Notice of Privacy Practices

This notice applies to

How we may use and disclose your PHI

• Treatment: We may use your PHI to provide, coordinate, or manage health care and related services by one or more health care providers. For example, we may request laboratory tests and use the results to reach a diagnosis, write a prescription, or share information with a pharmacy.
• Payment: We may disclose your PHI to obtain reimbursement for services, confirm coverage, conduct billing or collection activities, and perform utilization review. For example, we may contact your health insurer to confirm eligibility or determine whether it will cover treatment.
• Health care operations: We may use your PHI to operate our practice, including quality assessment and improvement activities, auditing, cost-management analysis, and customer service.
• Appointment reminders: We may use and disclose your PHI to contact you and remind you of an appointment.
• Electronic transmission: Our practice may include the office name, address, and patient-identifiable information in electronic insurance claims and statements.
• Family and friends: We may release your PHI to a friend or family member involved in your care or assisting with your care.

Certain special circumstances

We may use or disclose PHI as permitted or required by law for public health activities; reports of suspected abuse, neglect, or domestic violence; health oversight; judicial and administrative proceedings; law enforcement; preventing a serious threat to health or safety; government functions such as military service or national security; emergencies and disaster relief; workers’ compensation or similar programs; and other instances required by law.

Patient concerns and complaint resolution