Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.

Typical Uses and Disclosures of Health Information

We are committed to maintaining the privacy of your health information. This notice lists some of the reasons and examples why we might use or disclose your health information. Not every use or disclosure is covered, but all of the ways we are allowed to use and disclose information will fall into one of the categories.

Treatment: We may use and disclose medical information about you to provide healthcare treatment to you. In other words, we may use and disclose medical information about you to provide, coordinate or manage your health care and related services with other healthcare professionals. We have established a “minimum necessary or need to know” standard that limits various staff members’ access to your health information according to their primary job functions.

Payment: We may use and disclose health information about your treatment and services to bill and collect payment from your insurance company or a third party payer.

Healthcare Operations: We will use and disclose your health information to keep our practice operable. Examples of personnel who may have access to this information include, but are not limited to, our medical records staff, outside health or management reviewers and individuals performing similar activities. Medical information about you may be used to determine whether certain treatments are effective, additional services should be offered, services should be discontinued, or to notify you of additional services offered that might benefit your health or be of interest to you, such as research studies conducted by Quicksilver Scientific.

Persons involved in your care:  We may disclose medical information about you to a relative, close personal friend or any other person you identify if that person is involved in your care and the information is relevant to your care. However, we may require you to give written permission. If the patient is a minor, we may disclose medical information about the minor to a parent, guardian or other person responsible for the minor except in limited circumstances (prohibited by state law). You may ask us not to disclose medical information about you to persons involved in your care. We will agree to your request and not disclose the information except in certain limited circumstances (such as emergencies). If the patient is a minor we may or may not be able to agree to your request.

Emergencies: We may use or disclose your health information to notify or assist in the notification of a family member or anyone responsible for your care in case of any emergency involving your care, your location, and your general condition or death. If at all possible we will provide you with an opportunity to object to this use or disclosure. Under emergency conditions or if you are incapacitated we will use our professional judgment to disclose only that information directly relevant to your care.

Required by Law: We may use or disclose your health information when we are required to do so by law. (Court or administrative orders, subpoena, discovery request or other lawful process.) We will use and disclose your information when requested by national security, intelligence and other State and Federal officials and/or if you are an inmate or otherwise under the custody of law enforcement.

Your Privacy Rights As Our Patient Access: Upon written request, you have the right to inspect and get copies of your health information (and that of an individual for whom you are a legal guardian). There will be some limited exceptions. If you wish to examine your health information, you will need to complete and submit an appropriate request form. Our lab personnel can provide you a copy of the form, the cost for the appointment and fees for each copied page. If you want the copies mailed to you, postage will also be charged. Once approved, an appointment can be made to review your records. Applicable fees will be collected prior to releasing the records.