NOTICE OF PRIVACY PRACTICES
Our Commitment to Protect Your Health Information
We care about your privacy and are fully committed to maintain it. This notice tells you how we may share your medical information, your rights, and our duties regarding the use and disclosure of your medical records.
Our Legal Duty
Law Requires Us to:
1. Keep your medical information private.
2. Give you this notice describing our legal duties, privacy practices, and your rights.
3. Follow the terms of the current notice.
We Have the Right to:
Change our privacy practices and the terms of this notice at any time.
Make changes to our privacy practices and the terms of our notice effective for all medical information including information created or received before the changes.
Notice of Change to Privacy Practices:
Before we make an important change in our privacy practices, we will amend this notice and make the new notice available upon request.
Use and Disclosure of Your Medical Information
Below are the different ways we’re permitted to use and disclose medical information, even if we don’t currently do so. We won’t use or disclose medical information in any other way without your specific written authorization. You can revoke your authorization at any time by writing to us.
For Treatment or Services:
We may disclose medical information healthcare professionals or providers who are involved in taking care of you.
For Health Care Operations:
Using your medical information for operations might include measuring and improving quality, evaluating employee performance, conducting training, and getting accreditation, licenses and credentials needed to provide our services.
Additional Uses and Disclosures:
We may use and disclose medical information:
to send you appointment emails or otherwise remind you of your appointments.
to provide information about health-related benefits and services that may be of interest to you.
with public health authorities who prevent or control disease, injury or disability, or notify a person who may be at risk of contraction or spreading a disease or condition, as required by law.
with people subject to jurisdiction of the Food and Drug Administration to track or report adverse events associated with product defects or problems.
with an agency providing health oversight authorized by law, including audits, civil, administrative, or criminal investigations or proceedings, inspections, licensure or disciplinary actions or other authorized activities.
with law enforcement officials under certain circumstances, including reporting certain types of wounds, suspected victims of crimes, or death and crimes in emergencies, or providing limited information about identification and location.
with a public or private organization or person who can legally assist in disaster relief efforts.
for research if the research has been approved by a review board that has established protocols to ensure the privacy of medical information.
Your Individual Rights
You Have the Right to:
Obtain and review copies of certain parts of your medical information, if requested in writing. There may be charges for copying and postage if you want the copies mailed to you.
Receive a list of all the times we or our business associates shared your medial information for purposes other than treatment, and health care operations and other specified exceptions.
Request that we place additional restrictions on our use or disclosure of your medical information. We’re not required to agree to these additional restrictions, but if we do, we’ll abide by our agreement.
Request, in writing, that we communicate with you about your medical information by different means or to different locations.
Request that we change certain parts of your medical information. If we didn’t create the information or we have certain other reasons, we may deny your request and provide a written explanation. If we accept, we’ll make reasonable efforts to inform others.
If you want a paper copy of this privacy notice, you may it request in writing from our Privacy Officer
Questions, Requests and Complaints
If you have any questions or concerns about your privacy you may speak to our Privacy Officer or submit a written complaint. You may also submit a written complaint to the US Department of Health and Human Services;
Medicine X – Privacy Officer
28291 Pacific Coast Hwy
Malibu, CA 90054
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
We won’t retaliate if you choose to file a complaint.