Notice of Privacy Practices
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 INOFRMATION.
PLEASE REVIEW IT CAREFULLY.
Uses and Disclosures:
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members. We might disclose your health information to a pharmacy when ordering a prescription for you.
Payment. Your health information may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of services provided, and the medical condition being treated. We may contact your health insurer to certify that you are eligible for benefits (and what range of benefits). We may release your health information for workers' compensation and similar programs.
Health care operations. Your health information may be used as necessary to support the day-to-day activities and management of Cactus Children's Clinic, P.C. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.
Law enforcement. Your health information may be disclosed to law enforcement agencies, without your permission, to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government mandated reporting (such as reporting child abuse or neglect). We may have to respond to a court or administrative order, if you are involved in a law suit or similar proceedings (subpoena, discovery request or other lawful process).
Public health reporting. Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state's public health department.
Release of Information to Family. Our practice may release your health information to family members involved in your care, or who assist in taking care of your child(ren). For example, a parent or guardian may ask that a babysitter bring your child(ren) into the pediatric office for treament of a cold. In this example, the babysitter may have access to the child's medical information.
Military. Our practice may disclose your health information if you are a member of the United States military forces and if required by the appropriate authorities.
Other uses and disclosure requires your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision. We reserve the right to require annual updates to information and authorizations.
Additional Uses of Information.
Appointment reminders. Your health information will be used by our staff to call/leave appointment reminder.
Information about treatments. Your health information may be used to send you information on the treatment and management of your medical condition that may find to be of interest. We may also send you information describing other health-related goods and services that we believe may interest you.
Deceased Patients. We may rel
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