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Clinica Diana Privacy Policies
THIS
NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE RELEASED AND HOW YOU CAN GET
ACCESS TO THIS INFORMATION.
Introduction
At Clinica
Diana we are committed to treating and using protected health information about
you responsibly. This Notice of
Health Information Practices describes the personal information we collect, and
how and when we use or disclose hat information.
It also describes your rights as they relate to your protected health
information. This Notice is
effective April 1, 2003, and applies to all protected health information as
defined by federal regulations.
Understanding
Your Health Record/Information
Each time
you visit Clinica Diana, a record of your visit is made.
Typically, this record contains your symptoms, examination and test
results, diagnoses, treatment, and a plan for future care or treatment.
This information, often referred to as your health or medical record,
serves as a:
- Basis
for planning your care and
treatment,
- Means
of communication among the many health professionals who contribute to your
care,
- Legal
document describing the care you received,
- Means
by which you or a third-party payer can verify that services billed were
actually provided
Your
Health Information Rights
Although
your health record is the physical property of Clinica Diana, the information
belongs to you. You have the right to:
- Obtain
a paper copy of this notice of information practices upon request,
- Inspect
and copy your health record as provided for in 45 CFR 164.524,
- Amend
your health record as provided in 45 CFR 164.528,
- Request
communications of your health information by alternative means or at
alternative locations,
- Request
a restriction on certain uses and disclosures of your information as
provided by 45 CFR 164.522, and
- Revoke
your authorization to use or disclose health information except to the
extent that action has already been taken.
Our
Responsibilities
Clinica
Diana is required to:
- Maintain
the privacy of your health information,
- Provide
you with this notice as to our legal duties and privacy practices with
respect to information we collect and maintain about you,
- Notify
you if we are unable to agree to a requested restriction, and
- Accommodate
reasonable requests you may have to communicate health information by
alternative means or at alternative locations.
We will
not use or disclose your health information without your authorization, except
as described in this notice.
For
More Information or to Report a Problem
If you
have questions or would like additional information, you may contact the
practice’s Privacy Officer, at 210-495-9947.
If you
believe your privacy rights have been violated, you can file a complaint with
the practice’s Privacy Officer or with the Office for Civil Rights, U.S.
Department of Health and Human Services. There
will be no retaliation for filing a complaint with either the Privacy Officer or
the Office for Civil Rights. The address for the OCR is listed below:
Office
for Civil Rights
U.S.
Department of Health and Human Services
200
Independence Avenue, S.W.
Room 509F,
HHH Building
Washington,
D.C. 20201
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