For Treatment:
We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, medical students, or other medical practice personnel who are involved in taking care of you at the medical practice.
For Payment:
We may use and disclose medical information about you so that the treatment and services you receive at the medical practice may be billed to, and payment may be collected from, you, an insurance company, or a third party.
For Health Care Operations:
We may use and disclose medical information about you for medical practice operations. These uses and disclosures are necessary to run the medical practice and make sure that all of our patients receive quality care.
Appointment Reminders:
We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care by the medical practice.
Treatment Alternatives:
We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Health-Related Benefits and Services:
We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.
Research:
Under certain circumstances, with your permission, we may use and disclose medical 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. Before we use or disclose medical information for research, the project will have been approved through this research approval process.
As Required by Law:
We will disclose medical information about you when required to do so by federal, state or local law.
To Avert a Serious Threat to Health or Safety:
We may use and disclose medical 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.
YOUR RIGHTS AS A PATIENT
Right to Inspect and Copy:
You have the right to inspect and copy medical information that may be used to make decisions about your care.
Right to Amend:
If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures:
You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of medical information about you other than our own uses for treatment, payment and health care operations, as those functions are described above.
Right to Request Restrictions:
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations.
Right to Request Confidential Communications:
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice:
You have the right to a paper copy of the complete privacy notification policy. You may ask us to give you a copy of this notice at any time.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you, as well as any information we receive in the future. We will post a copy of the current Notice in the medical practice. The Notice will contain the effective date. In addition, each time you are seen in the office for treatment or health care services, we will offer you a copy of the current Notice in effect.
If you believe your privacy rights have been violated, you may file a complaint with the medical practice by contacting us at 760-631-3000. If you are not satisfied with the way our practice has handled your complaint, you may submit a formal complaint to:
Department of Health and Human Services
Office of Civil Rights
Hubert H. Humphrey Bldg.
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
All complaints must be submitted in writing.
YOU WILL NOT BE PENALIZED FOR FILING A COMPLAINT
OTHER USES OF MEDICAL INFORMATION
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission in writing at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
Mailing Address:
3907 Waring Rd., Ste. 2, Oceanside CA 92056
PH 760-631-3000 FAX 760-631-3016
320 Santa Fe Dr., Ste. 108, Encinitas CA 92024
PH 760-942-1390 FAX 760-942-4288
332 Santa Fe De, Ste. 150, Encinitas, Ca 92024
PH 760-631-3000 FAX 760-631-3016
For Further Information
See the U.S. Dept. of Health and Human Services/AMA website for more answers to your HIPAA Privacy
questions:
www.ama-assn.org/ama/pub/category/4234.html
