Effective date 2-10-2003
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
How We May Use and Disclose Health Information About You (p. 1/4)
ABOUT YOU MAY BE USED AND DISCLOSE AND HOW
YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
REVIEW IT CAREFULLY.
Special Situations (2/4)
Other Uses and Disclosures of Health Information (3/4)
Changes to this Notice (4/4)
If you have any questions about this notice, please contact Dian Payant, Office Manager
of our office at 276-1911 - 1100 Southgate, Suite 2, Pendleton, Oregon 97801.
WHO WILL FOLLOW THIS NOTICE
This notice describes the information privacy practices followed by our employees,
staff and other office personnel.
YOUR HEALTH INFORMATION
This notice applies to the information and records we have about your health,
health status, and the health care and service you receive at this office.
Your health information may include information created and received by this
office, may be in the form of written or electronic records or spoken words,
and may include information about your health history, health status, symptoms,
examinations, test results, diagnosis, treatments, procedures, prescriptions,
related billing activity and similar types of health-related information.
We are required by law to give you this notice. It will tell you about the
ways in which we may use and disclose health information about you and describes
your rights and our obligations regarding the use and disclosure of that information.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU
We may use and disclose health information for the following purposes:
- For Treatment We may use health information about you to provide you with medical
treatment or services. We may disclose health information about you to doctors,
nurses, technicians, office staff or other personnel who are involved in taking
care of you and your health.
For example, your doctor may be treating you for a heart condition and may need to know
if you have other health problems that could complicate your treatment. The doctors
may use your medical history to decide what treatment is best for you. The doctor
may also tell another doctor about your condition so that doctor can help determine
the most appropriate care for you.
Different personnel in our office may share information about you and disclose
information to people who do not work in our office in order to coordinate your
care, such as phoning in
prescriptions to your pharmacy, scheduling lab work and ordering X-rays.
Family members and other health care providers may be part of your medical
care outside this office and may require information about you that we have.
- For payment We may use and disclose health information about you so that the
treatment and services you receive at this office may be billed to and payment
may be collected from you, an insurance company or a third party.
For example, we may need to give your health plan information about a
service you received here so your health plan will pay us or reimburse
you for the service. We may also tell your health plan about a
treatment you are going to receive to obtain prior approval, or to determine
whether your plan will pay for the treatment.
- For Health Care Operations We may use and disclose health information
about you in order to run the office and make sure that you and our other patients
receive quality care.
For example, we may use your health information to evaluate the performance of
our staff in caring for you. We may use your health information about all or
many of our patients to help us decide what additional services we should offer, how we
can become more efficient, or whether certain new treatments are effective.
We may also disclose your health information to health plans that provide you
insurance coverage and other health care providers that care for you. Our
disclosures of your health information to plans and other providers may be for
the purpose of helping these plans and providers provide or improve care, reduce
cost, coordinate and manage health care and services, train staff and comply with the law.
- Appointment Reminders We may contact you as a reminder that you have an
appointment for treatment or medical care at the office.
- Treatment Alternatives We may tell you about or recommend possible
treatment options or alternatives that may be of interest to you.
Health-Related Products and Services We may tell you about health-related
products or services that may be of interest to you.
Please notify us if you do not wish to be contacted for appointment reminders,
or if you do not wish to receive communications about treatment alternatives o
r health-related products and services. If you advise us in writing (at the address
listed at the top of this Notice) that you do not wish to receive such communications,
we will not use or disclose your information for these purposes.