|
NOTICE
OF PRIVACY
Ø
Marketing/Health-Related
Benefits and Services We may use and disclose
protected health information to tell you about health-related
benefits and services to your treatment, case management or
care coordination or recommend possible treatment options or
alternatives that may be of interest to you or to provide you
with small gifts. We may also encourage you to purchase a
product and services when we see you. In addition, we may use
and disclose your protected health information for certain
marketing activities, such as, using your name and address to
send you a newsletter about our office and the services we
offer.
Ø
Fundraising
Activities We
may use protected health information about you in order to
contact you for fundraising activities supported by us.
Only your name, address and phone number and the date
you received treatment or services from us would be used.
Ø
Individuals
Involved in Your Care or Payment for Your Care We
may disclose to one of your family members, to a relative, to
a close personal friend or to any other person identified by
you, protected health information directly relevant to the
person's involvement with your care or payment related to your
care. In addition, we may disclose protected health
information about you to notify, identify or locate a member
of your family, your personal representative, another person
responsible for your care or certain disaster relief agencies
of your location, general condition or death. In the case of a
communication barrier, we may disclose your protected health
information to an interpreter.
Ø
Emergencies/Disaster
Relief
We
may use or disclose your protected health information about
you to a public or private agency (like American Red Cross)
for emergencies or disaster relief purposes. Even if you
object, we may still share information about you, if necessary
for emergency circumstances.
Ø
Research/Stem
Cell Research Under certain circumstances, we may use and disclose
protected health information about you for research purposes. For example, a research project may involve comparing the
health and recovery of all patients who received one
medication to those who received another, for the same
condition. All
research projects, however, are subject to a special approval
process. We will
almost always ask for your specific permission if the
researcher will have access to your name, address or other
information that reveals who you are, or will be involved in
your care.
Ø
As
Required By Law We will disclose protected health information about you when
required to do so by federal, state or local law. The use or
disclosure will be made in compliance with the law and will be
limited to the relevant requirements of the law.
We will make a reasonable effort to inform you of the
request.
Ø
To
Avert a Serious Threat to Health or Safety We may use and disclose
protected health information about you when necessary to
prevent a serious threat to your health and safety or the
health and safety of the public or another person.
Any disclosure, however, would only be to someone able
to help prevent the threat.
Ø
Military
and Veterans If you are a member of the armed forces, we may release
protected health information about you as required by military
command authorities. We
may also release protected health information about foreign
military personnel to the appropriate foreign military
authority.
National Security and Intelligence Activities We
may release protected health information about you to
authorized federal officials for intelligence
NEXT
PAGE
|