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.<\/strong><\/p>\n You have the right to:<\/p>\n You have some choices in the way that we use and share information as we:<\/p>\n We may use and share your information as we:<\/p>\n When it comes to your health information, you have certain rights.<\/strong> This section explains your rights and some of our responsibilities to help you.<\/p>\n You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.<\/p>\n For certain health information, you can tell us your choices about what we share.<\/strong> If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.<\/p>\n In these cases, you have both the right and choice to tell us to:<\/p>\n If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.<\/em><\/p>\n In these cases we never share your information unless you give us written permission:<\/p>\n In the case of fundraising:<\/p>\n We typically use or share your health information in the following ways.<\/p>\n Treat you<\/strong> Run our organization<\/strong> Bill for your services<\/strong> Example: We give information about you to your health insurance plan so it will pay for your services. <\/em><\/p>\n We are allowed or required to share your information in other ways \u2013 usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov\/hipaa\/for-individuals\/notice-privacy-practices\/index.html<\/a>.<\/p>\n Help with public health and safety issues<\/strong> Do research<\/strong> Comply with the law<\/strong> Respond to organ and tissue donation requests<\/strong> Work with a medical examiner or funeral director<\/strong> Address workers\u2019 compensation, law enforcement, and other government requests<\/strong> Respond to lawsuits and legal actions<\/strong>Your Rights<\/h3>\n
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Your Choices<\/h3>\n
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Our Uses and Disclosures<\/h3>\n
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Your Rights<\/h3>\n
Get an electronic or paper copy of your medical record<\/h4>\n
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Ask us to correct your medical record<\/h4>\n
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Request confidential communications<\/h4>\n
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Ask us to limit what we use or share<\/h4>\n
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Get a list of those with whom we\u2019ve shared information<\/h4>\n
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Get a copy of this privacy notice<\/h4>\n
Choose someone to act for you<\/h4>\n
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File a complaint if you feel your rights are violated<\/h4>\n
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Your Choices<\/h3>\n
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Our Uses and Disclosures<\/h3>\n
How do we typically use or share your health information?<\/h4>\n
\nWe can use your health information and share it with other professionals who are treating you.
\nExample: A doctor treating you for an injury asks another doctor about your overall health condition.<\/em><\/p>\n
\nWe can use and share your health information to run our practice, improve your care, and contact you when necessary.
\nExample: We use health information about you to manage your treatment and services. <\/em><\/p>\n
\nWe can use and share your health information to bill and get payment from health plans or other entities.<\/p>\nHow else can we use or share your health information?<\/h3>\n
\nWe can share health information about you for certain situations such as:<\/p>\n\n
\nWe can use or share your information for health research.<\/p>\n
\nWe will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we\u2019re complying with federal privacy law.<\/p>\n
\nWe can share health information about you with organ procurement organizations.<\/p>\n
\nWe can share health information with a coroner, medical examiner, or funeral director when an individual dies.<\/p>\n
\nWe can use or share health information about you:<\/p>\n\n
\nWe can share health information about you in response to a court or administrative order, or in response to a subpoena.<\/p>\nOur Responsibilities<\/h3>\n