NOTICE OF PRIVACY PRACTICES
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.
HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU. The following categories describe different ways that we may use and disclose medical information.
We may use and disclose medical information about you so that the treatment and services you receive at our Practice may be billed to and payments may be collected from you, an insurance company or a third party.
For Health Care Operations.
We may use and disclose medical information about you for health care operations. These uses and disclosures are necessary to run the Practice and ensure that all of our patients receive quality care. We may also disclose information to doctors, nurses, technicians and other Practice personnel for review and learning purposes.
We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, or other personnel who are involved in taking care of you at the Practice. We may disclose medical information about you to people outside the Practice who may be involved in your medical care, such as family members or other persons that are part of your care.
WHO WILL FOLLOW THIS NOTICE.
This notice describes our Practice’s policies and procedures and that of any health care professional authorized to enter information into your medical chart as well as all employees, staff and other Practice personnel.
POLICY REGARDING THE PROTECTION OF PERSONAL INFORMATION.
We create a record of the care and services you receive at our Practice. We need this record in order to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by the Practice, whether made by Practice personnel or by your personal doctor. The law requires us to: make sure that medical information that identifies you is kept private; give you this notice of our legal duties and privacy practices with respect to medical information about you; and to follow the terms of the notice that is currently in effect. Other ways we may use or disclose your protected healthcare information include: appointment reminders, newsletters; for health-related benefits and services; to individuals involved in your care or payment for your care; research; to avert a serious threat to health or safety; for judicial and administrative proceedings in response to an order of a court or a subpoena, discovery request or other lawful process not accompanied by a court order; for law enforcement purposes to law enforcement officials; and worker’s compensation.
NOTICE OF INDIVIDUAL RIGHTS
You have the following rights regarding medical information we maintain about you:
Right to an Accounting of Disclosures.
You have the right to request an “accounting of disclosures”. This is a list of the disclosures we made of medical information about you. To request this list or accounting of disclosures, you must submit your request in writing to the Practice Administrator.
Right to Amend.
If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by, or for, the Practice. To request an amendment, your request must be made in writing and submitted to the Practice Administrator and you must provide a reason that supports your request. We may deny your request for an amendment.
Right to Inspect and Copy.
You have the right to inspect and copy medical information that may be used to make decisions about your care. We may deny your request to inspect and copy in certain very limited circumstances.
Right to a Paper Copy of this Notice.
You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.
Right to Request Confidential Communications.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. You must make your request in writing and you must specify how or where you wish to be contacted.
Right to Request Restrictions.
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment of your care, like a family member or friend. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide emergency treatment. To request restrictions, you must make your request in writing to the Practice Administrator.
CHANGES TO THIS NOTICE.
The effective date of this notice is 1-1-2010. We reserve the right to change this notice. We will post a copy of the current notice in the Practice’s reception area.
If you believe your privacy rights have been violated, you may file a complaint with the Practice or with the Secretary of the Department of Health and Human Services. To file a complaint with the Practice, contact our Practice Administrator at The Vein Clinic, LLC, 1725 Devonshire Drive, Columbia, SC 29204. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
OTHER USES OF MEDICAL INFORMATION.
Other uses and disclosures of medical information not covered by this notice or the laws that apply to use will be made only with your written authorization. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time.
A copy of this notice is available on our website: www.veincliniconline.com. If you have any questions about this notice, please contact our Practice administrator at The Vein Clinic, LLC, 1725 Devonshire Drive, Columbia, SC 29204 (803) 253-8667.
Effective Date: January 1, 2010.