The privacy of your medical information is important to us. We understand that your medical information is personal and we are committed to protecting it. We create a record of the care and services you receive at our clinic. We need this record to provide you with quality care and to comply with certain legal reguirements. This notice will tell you about the ways we may use and share medical information about you. This document also describes your rights and certain duties we have regarding the use and disclosure of your medical information.
These are the various ways we use and disclose medical information. Each and every use and disclosure can not be listed. But those that are listed are all the ways we are permitted to use and disclose medical information. We will not use or disclose your medical information for any purpose not listed below, without your specific written authorization. Any specific written authorization you provide may be revoked at any time by writing to us.
In addition to using and disclosing your medical information for treament, payment, and health care operations, we may use and disclose medical information for the following purposes.
If you have any questions about this notice, please ask the receptionist to speak to our Privacy Officer. If you think we may have violated your privacy rights, you may speak to our Privacy Officer and submit a written complaint. To make either action, please inform the receptionist that you wish to contact the Privacy Officer or request a complaint form. you may submit a written complaint to the Department of Health and Human Services; we will provide you with the address to file your complaint. We will not retaliate in any way if you choose to file a complaint.