NOTICE OF PRIVACY PRACTICES Federal law § P. L. 104-191 – Health Insurance Portability
and Accountability Act (HIPAA)] requires our practice to ensure
the privacy of your personal health information. The law also
requires us to give you this notice about your privacy rights,
our privacy practices, and our legal duties regarding your health
information. We must follow the privacy practices described in
this notice. The law takes effect on April 14, 2003. 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 provided in two forms.
This form (display copy) briefly summarizes how we handle your
health information. The other form provides further details of
our privacy policies and procedures.
How we may use and disclose your health information. We use health
information about you for treatment, to get paid for treatment,
for administrative purposes, and to evaluate the quality of care
that you receive. For example, your health information may be
shared with other providers to whom you are referred. Information
may be shared by paper, mail, electronic mail, or other methods.
We may use or disclose your health information without your authorization
for several reasons. But beyond those situations, we will ask
for your written authorization before using or disclosing your
health information. If you sign an authorization to disclose information,
you can later revoke it to stop any future uses and disclosures.
Your rights. In most cases, you have the right to look at or
get a copy of your health information that we use to make decisions
about you. If you request copies, we may charge you a cost-based
fee. You also have the right to request a list of certain types
of disclosures of your information that we have made. If you believe
your health information is incorrect or information is missing,
you have the right to request that we correct the existing information
or add the missing information.
Our legal duty. We are required by law to protect the privacy
of your health information, provide this notice about our privacy
practices, follow the privacy practices that are described in
this notice, and seek your acknowledgment of receipt of this notice.
We may change our privacy policies any time. Before we make a
significant change in our policies, we will change out notice
and post the new notice in the waiting area. You can also request
a copy of our notice at any time. For more information about our
privacy policies, contact the person listed below.
Privacy complaints. If you are concerned that we have violated
your privacy rights, our privacy policies, or if you disagree
with a decision we made about access to your health information,
you may contact the person listed below. You may also send a written
complaint to the U.S. Department of Health Services. The person
listed below can provide you with the appropriate address upon
request.
The complete version of this notice will be available at our network
hearing professional's offices for your review.
If you have any questions or complaints, please contact Brenda
Dunn, 1161 Mall Drive Suite C, Las Cruces, New Mexico
88011 |