THIS NOTICE BRIEFLY DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
USE and DISCLOSURE OF HEALTH INFORMATION:
Our practice may use your health information for purposes of providing you treatment, obtaining payment and conducting health care operations. Your health information may be used or disclosed for these purposes while you are our patient. We have established policies to guard against unnecessary disclosure of your health information.
OUR DUTIES:
Our practice is mandated by law to maintain the privacy of your health information and to provide you (or your representative) this Notice informing you of our duties and privacy practices. We are required to abide by terms of this Notice which is subject to occasional amendment. We reserve the right to change the terms of our Notice and to make any changes effective for all health information in our possession. If our practice changes this Notice, a copy of the revised Notice will be provided to you or your designated representative with comments regarding the nature of the change. You or your representative have the right to express complaints to this practice and to the Secretary of Health and Human Services if you or your representative believe that your privacy rights have been violated. Any complaints regarding privacy violations should be made in writing to the Privacy Official. We encourage you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.
CONTACT PERSON:
Our contact person for all issues regarding patient privacy and your rights under the Federal privacy standards is the Privacy Official. The Privacy Official may be contacted at the address on the cover of this brochure.
EFFECTIVE DATE:
April 14, 2003 Rev. 01.08.03 ~ IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE CONTACT the Privacy Official or owner/operator.
YOUR RIGHTS
~ With Respect to Your Health Information You are entitled to the following rights regarding your health information: Right to request restrictions Right to receive confidential communications Right to amend health care information Right to a paper copy of this notice Right to inspect and copy your health information Right to an accounting The following represents the circumstances under which your health information may be used and disclosed: Providing Treatment Obtaining Payment Conduction Health Care Operations
AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION
Other than what is stated on this page, our practice will not disclose your health information other than with your written authorization. If you or your representative give us authorization to use or disclose your health information, you may revoke that authorization in writing at any time. here are federal privacy rules which allow health care providers to use or disclose your health information without authorization from you for a number of reasons. When Legally Required When There Are Risks to Public Health Reporting Abuse, Neglect Or Domestic Violence Conducting Health Oversight Activities In Connection With Judicial And Administrative Proceedings Worker’s Compensation Law Enforcement Purposes Coroners And Medical Examiners Funeral Director Organ, Eye or Tissue Donation Research Purposes In the Event of A Serious Threat To Health or Safety
Specified Government Functions
https://thecompounder.com/wp-content/uploads/2025/08/THE-COMPOUNDERnpp_booklet_hc_provider.pdf
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