Your Privacy is important
to Us
NOTICE OF PRIVACY PRACTICE
Note: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.
THIS NOTICE IS EFFECTIVE 12/12/02 UNTIL FURTHER NOTICE.
Right to Notice As a patient, you have the right to adequate
notice of the uses and disclosures of your protected health information.
Under the Health Insurance Portability and Accessibility Act
(HIPAA), [Practice Name here] can use your protected health information
for treatment, payment and health care operations. a) Treatment
- We may use or disclose your health information to a physician
or other healthcare provider providing treatment to you. b) Payment
- We may use and disclose your health information to obtain payment
for services we provide you. c) Health care operations - We may
use and disclose your health information in connection with our
healthcare operations. Healthcare operations include quality
assessment and improvement activities, reviewing the competency
or qualifications of healthcare professionals, evaluating provider
performance, conducting training programs, accreditation, certification,
licensing or credentialing activities.
Your Authorization Most uses and disclosures that do not fall
under treatment, payment, health care operations will require
your written authorization. Upon signing, you may revoke your
authorization (in writing) through our practice at any time.
Emergency Situations In the event of your incapacity or an emergency
situation, we will disclose health information to a family member,
or another person responsible for your care, using our professional
judgment. We will only disclose health information that is directly
relevant to the person's involvement in your healthcare.
Marketing We will not use your health information for marketing
communications without your written authorization.
Required by Law We may also use or disclose your health information
when we are required to do so by law.
Abuse or 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 victim of other crimes. We may disclose your health information
to the extent necessary to avert a serious threat to your or
other people's health or safety.
National Security We may disclose the health information of
Armed Forces personnel to military authorities under certain
circumstances. We may disclose health information to authorized
federal officials required for lawful intelligence, counterintelligence
and other national security activities. We may disclose health
information of inmates or patients to the appropriate authorities
under certain circumstances.
Appointment Reminders We may use or disclose your health information
to provide you with appointment reminders via phone, e-mail or
letter.
Your Rights as a Patient You have the right to restrict the
disclosure of your protected health information (in writing).
The request for restriction may be denied if the information
is required for treatment, payment or health care operations.
-You have the right to receive confidential communications regarding
your protected health information. -You have the right to inspect
and copy your protected health information. -You have the right
to amend your protected health information. -You have the right
to receive an account of disclosures of your protected health
information. -You have the right to a paper copy of this notice
of privacy practices.
Legal Requirements Dr.Craig Vseril's office is required by law
to maintain the privacy of your protected health information.
We are required to abide by the terms of this notice as it is
currently stated, and reserve the right to change this notice.
The policies in any new notice will not be in effect until they
are posted to this site, or are available within our office.
Complaints If you have complaints regarding the way your protected
health information was handled, you may submit a complaint in
writing to our office. You will not be retaliated against in
any manner for a complaint.
Contact Information For further information about Dr.Craig Versil's
privacy policies, please contact Dr.Craig Versil's office at
the following address or phone number: Craig Versil OD 6000 W
Atlantic Blvd #3 Margate FL 33063 954-977-9500
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