This Privacy Notice describes how medical information about you may be used and disclosed and how you can get access to this information.

 

Your protected health information (i.e. individually identifiable information, such as names, dates, phone/fax numbers, email addresses, home addresses, social security numbers, and demographic data) may be used or disclosed by us in one or more of the following respects:

 

To third party payers or spouses (i.e. insurance companies, employers with direct reimbursement, administrators of flexible spending accounts, etc.) in order to obtain payment of your account (i.e. to determine benefits, dates, or payment, etc.)

 

Internally, to all staff members who have any role in your treatment.

 

To other patients and third parties who may see or overhear incidental disclosures about your treatment, scheduling, etc.

 

To your family and close friends involved in your treatment, and/or,

 

We may contact you to provide appointment reminders or information about treatment alternatives or other health related benefits and services that may be of interest to you.

 

We have the following duties under the privacy rules:

 

By law, to maintain the privacy of protected health information and to provide you with this notice setting forth our legal duties and privacy practices with respect to such information:

 

To abide by the terms of our Privacy Notice that is currently in effect, and,

 

To advise you of our right to change the terms of this Privacy Notice and to make the new notice provisions effective for all protected health information maintained by us and that if we do so, we will provide you with a copy of the revised Privacy Notice.

 

Please note that we are not obligated to:

 

Amend your protected health information if, for example, it is accurate and complete: or

 

Provide an atmosphere that is totally free of the possibility that your protected health information may be incidentally overheard by other patients and third parties.