HIPPA & Patient Privacy Information

Patient Privacy Statement

The following notice describes how your protected health information (PHI) may be used and disclosed, and how you can get access to this information. Please review this notice of your rights as defined n the Health Insurance Portability and Accountability ACT (HIPPA). All clinical professionals are legally required to have a Privacy Notice.

Protected health information (PHI) is individually identifiable health information that relates to the covered person's past, current, or future health status, the provision of health services, or payment for the provision of health care services to covered persons.

I am legally required to maintain the privacy of PHI and to abide by the terms of this notice and the Health Insurance Portability and Accountability Act (HIPPA)

I will typically ask for your written authorization to share or obtain information from others. However, I may use and disclose information about you without your written authorization in the following circumstance:

Payment: I may use and disclose necessary information about you in order for you to receive reimbursement, or for me to receive payment. For example, this information could include information that your health insurance plan may require before if approves or pays for treatment services

PHI may be released without your consent to the insurance company, third party administrators, and to providers for the purposes of claims payment, treatment, and health care operations.

PHI may be released without your consent if required by state or federal law.

I may use or disclose information to notify or assist notifying a family member, personal representative, or another person responsible for your care, your location, and general condition. I may leave a message on your answering machine or on voicemail as a means of communication. I may mail you a written notice as a means of communication. Unless otherwise instructed in writing, these methods of communication will be used.

PHI may not be released for any purposes other than those identified in this notice. Other disclosures and uses will be made only with your written authorization or consent and you may revoke such authorization/consent at any time.

I reserve the right to make changes to this notice and to continue to maintain the confidentiality of healthcare information. You will receive notice of any changes within 60 days of the change.

You have the right to inspect and copy your PHI.

You have the right to request that your PHI be amended when you believe that it is inaccurate or incomplete. If your provider does not agree to amend it, you may add an explanation to your record.

You have the right to request restrictions on the use or disclosure of your PHI, even though your provider is not required to agree to the requested restrictions.

You have the right to obtain an accounting of instances in which the plan has disclosed PHI for purposes other than treatment, payment, or health care operations, except for disclosures made at your request.

You have the right to receive written notice of the policy regarding privacy and access to PHI. You can obtain a copy of this notice upon request.

You have the right to complain to me if you believe your privacy rights have been violated. You can mail your complaint to my office. You can also make a written complaint to the U.S. Department of Health and Human Services. This complaint must be filed with 180 days of the time you became or should have become aware of the problem. You will not be retaliated against for filing a complaint.

If you have any concerns regarding your case at any time, or for further information about this Privacy Notice, please discuss it with me.

Thank you,
Stan Yancey