THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED
AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT TO US.
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information.
We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect April 15, 2003, and will remain in effect until we replace it.
We reserve the right to change our privacy practices 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 practices 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.
Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request.
You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of the Notice, please contact us using the information listed at the end of this Notice.
We use and disclose health information about you for treatment, payment, and health care operations.
We may use or disclose your health information to a physician or other health care providers providing treatment to you.
We may use and disclose your health information to obtain payment for services we provide you.
We may use and disclose your health information in connection with our health care operations. These operations include:
In addition to our use of your health information for treatment, payment, or health care operations, you may give us written authorization to use your health information or disclose it to anyone for any purpose.
If you give us authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect.
We may disclose your health information to a family member, friend, or other person to the extent necessary to help with your health care or payment for your health care, but only if you agree that we may do so.
We may use or disclose health information to notify or assist in notifying a family member, personal representative, or another person responsible for your care about your location, condition, or death.
We will not use your health information for marketing communications without your written authorization.
We may use or disclose your health information when required to do so by law.
We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, domestic violence, or other crimes.
We may disclose health information to military authorities, correctional institutions, or law enforcement officials under certain circumstances.
We may use or disclose your health information to provide appointment reminders such as voicemail messages, postcards, or letters.
You have the right to look at or get copies of your health information, with limited exceptions. Requests must be made in writing.
You have the right to receive a list of certain disclosures of your health information made during the last six years.
You have the right to request restrictions on the use or disclosure of your health information.
You have the right to request communications by alternative means or at alternative locations.
You have the right to request that we amend your health information. Requests must be made in writing.
If you receive this Notice electronically, you are entitled to receive a written copy upon request.
If you want more information about our privacy practices or have questions or concerns, please contact us.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.
We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint.