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NOTICE
OF PRIVACY
OB/GYN
of Fairfield County, LLC
Primary Address:
1735 Post Road
Fairfield, CT 06824
Effective:
March 1, 2004
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Privacy
Officer/Contact
Address
Phone:
Confidential Compliance
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John
P. Croce
1735
Post Road
1-203-256-3990
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THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
INFORMATION. PLEASE
REVIEW IT CAREFULLY.
This practice is committed to
protecting the privacy and confidentiality of your protected
health information. This Notice describes your rights and
certain obligations we have regarding our privacy practices
and the use and disclosure of your protected health
information. "Protected health information" is
information about you, including demographic information, that
may identify you and that relates to your past, present or
future physical or mental health or condition and related
health care services.
This
Notice describes the privacy practices of OB/GYN of Fairfield
County, LLC. This entity, all sites and locations of this entity, follow
the terms of this Notice.
In addition, this entity, sites and locations may share
protected health information with each other for treatment,
payment or health care operation purposes described herein.
This
practice is required by law to protect the privacy of your
protected health information and to provide you with and to
abide by the terms of this Notice as it may be updated from
time to time. If
you have any questions about this Notice, please call the
contact listed above.
USES AND DISCLOSURE OF
PROTECTED HEALTH INFORMATION WE MAY MAKE WITHOUT YOUR
WRITTEN AUTHORIZATION
The following categories describe different ways that
we use and disclose protected health information.
While not every use or disclosure in a category will be
listed, all of the ways we are permitted to use and disclose
information will fall within one of the categories.
The law permits us to use and disclose your protected
health information for purposes of healthcare treatment,
payment and healthcare operations as described below.
Ø
Treatment We may use protected health information about you to provide
you with medical treatment or services and to coordinate and
manage your care and any related services.
Protected health information about you may be disclosed
to hospitals, nursing facilities, doctors, nurses,
technicians, medical students and other personnel who are
involved in your care. We may disclose information to people
outside our practice who may be involved in your care, such as
designated family members. We may also disclose your protected
health information to providers or facilities that may be
involved in your care after you leave our office or our care.
This would include, for example, when your physician consults
with a specialist or your primary care physician, regarding
your condition or coordinates services you may need, such as
lab work and x-rays.
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