个新的约会或打电话到我们的办公室. 我们也可以邮寄明信片提醒您的家庭住址. If you would prefer that we call or contact you at another telephone number or location, 请让我们知道.
我们可能会使用或披露您受保护的健康信息 in the following situations without your authorization. 这些情况包括:法律规定的, 法律规定的公共卫生问题, Communicable Diseases: Health Oversight: Abuse or Neglect: Food 和 Drug Administration requirements: Legal Proceedings: Law Enforcement: Coroners, 葬礼司仪, Organ Donation: Research: Criminal Activity: Military Activity 和 National Security: Workers’ Compensation: Inmates: Required Uses 和 Disclosures: Under the law, we must make disclosures to you 和 when required by the Secretary of the Department of Health 和 Human 服务 to investigate or determine our compliance with the requirements of HIPAA.
其他允许和要求的使用和披露将仅在您同意的情况下进行, 除非法律要求，异议的授权或机会.
你可以撤销这项授权, 在任何时候, 以书面形式, except to the extent that your physician or the physician’s practice has taken an action in reliance on the use or disclosure indicated in the authorization.
你的权利
The Following is a statement of your rights with respect to your protected health information.
您有权查看和复制您受保护的健康信息. 根据联邦法律, 然而, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, 或用于, 民事, 刑事, 或行政行为或程序, protected health information that is subject to law that prohibits access to protected health information.
您有权要求限制您的健康信息. This means you may ask us not to use or disclose any part 你受保护的健康信息 for the purposes of treatment, 支付或医疗保健业务. You may also request that any part 你受保护的健康信息 not be disclosed to family members or friends who may be involved in you care or for notification purposes described in this Notice of Privacy Practices. Your request must state the specific restriction 和 to whom you want the restriction to apply.
你的医生不需要同意你可能要求的限制. If your physician believes it is in your best interest to permit use 和 disclosure 你受保护的健康信息, 您受保护的健康信息不会受到限制. 然后，您有权使用另一位医疗保健专业人员.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. 您有权向我们索取本通知的纸质副本，即使您已同意以其他方式接受本通知(i.e. 电子).
您可能有权要求您的医生修改您受保护的健康信息. 如果我们拒绝你方的修改要求, you have the right to file a statement of disagreement with us 和 we may prepare a rebuttal to your statement 和 will provide you with a copy of any such rebuttal.
您有权收到我们所披露的某些信息, 如果有任何, 你受保护的健康信息.
We reserve the right to change the terms of this Notice 和 will inform you of any changes. 然后，您有权根据本通知的规定提出反对或撤回.
投诉
You may complain to us or to the Secretary of Health 和 Human 服务 if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy officer of your complaint at our office 和 main telephone number. 我们不会因为你的投诉而报复你.
本公告于/或以前发布并生效 .
The name 和 address of the person you can contact for further information concerning our
私隐措施包括:
隐私官
hg3088皇冠
岩石草原路1602号，300室
大学城，德克萨斯州77845
(979) 695-3400
