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MD Now Urgent Care
Centers
Health Insurance
Portability and Accountability Act
- Notice of Privacy Practices -
The
Health Insurance Portability and Accountability Act was created by
Congress in 1996 to ensure that privileged patient information will not
be shared by name by organizations that handle personal health
information unless a client consents. The following Privacy Practices
Notice explains this.
This notice
describes how medical information about you may be used and disclosed
and how you can get access to this information. Please review this
notice carefully.
Your client file may
contain personal information about your health and/or the health of your
child(ren). This information may identify you and relates to your past,
present or future physical or mental health condition and related health
care services is referred to as Protected Health Information (
PHI
). This Notice of
Privacy Practices describes how we may use and disclose your
PHI
in accordance with
applicable law. It also describes your rights regarding how you may gain
access to and control your
PHI
.
We are required by
law to maintain the privacy of
PHI
and to provide you
with notice of our legal duties and privacy practices with respect to
PHI
. We are required to
abide by the terms of this Notice of Privacy Practices. We reserve the
right to change the terms of our Notice of Privacy Practices at any
time. Any new Notice of Privacy Practices will be effective for all
PHI
that we maintain at
that time. We will provide you with a copy of the revised Notice of
Privacy Practices by posting a copy on our website, sending a copy to
you in the mail upon request or providing one to you at your next
appointment.
How we may use and
disclose health care information about you:
For Services:
Your
PHI
may be used and
disclosed by those who are involved in your care for the purpose of
providing, coordinating, or managing your services. This includes
consultation with clinical supervisors or other team members. We may
disclose
PHI
to any other
consultant only with your authorization.
For Business
Operations:
We may use or
disclose, as needed, your
PHI
in order to support
our business activities including, but not limited to, quality
assessment activities, employee review activities, licensing, and
conducting or arranging for other business activities. For example, we
may share your
PHI
with third parties
that perform various business activities (e.g., Council on Accreditation
or other regulatory or licensing bodies) provided we have a written
contract with the business that requires it to safeguard the privacy of
your
PHI
.
Required by Law:
Under the
law, we must make disclosures of your
PHI
to you upon your
request. In addition, we must make disclosures to the Secretary of the
Department of Health and Human Services for the purpose of investigating
or determining our compliance with the requirements of the Privacy Rule,
if so required.
Without
Authorization:
Applicable law and ethical standards permit us to disclose information
about you without your authorization only in a limited number of other
situations. Examples of some of the types of uses and disclosures that
may be made without your authorization are those that are:
-
Required by Law,
such as the mandatory reporting of child abuse or neglect or mandatory
government agency audits or investigations (such as the health
department)
-
Required by Court
Order
-
Necessary to
prevent or lessen a serious and imminent threat to the health or
safety of a person or the public. If information is disclosed to
prevent or lessen a serious threat it will be disclosed to a person or
persons reasonably able to prevent or lessen the threat, including the
target of the threat.
Verbal Permission:
We may
use or disclose your information to family members that are directly
involved in your receipt of services with your verbal permission.
With Authorization.
Uses and disclosures not specifically permitted by applicable law will
be made only with your written authorization, which may be revoked.
Your rights
regarding your
PHI
You have the following rights regarding
PHI
we maintain about
you. To exercise any of these rights, please submit your request in
writing to our Privacy Officer:
-
Right of Access to
Inspect and Copy.
You have the right, which may be restricted only in exceptional
circumstances or with documents released to us, to inspect and copy
PHI
that may be used
to make decisions about service provided.
-
Right to Amend.
If you
feel that the
PHI
we have about you
is incorrect or incomplete, you may ask us to amend the information
although we are not required to agree to the amendment.
-
Right to an
Accounting of Disclosures.
You have the right to request an accounting of certain of the
disclosures that we make of your
PHI
. We may charge
you a reasonable fee if you request more than one accounting in any
12-month period.
-
Right to Request
Restrictions.
You have the right to request a restriction or limitation on the use
or disclosure of your
PHI
for services,
payment, or business operations. We are not required to agree to your
request.
-
Right to Request
Confidential Communication.
You have the right to request that we communicate with you about
PHI
matters.
-
Right to a Copy of
this Notice.
You have the right
to a copy of this notice.
Complaints
If you believe we
have violated your privacy rights, you have the right to file a
complaint in writing with our Privacy Officer at MD Now Medical Centers,
Inc. We will not retaliate against you for filing a complaint. The
effective date of this Notice is
April 14, 2003
.
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