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Hands-On
Bodyworks Privacy Policies Notice
We are
dedicated to providing top-quality service. Protecting your privacy is
paramount and we have implemented procedures to safeguard your the
information included in your files. We have installed a firewall on our
computer; computerized files can only be accessed with a password; and all
paperwork is kept in a locked filing cabinet.
This notice describes how Protected Health Information (PHI) about you may
be used and disclosed and how you can get access to this information.
Please Review it Carefully.
Your Personal and Protected Health Information
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We may
gather personal and health information from you, other health care
providers and third party payers. This information is used for
treatment, payment and health care operations. The following
describes the ways we may use and disclose your Protected Health
Information:
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We may
provide PHI about you to health care providers, other practice
personnel, or third parties who are involved in
the
provision, management or coordination of your treatment care.
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We may
disclose your PHI to any third party you designate in writing.
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We may
use or disclose your PHI so that we can collect or make payment for the
health care services you receive or are going
to receive.
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We may
disclose your PHI if we ever sell or transfer our practice.
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We may
disclose your PHI if we believe it is necessary to prevent a serious
threat to your health and safety or the health
and safety of the public.
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We may
disclose your PHI to a government agency if we believe you have been a
victim of abuse, neglect or domestic violence. We will make this
disclosure if it is necessary to prevent serious harm to you or other
potential victims, you are unable to agree due to your incapacity, you
agree to the disclosure, or required by law.
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We may
disclose your PHI to a health oversight agency for activities authorized
by law.
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We may
disclose your PHI as required by a court or administrative order, or
under certain circumstances in response to a subpoena, discovery request
or other legal process.
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We may
release your PHI as necessary to comply with laws relating to Workers
Compensation or similar programs that are established by the law to
provide benefits for work-related injuries or illness without regard to
fault.
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We may
disclose your PHI to a HIPAA certified Business Associate (a person or
organization that performs a function or activity on behalf of the
practice that involves the use or disclosure of PHI, such as a billing
services company or another practitioner who is involved in your health
care).
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Your
PHI may be disclosed for military and veterans affairs, for national
security and intelligence activities, or for correctional activities.
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We may
use or disclose your PHI when required by law.
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We may
use your name, address, phone number, e-mail, and your records to
contact you with appointment reminder calls, recall postcards, greeting
cards, information about alternative therapies, or other related
information that may be of interest to you. If you are not at home to
receive an appointment reminder, a message will be left on your
answering machine.
Please note your rights regarding this information:
1. You
are entitled to inspect and receive copies of your records.
2. You
are entitled make a written request to amend your PHI files or put
restrictions on certain uses and disclosure of PHI.
3. We
accommodate any reasonable request, yet we retain the right to deny
inclusion of amendments or use restrictions of your PHI.
4. You
have the right to disagree with the practitioner’s refusal of inclusion.
5. You
have a right to receive all notices in writing.
6. You
have the right to request that we do not disclose your information to
specific individuals, companies, or organizations. Any restrictions
should be requested in writing. We are not required to honor these
requests. If we agree with your restrictions, the restriction is binding
on us.
7. You
may complain to us or the Secretary for Health and Human Services if you
feel that we have violated your privacy rights. There will be no
retaliation for filing a complaint. Written comments should be addressed
to our Privacy Officer at our office address or the Secretary for Health
and Human Services, 200
Independence Ave. SW,
Room 509F, HHH Bldg. Washington, DC 20201.
Original
Effective Date: April 14,
2005
This notice remains in effect until it is replaced or amended by changes
in the law.
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