NOTICE OF PRIVACY POLICIES ALL PATIENTS

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 UNDERSTANDING YOUR HEALTH RECORD AND INFORMATION:

·        Each time you visit the physician, a record of your visit is made. Typically, this record contains your symptoms, and test results, diagnosis, treatment and plan for future care or treatment. This information is referred to as your medical record and serves as a basis for planning your care and treatment.

·        Means of communicating among the many health professionals who contribute to your care.

·        Legal documentation describing the care you receive.

·        Means by which you or a third-party payer can verify that services billed were actually provided. A tool in educating health professionals.

·        A source of data for medical research.

·        A source of information for public health officials who improve the health of the State and nation.

·        A source of data for our planning and marketing. A tool with which we can assess and continually work to improve the care we render and the outcomes we receive.

USES AND DISCLOSURES:

•       Treatment: Your health information may be used by staff members or disclosed to other healthcare professionals for the purpose of evaluating health, diagnosing medical conditions and providing treatment.

•       Payment: Your health information may be used to seek payment from your health plan, automobile insurer, worker's compensation, or from credit card companies that you may use to pay for services.

For example: Date of service, services provided, and medical condition being treated.       

•       Health Care Operations: Your information may be used as necessary to support the day-to-day activities and

management, IV League Drips PLLC and its affiliates for budget and financial reporting and activities to evaluate and promote quality.

•       Law Enforcement: Your health information may be disclosed to law enforcement agencies to support

government audits and inspections to facilitate law enforcement investigations and to comply with government mandated reporting.

•       Public Health Reporting: Your health information may be disclosed to public health agencies as required by law. (Reporting certain communicable diseases to public health department.)

communicator

•       Health professionals using their best judgment, unless otherwise requested, may disclose to a family member, other relative, close personal friend, or any other person you identity, health information relevant to that person's involvement in your care or payment related to your care

•       Additional uses of information--Appointment reminders

Your health information rights:

•       Although the medical record is the property of the practice the information belongs to you. You have the right to: Obtain a copy of this notice of information upon request.

•       Inspect and copy your health record

•       Amend your health record

•       Obtain an accounting of disclosures of your health information

•       Revoke your authorization to use or disclose health information except to the extent that action has been taken.

OUR RESPONSIBILITIES:

We are required to:

•       Maintain privacy of your health information.

•       Provide you with this notice of practices.

•       Abide by the privacy policies and practices outlined in this notice.

We reserve the right to change our practices and to make new provisions effective for all protected health information we maintain. Should our information practices change, we will have the information available for you to request at our office. We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue using or disclosing your health information after we have received a written revocation of the authorization according to procedures included in the authorization.

FOR MORE INFORMATION OR TO REPORT A PROBLEM:

If you believe your privacy rights have been violated, you can file a complaint with the practice's Privacy Officer, or with the Office of Civil Rights, US Department of Health, and Human Services. There will be no retaliation for the filing of a complaint with either the Privacy Officer or the Office of Civil Rights.