NOTICE OF PRIVACY PRACTICES – BRIEF VERSION
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 Commitment to Your Privacy:
Our practice is dedicated to maintaining the privacy of your personal health information as part of providing professional care. We are also required by law to keep your information private. These laws are complicated, but we must give you this information. This brief notice is a shorter version of the full legally required NPP which you will find posted in the lobby of 752 Harrison Avenue, Panama City, Florida, 32401. You may also request a complete copy from our front office if you desire more information than what is provided in the brief version.
We will use the protected health information (PHI) about your health which we get from you or from others, to provide you with treatment, arrange payment for our services, and for some other business activities which are called in the law, health care operations. After you have read this NPP we will ask you to sign acknowledgement of having received our Notice of Privacy Practice.
If we or you want to use or disclose (send, share, release) your information for any other purpose other than treatment, payment and healthcare operations, this requires your signature to authorize such release.
While we keep your health information private, there are times when the laws require us to use or disclose, in example:
1. When there is a serious threat to your health and safety or the health and safety of another individual or the public; we will only share information with a person or organization who is able to help prevent or reduce the threat.
2. Some lawsuits and legal or court proceedings.
3. If a law enforcement official requires us to do so.
4. For Worker Compensation and similar benefit program.
There are some other situations like these but which don’t happen very often. They are described in a longer version of the NPP.
Your rights regarding your health information
1. You can ask us to communicate with you about your health and related issues in a particular way or at certain place which is more private for you. For example, you can ask us to call you at home and not at WORK to schedule or cancel an appointment. We will try our best to do as you ask.
2. You have the right to ask us to limit what we tell people involved in your care or the payment for your care, such as family members and mends. While we don’t have to agree to your request. If we do agree we will keep our agreement except if it is against the law, or in an emergency, or the information is necessary to treat you. You have the right to look at the health information we have about you as your medical and billing records. Psychotherapy notes will be excluded.
3. You can get a copy of these records but we may charge you. You may request a copy by contacting our front desk or contacting our Privacy Officer.
4. If you believe the information in your records is incorrect or missing important information, you can ask us to make some changes (called amending) to your health information. You have to make this request in writing and send it to our Privacy Officer. You must tell us the reasons you want to make the changes. ·
5. You have the right to a full copy of this notice. If we change our policy we will post the new version in waiting area and you can always get a copy of the NPP by contacting our front office or the Privacy Officer.
6. You have the right to file a complaint if you believe your privacy rights have been violated. You can file a complaint with our Privacy Officer and with the Secretary of the Department of Health and Human Services. All complaints must be in writing. Filing a complaint will not change the health care we provide to you in any way.
If you have any questions regarding this notice or health information privacy policies, please contact our Privacy Officer at 850-747-8144.