Privacy Policy
Your Information. 你的权利. Our Responsibilities
本通知描述有关您的医疗信息可能如何被使用和披露,以及您如何获得这些信息. Please review it carefully.
你的权利
When it comes to your health information, you have certain rights. 本节解释您的权利以及我们帮助您的一些责任和义务.
Get an electronic or paper copy of your medical record
- 您可以要求查看或获取您的医疗记录和我们拥有的其他健康信息的电子或纸质副本. Ask us how to do this.
- We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
- 您可以要求我们更正您认为不正确或不完整的健康信息. Ask us how to do this.
- 我们可能会说 “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- 我们会说 “yes” to all reasonable requests.
Ask us to limit what we use or share
- 您可以要求我们不要使用或分享某些治疗健康信息, pay-ment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
- If you pay for a service or health care item out-of-pocket in full, 您可以要求我们不要为了付款或我们与您的健康保险公司的操作而共享该信息. 我们会说 “yes” unless a law requires us to share that information.
- As part of our ongoing efforts to provide quality care to our patients, 十大正规赌博平台大全参与了各种电子-电子健康信息交换(HIE)。. 此活动可使其他社区卫生保健提供者方便地阅读您的医疗信息,以调整护理,并可避免重复检测.
Get a list of those with whom we’ve shared information
- 你可以要求我们列出在你提出要求之前或之前的六年内,我们分享你的健康信息的次数, who we shared it with, 为什么.
- We will include all the disclosures except for those about treatment, pay-ment, and health care operations, and certain other disclosures (such as any you asked us to make). 我们每年免费提供一次会计服务,但会收取合理的费用, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
- 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.
Choose someone to act for you
- 如果你给了某人医疗委托书或者某人是你的法定监护人, 这个人可以行使你的权利,对你的健康信息做出选择.
- 在我们采取任何行动之前,我们将确保该人具有此权限并可以为您行事.
File a complaint if you feel your rights are violated
- 如果您觉得我们侵犯了您的权利,您可以通过使用本海报底部的信息与我们联系来投诉.
- You can file a complaint with the U.S. 向独立大道200号的美国卫生与公众服务部民权办公室发了一封信, S.W., Washington, D.C. 20201, calling 1−877−696−6775, or visiting www.美国卫生和公众服务部.gov/ocr/privacy/hipaa/complaints/
- We will not retaliate against you for filing a complaint.
你Choic-es
对于某些健康信息,您可以告诉我们您对我们共享的内容的选择. 如果您对我们在以下情况下如何共享您的信息有明确的偏好, 跟我们谈谈. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- 与你的家人、亲密的朋友或其他参与照顾你的人分享信息
- Share information in a disaster relief situation
- Include your information in a hospital directory
- Contact you for fundraising efforts
If you are not able to tell us your preference, for example if you are unconscious, 如果我们认为这符合您的最佳利益,我们可能会继续分享您的信息. 我们也可能在需要时分享您的信息,以减轻对健康或安全的严重和迫在眉睫的威胁.
在这些情况下,除非您给予我们书面许可,否则我们绝不会分享您的信息:
- Marketing purposes
- Sale of your information
- Most sharing of psychotherapy notes
In the case of fundraising:
- 我们可能会就筹款事宜与您联系,但您可以告诉我们不要再与您联系.
Our Uses and Disclosures
How do we typically use or share your health information? 我们以以下方式使用或共享您的健康信息.
对待你
- 我们可以使用你的健康信息,并与其他治疗你的专业人士分享.
例子:一位医生为你治疗受伤,他问另一位医生你的整体健康状况.
Run our organization
- We can use and share your health information to run our practice, improve your care, and contact you when necessary.
我们使用您的健康信息来管理您的治疗和服务.
Bill for your services
- 我们可以使用和分享您的健康信息,以便从健康计划或其他实体中收取账单和付款.
我们把你的信息提供给你的健康保险计划,这样它就会支付你的服务费用.
How else can we use or share your health information? 我们被允许或被要求以其他方式分享您的信息——通常是以对公共利益有贡献的方式, such as public health and research. 我们必须满足法律上的许多条件,才能出于这些目的分享您的信息. For more information see: www.美国卫生和公众服务部.gov / o c / p r i v c y / h i p / u n d e r s t n d i n g / c o n s u m e r s / n d e x.html
Help with public health and safety issues
我们可以在某些情况下分享您的健康信息,例如:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
做研究
- We can use or share your information for health research.
Comply with the law
- 如果州或联邦法律要求,我们将分享有关您的信息, 包括卫生和公众服务部,如果他们想看到我们遵守联邦隐私法的话.
Respond to organ and tissue donation requests
- 我们可以与器官支持治疗组织分享你的健康信息.
Work with a medical examiner or funeral director
- We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
解决工人的赔偿、执法和其他政府要求
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
- 我们可以根据法院或行政命令分享您的健康信息, or in response to a subpoena.
Our Responsibilities
- 法律要求我们维护您受保护的健康信息的隐私性和安全性.
- 如果发生可能危及您信息隐私或安全的违规行为,我们将立即通知您.
- 我们必须遵守本通知所述的职责和私隐惯例,并给你一份副本.
- 除非您以书面形式告知我们,否则我们不会使用或分享您的信息. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.美国卫生和公众服务部.gov / o p c r / r我y v c / h p / u n d e r s t n d i n g / c o n s u m e r s / n o t i c e p p.html
Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. 新的通知将根据要求在我们的办公室和网站上提供. This notice applies to The South Bend Clinic and all departments, 单位, 网站, and locations of The South Bend Clinic.