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.

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including your demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices. You may request a revised version by accessing our website, or calling the office and requesting that one be mailed to you or provided to you at the time of your next visit.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION

Your protected health information may be used and disclosed by ChinnGYN, LLC and others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of our practice.

TREATMENT: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. We will also disclose protected health information to physicians who may be treating you. In addition, we may disclose your protected health information to a physician or health care provider, who, at the request of our practice, becomes involved in your care by providing assistance with your health care diagnosis or treatment.

PAYMENT: We may use and disclose your health information so that others or our office may bill and receive payment from you for the treatment and services you received.

HEALTH CARE OPERATIONS: We will share your protected health information with third party associates that perform various clinic operations such as billing or ancillary services. We may use or disclose your protected health information as necessary to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may use or disclose your demographic information in order to contact you for open houses or other patient care focused events that are supported by our office.

We may use or disclose your protected health information without your authorization in the following situations:

• As required by law

• Public health issues, as required by law

• Communicable diseases

• Abuse or neglect

• Legal Proceedings

• Law Enforcement

• Criminal/Military/National Security Activity

• Workers Compensation

Other Permitted and required uses and disclosures will be made only with your authorization or opportunity to object, unless required by law. You may revoke this authorization in writing at any time. Please understand that we are unable to take back any disclosures already made with your previous authorization, as well as the exception to the extent that your provider or the practice has taken an action in reliance on the use or disclosure indicated in the previous authorization.

PATIENT RIGHTS: You have the right to inspect and copy your protected health information. You have the right to request a restriction of your protected health information. You may have the right to have your provider amend your protected health information. You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. You have the right to obtain a paper copy of this notice from our practice. You have the right to request a full explanation of these patient rights from our office at any time.