Notice of Privacy Practices Effective Date: 6-2-2011
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.
Your Rights
You have the right to:
- Receive a copy of your health and billing records.
- Request corrections to your health records.
- Request confidential communication.
- Ask us to limit the information we share.
- Get a list of those with whom we’ve shared your information.
- File a complaint if you believe your privacy rights have been violated.
For more details about these rights, please contact our office using the information at the end of this notice.
Your Choices
You have some choices in the way we use and share your information. For example, you can:
- Tell us your preferences for how we share information with family, friends, or others involved in your care.
- Opt out of receiving fundraising communications.
Our Uses and Disclosures
We may use and share your information for:
- Treatment: To provide, coordinate, or manage your healthcare and related services.
- Payment: To obtain payment for the healthcare services provided to you.
- Healthcare Operations: To improve our services and ensure quality care.
We are also allowed or required to share your information in other ways—usually to contribute to the public good, such as public health and research. For example:
- Reporting suspected abuse, neglect, or domestic violence.
- Preventing or reducing a serious threat to anyone’s health or safety.
- Responding to lawsuits or legal actions.
Our Responsibilities
We are required by law to:
- Maintain the privacy and security of your protected health information (PHI).
- Notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
- Follow the duties and privacy practices described in this notice.
- Not use or share your information other than as described here unless you tell us we can in writing.
Changes to This Notice
We reserve the right to change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
Contact Information
If you have any questions about this notice, need to obtain a copy, or wish to file a complaint, please contact:
Lake Buena Vista Chiropractic 11444 s apopka vineland rd #106A, Orlando, FL 32836 - 407-238-2306 - [email protected]
You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. Filing a complaint will not affect the care we provide you.