Purpose: This notice describes how medical information about you may be used and/or disclosed as well how you may get access to this.
Effective date: This policy is in effect as of 04/15/03.
As a patient, you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessiblity Act (HIPAA), Dr. Elisabeth S. Swan O.D. can use your protected health information for treatment, payment and health care operations.
RIGHT TO NOTICE
TREATMENT: We may use or disclose your health information with other physicians or health care providers who will provide services which we do not provide.
PAYMENT: We may use and disclose medical information to obtain payment for the services we provide.
HEALTH CARE OPERATIONS: We may use and disclose medical information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications and performance of healthcare professionals, training programs, accreditation, certification, licensing or credentialing.
YOUR AUTHORIZATION: If you do authorize this medical practice to use or disclose your health information for another purpose you may revoke your authorization in writing at any time.
EMERGENCY SITUATIONS: We may disclose your health information to notify or assist in notiying a family member, a person responsible for your care, using our professional judgement. We may disclose information to someone who is involved with your care.
MARKETING: We will not use your health information for marketing communtication without your written authorization.
REQUIRED BY LAW: We will use and disclose your health information, when we are required by law.
ABUSE AND NEGLECT: We will use and disclose your health information to the appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the victim of other crimes. We may disclose haelth information to appropriate persons in order to prevent or lesson a serious and imminent threat to your or other people’s health or safety.
NATIONAL SECURITY: We may disclose your health information for military or national security purposes or to correctional institutes or law enforcement officers that have you in their lawful custody.
APPOINTMENT REMINDERS: We may use and disclose health information to contact and remind you about appointments. If you are not at home, we may leave this information on your answering machine or in a message left with person answering the phone.
YOUR HEALTH RIGHTS AS A PATIENT: -You have the right to request restrictions on certain uses and disclosures of your health information (in writing). -the request for restriction may be denied if the information is required for treatment, payment, or health care operaitons. -You have th right to request confidential communications regarding your protected health information. -You have the right to inspect and copy your protected health information. -You have the right to request that we amend your protected health information. -You have the right to receive an accounting of disclosures of your protected health information. -You have the right to a paper copy of this Notice of Privacy Practices.
LEGAL REQUIREMENTS: Dr. Elisabeth S. Swan is required by law to maintain the privacy of your protected health information. We are required to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice. The policies in any new notice will not be in effect until they are posted to this site, or are available within our office.
COMPLAINTS: If you have any complaints regarding the way your protected health information is handled, you may submit a complaint in writing to our office. You will not be penalized for filing a complaint.
CONTACT INORMATION: For further information about Dr. Elisabeth S. Swan’s privacy policies, please contact Dr. Swan at the following address or phone number.
Dr. Elisabeth S. Swan 4335 Hazel Ave. Fair Oaks, CA 95628 (916) 966-6080