NOTICE OF PATIENT PRIVACY PRACTICES

Your Rights

• Have real time access to your electronic health records
• Get a copy of your paper or electronic medical record
• Correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we've shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices in the way that we use and share information if we:

• Tell family and friends about your condition
• Provide disaster relief
• Include you in a hospital directory
• Provide mental health care

Our Uses and Disclosures

We may use and share your information as we:

• Treat you
• Run our practice
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law
• Respond to organ and tissue donation requests
• Work with a medical examiner or funeral director
• Address workers' compensation, law enforcement, and other government requests
• Respond to lawsuits and legal actions

State law limits certain other disclosures to only the information that is relevant and necessary to the purpose for which the information is sought. Mental health and other sensitive records may be subject to a heightened security standard.

Changes to This Notice

We can change the terms of this Notice, and the changes will apply to all information we have about you. The new Notice will be available upon request, in our office, and on our website.

External Resources

• HHS HIPAA Guidance for Consumers
• HHS Notice of Privacy Practices
• ONC's Cures CT Final Rule