Uses and Disclosures
Treatment - Your health information may be used
by staff members or disclosed to other health care professionals for the purpose
of evaluating your health, diagnosing medical conditions, and providing treatment.
For example, results of laboratory tests and procedures will be available
in your medical record to all health professionals who may provide treatment
or who may be consulted by staff members.
Payment - Your health information may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services provided, and the medical condition being treated.
Health care operations - Your health information may be used as ncecessary to support the day-to-day activities and management of Cosmetic Surgery Center For Women. For example, information on the services you received may be use to support budgeting 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. For example, we are required to report certain communicable diseases to the state's public health department.
Other uses and disclosures reuire your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use of disclosure information that occurred before you notified us of your decision to revoke your authorization.
Additional Uses of Information
Appointment reminders -Your health information will be used by our staff to
send you appointment reminders.
Information about treatments - Your health information will be used to send you information that you may find interesting on the treatment and management of your medical condition. We may also send you information describing other health-related products and services that we believe may interest you.
Fundraising - Unless you request us not to, we will use your name and address to support our fund-raising efforts. If you do not want to participate in fund-raising efforts, you will be able to decline when you receive our privacy notice information.
Individual Rights
You have certain rights under the federal privacy standards. These include:
• The right to request restrictions on the use and disclosure of your
protected
health information.
• The right to receive confidential communications concerning your medical
condition
and treatment.
• The right to inspect and copy your protected health information.
• The right to amend or submit corrections to your protected health
information.
• The right to receive and accounting of how and to whom your protected
health information
has been disclosed.
• The right to receive a printed copy of this notice.
Cosmetic Surgery Center for Women Duties
We are required by law to maintain the privacy of your protected health information
and to provide you with this notice of privacy practices.
We are also required to abide by the privacy policies and practices that are
outlined in this notice.
Right to Revise Privacy Practices
As permitted by law, we reserve the right to amend or modify our privacy policies
and practices. These changes in our policies and practices my be required
by changes in federal and state laws and regulations. Upon request, we will
provide you with the most recetnly revised notice on any office visit. The
revised policies and practices will be applied to all protected health information
we maintain.
Requests to Inspect Protected Health Information
You may generally inspect or copy the protected health information that we
maintain. As permitted by federal regulation, we require that requests to
inspect or copy protected health information be submitted in writing. You
may obtain a form to request access to your records by contacting theh Patient
Counselor or Office Manager. Your request will be reviewed and will generally
be approved unless there are legal or medical reasons to deny the request.
Complaints
If you would like to submit a comment or complaint about our privacy practices,
you can do so by sending a letter outlining your concerns to:
Office Manager
Cosmetic Surgery Center for Women
396 S. Witchduck Road, Suite 100
Virginia Beach, VA 23462
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