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Notice of
Privacy Practices
BETTER HEALTH, DC, MD
NOTICE OF PRIVACY PRACTICES
THIS NOTICE
DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
Our goal is to take appropriate steps to attempt to
safeguard any medical or other personal information that is
provided to us. The Privacy Rule under the Health
Insurance Portability and Accountability Act of 1996 ("HIPPA") requires us to: (i) maintain the privacy of medical
information provided to us; (ii) provide notice of our legal
duties and privacy practices; and (iii) abide by the terms of
our Notice of Privacy Practices currently in effect.
WHO WILL FOLLOW THIS NOTICE
This notice describes the practices of our employees and staff
as representing Better Health, DC, MD as an Affiliated Covered
Entity. This notice applies to each of these individuals
and entities. In addition, these individuals and entities
may share medical information with each other for treatment,
payment and health care purposes described in this notice.
INFORMATION COLLECTED ABOUT YOU
In the ordinary course of receiving treatment and health
care services from us, you will be providing us with personal
information such as:
· Your name, address and phone number,
· Information relating to your medical
history,
· Your insurance information and
coverage and
· Information concerning your doctor,
nurse or other medical providers.
In addition, we will gather certain medical information about
you and will create a record of the care provided to you.
Some information may be provided by you. Some
information also may be provided to us by other individuals or
organizations that are part of your "circle of
care"—such as clinical laboratories, diagnostic testing
services, your other doctors, your health plan and close friends
or family members.
HOW WE MAY USE AND DISCLOSE INFORMATION ABOUT YOU
We may use and disclose personal and identifiable health
information about you for a variety of purposes. All of
the types of uses and disclosures of information are described
below, but not every use or disclosure in a category is listed.
OTHER USES AND DISCLOSURES OF PERSONAL INFORMATION
We are required to obtain written authorization from you for
any other uses and disclosures of medical information other than
those described above. If you provide us with such
permission, you may revoke that permission, in writing, at any
time. If you revoke your permission, we will no longer use
or disclose personal information about you for the reasons
covered by your written authorization, except to the extent we
have already relied on your permission.
INDIVIDUAL RIGHTS
You have the right to ask for restrictions on the ways we
use and disclose your health information for treatment, payment
and health care operation purposes. You may also request
that we limit our disclosures to persons assisting your care or
paying for your care. We will consider your request, but
we are not required to accept it.
You have the right to request that you receive communications
containing our protected health information from us by
alternative means or at alternative locations. For
example, you may ask that we only contact you at work, home or
by mail.
Except under certain circumstances, you have the right to
inspect and copy medical, billing and other records used to make
decisions about you. If you ask for copies of this
information, we may charge you a fee for copying and mailing.
If you believe that information in your records is incorrect
or incomplete, you have the right to ask us to correct the
existing information or add missing information. Requests
for amendment must be submitted in writing. Under certain
circumstances, we may deny your request, such as when the
information is accurate and complete.
You have the right to receive a list of certain instances when
we have used or disclosed your medical information. We are
not required to include in the list uses and disclosures for your
treatment, payment for services furnished to you, our health
care operations, disclosures to you, disclosures you give us
authorization to make and uses and disclosures before February
10, 2007 among others. If you ask for this information
from us more than once every twelve months, we may charge you a
free.
You have the right to a copy of this notice in paper form. You
may ask us for a copy at any time. You may also obtain a
copy of this notice on our website.
To exercise any of your rights, please contact us in writing at:
Better Health, DC, MD
ATTN: Privacy Officer
680 W 121st Ave, Suite 100
Westminster, CO 80234
When making a request for
amendment, you must state a reason for the request.
CHANGES TO THIS NOTICE
We reserve the right to make changes to this notice at any
time. We reserve the right to make the revised notice
effective for personal health information we already have about you as
well as any information we receive in the future. In the
event there is a material change to this notice, the revised
notice will be posted. In addition, you may request a copy
of the revised notice at any time.
COMPLAINTS/COMMENTS
If you have any complaints concerning our privacy practices,
you may contact us at:
Better Health, DC, MD
ATTN: Privacy Officer
680 W 121st Ave, Suite 100
Westminster, CO 80234
or via telephone at 303-450-9970 or contact:
The Secretary of the Department of Health and
Human Resources
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, DC 20201
(email: ocrmail@hhs.gov)
YOU WILL NOT BE RETALIATED AGAINST OR PENALIZED BY US FOR FILING
A COMPLAINT.
To obtain more information concerning this notice, you may
contact our Privacy Officer at:
Better Health, DC, MD
680 W 121st Ave, Suite 100
Westminster, CO 80234
This notice is effective February 10, 2007
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