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NOTICE OF PRIVACY PRACTICES
Federal law þ P. L. 104-191 - Health Insurance Portability
and Accountability Act (HIPAA)] requires our practice to ensure
the privacy of your personal health information.- The
law also requires us to give you this notice about your privacy
rights, our privacy practices, and our legal duties regarding your
health information.ð We must follow the privacy practices described
in this notice. - The law
takes effect on April 14, 2003.
- 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. This notice is provided in two forms. This
form (display copy) briefly summarizes how we handle your health
information. The other form provides further details of our privacy
policies and procedures.
- How we may use
and disclose your health information. We use health information
about you for treatment, to get paid for treatment, for administrative
purposes, and to evaluate the quality of care that you receive.
For example, your health information may be shared with other
providers to whom you are referred. Information may be shared
by paper, mail, electronic mail, or other methods. We may use
or disclose your health information without your authorization
for several reasons. But beyond those situations, we will ask
for your written authorization before using or disclosing your
health information.ð If
you sign an authorization to disclose information, you can later
revoke it to stop any future uses and disclosures.
- Your rights. In
most cases, you have the right to look at or get a copy of your
health information that we use to make decisions about you. If
you request copies, we may charge you a cost-based fee. You also
have the right to request a list of certain types of disclosures
of your information that we have made. If you believe your health
information is incorrect or information is missing, you have the
right to request that we correct the existing information or add
the missing information.
- Our legal duty. We
are required by law to protect the privacy of your health information,
provide this notice about our privacy practices, follow the privacy
practices that are described in this notice, and seek your acknowledgment
of receipt of this notice. We may change our privacy policies any
time. Before we make a significant change in our policies, we will
change out notice and post the new notice in the waiting area.
You can also request a copy of our notice at any time. For more
information about our privacy policies, contact the person listed
below.
- Privacy complaints. If
you are concerned that we have violated your privacy rights, our
privacy policies, or if you disagree with a decision we made about
access to your health information, you may contact the person listed
below. You may also send a written complaint to the U.S. Department
of Health Services. The person listed below can provide you with
the appropriate address upon request.
The complete version of this notice will be available at our network
hearing professional's offices for your review.
If you have any questions or complaints, please contact Brenda Dunn,
1155 S. Telshor Blvd. Suite 306, Las Cruces, New Mexico 88011
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