TREATMENT:

Information obtained by members of our healthcare team will be recorded in your record and used to determine the course of treatment that should work best for you. We may disclose medical information about you to providers and members of the interdisciplinary team who may be involved in your medical care. We will also provide a referring physician or a subsequent healthcare provider with copies of various reports that should assist him/her in treating you.

PAYMENT:

We may use and disclose your health information to obtain prior approval or payment for services we provide to you.

HEALTHCARE OPERATIONS:

Trained staff may handle your physical medical record in order to have the record assembled or for filing reports into your record. Certain data elements are entered into our computer system that processes most billing, schedules your appointments and for statistical reporting. As part of our improvement efforts to provide the most effective services, your record may be reviewed by professional staff to assure accuracy, completeness and organization.

FAMILY AND FRIENDS: 

We may disclose health information to a family member, other relative or close personal friend as it is relevant to that person’s involvement in your care or payment related to your care. This is done with your consent

PERSONS INVOLVED IN CARE: 

We may use or disclose health information to notify or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure or your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information. 

MARKETING:

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.

FUNDRAISING:

We will not use or disclose protected health information for fundraising purposes.

WORKER’S COMPENSATION:

We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law. These programs provide benefits for work-related injuries or illness.

PUBLIC HEALTH:

As required by law, we may disclose your health information to public health or legal authorities for public health activities. These activities generally include the following:

• To prevent or control disease, injury or disability;
• To report reactions to medications or problems with products;
• To notify people of recalls of products they may be using;
• To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;
• To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure when you agree or when required or authorized by law.

ABUSE AND NEGLECT:

We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes.

CORRECTIONAL INSTITUTION:

If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose to the institution or agents thereof, health information necessary for your health, and the health and safety of other individuals.

LAW ENFORCEMENT:

We may disclose health information for law enforcement purposes as required by law

NATIONAL SECURITY:

We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials, health information required for lawful intelligence, counterintelligence, and other national security activities. 

DISASTER RELIEF:

We may disclose your information to disaster relief organizations that seek your protected health information to coordinate your care or notify family or friends of your location or condition in a disaster. We will provide you with an opportunity to agree or object to such a disclosure whenever we practically can do so.

We will not use or disclose your health information without your authorization, except as described in this notice.

We are required to receive your authorization to use or disclose your protected health information for any use other than treatment, payment or health care operations, and those specific circumstances outlined above. We use a/Disclose form that specifically states what information will be given to whom, for what purpose, and is signed by you or your legal representative.  You have the ability to revoke the signed authorization at any time by a written statement given to us to that effect.

 DOWNLOAD A COPY OF THE PRIVACY NOTICE