This Notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it and the information on Patient Rights carefully.
NOTICE OF PRIVACY, PRACTICES
This Notice describes how we may use and disclose your protected health information to provide treatment, obtain payment and conduct health care operations and for other purposes permitted or required by law. It also describes your rights concerning your protected health information. "Protected health information" is information about you, including demographic information that may identify you and relates to your past, present and future physical or mental health or condition and related health care services.
We are required by law to follow the practices described in this Notice. We may change the terms of this Notice at any time.
The new Notice will be effective for all protected health information we maintain at that time including health information we created r received before we made the changes.
You may obtain a copy of our Notice of Privacy Practices at any time by printing it from these website pages, by calling our office at (407) 330-3250, or by requesting one at your next appointment.
USES AND DISCLOSURES OF HEALTH INFORMATION
Treatment: We will use and disclose your health information to provide, coordinate and manage health care and related services for you. For example we will disclose information to a specialist to whom you have been referred to ensure the provider has enough information to diagnose and/or treat you. We may also disclose information to a laboratory that, at our request, becomes involved in your treatment.
Payment: We may use and disclose information to obtain payment for services we provided to you. For example we will send the necessary information to your health or dental insurance company to obtain payment for the treatment provided.
Healthcare Operations: We will use and disclose your health information to conduct the business activities of this office.
These activities include, but are not limited to, quality assessment and improvement activities, review of the performance and qualifications of employees, evaluating practitioner and provider performance, conducting training programs, accreditation, and certification, licensing or credentialing activities.
We may use a sign-in sheet at the registration desk where you will be asked to sign your name. We may also call you by name in the waiting room when we are ready to begin your treatment. Prior to your appointment, we may call or send a postcard to remind you of the appointment. We may leave a message on your voice mail or with another member of the household.
We will share your protected health information with business associates that perform specific functions for our practice such as billing. When a business agreement of this type requires the use of your information, we will have a written contract with the third party to protect the privacy of your protected health information.
Others Involved in Your Health Care: We must disclose your health information to you as described in the Patient Rights section of this Notice. We may disclose your health information to a family member or other person to the extent necessary to help with your health care or with payment for your health care, but only if you agree. If we determine it is in your best interest based on our professional judgment or experience with common practices, we may allow another person to pick up filled prescriptions, medical supplies, x-rays or other forms of health information.
We may use or disclose protected health information to notify or assist in notifying a family member, a personal representative or any other person responsible for your care of your location, your general condition or death. If you are present prior to the use or disclosure of your protected health information, we will provide you with the opportunity to object to such uses or disclosures. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family members or others involved in your health care.
Emergencies: In the event of your incapacity or in emergency circumstances, we may use or disclose your protected health information to treat you.
Use and Disclosures of Protected Health Information Based upon Your Written Authorization: Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing, except to the extent that an action has already been taken in reliance on the authorization.