Notice of Privacy Practices

本通知描述如何使用和披露您的医疗信息,以及您如何获得这些信息. PLEASE REVIEW IT CAREFULLY.

Your Rights

When it comes to your health information, you have certain rights. 本节解释您的权利和我们帮助您的一些责任.

Get an electronic or paper copy of your medical record.

  • 您可以要求查看或获取您的医疗记录和其他必威betwat信息的电子或纸质副本. Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

  • 您可以要求我们更正您认为不正确或不完整的必威betwat信息. Ask us how to do this.
  • 我们可能会拒绝你的要求,但我们会在60天内以书面形式告诉你原因.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

  • 您可以要求我们不要为治疗使用或分享某些必威betwat信息, payment, or our operations.
  • 我们不需要同意您的请求,如果它会影响您的护理,我们可能会说“不”.
  • If you pay for a service or health care item out-of-pocket in full, 您可以要求我们不要与您的必威betwat保险公司分享这些信息.
  • 我们会说“是”,除非法律要求我们分享这些信息.

Get a list of those with whom we’ve shared information

  • 你可以要求我们列出在你提出要求的日期之前的六年内我们分享你的必威betwat信息的次数, who we shared it with, and why.
  • 我们将包括除治疗外的所有披露, payment, and healthcare operations, and certain other disclosures (such as any you asked us to make). 我们每年免费提供一次会计服务,但收费合理, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

  • You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

  • 如果你给了某人医疗委托书或者某人是你的法定监护人, 那个人可以行使你的权利,对你的必威betwat信息做出选择.
  • 在我们采取任何行动之前,我们将确保这个人有这个权力,可以代表你行事.

File a complaint if you feel your rights are violated

  • 如果您认为我们侵犯了您的权利,您可以通过必威betwat的临床站点主任和合规官进行投诉:
    • 莉迪亚·布伦南,家庭必威betwat服务有限责任公司,海耶斯大道1912号,桑达斯基,OH 44870
    • Phone: 419-502-2800 or Email: LydiaB@wayneyhuang.net
  • You may also file a complaint with the U.S. 卫生和公众服务部民权办公室通过给独立大道200号寄去一封信, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
  • We will not retaliate against you for filing a complaint.

Your Choices

对于某些必威betwat信息,您可以告诉我们您对我们共享的内容的选择. 如果您对我们在以下情况下如何共享您的信息有明确的偏好, talk to us. 告诉我们你想让我们做什么,我们会按照你的指示去做.

In these cases, you have both the right and choice to tell us to:

  • 与你的家人、亲密的朋友或其他参与照顾你的人分享信息
  • Share information in a disaster relief situation
  • Include your information in a hospital directory
  • Contact you for fundraising efforts
  • If you are not able to tell us your preference, for example if you are unconscious, 如果我们认为这符合您的最佳利益,我们可能会继续分享您的信息. 我们也可能在需要时分享您的信息,以减轻对必威betwat或安全的严重和迫在眉睫的威胁.

在这些情况下,除非您给予我们书面许可,否则我们绝不会分享您的信息:

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes

In the case of fundraising:

  • 我们可能会必威betway中文版你的筹款努力,但你可以告诉我们不要再必威betway中文版你.

Our Uses and Disclosures

How do we typically use or share your health information? 我们通常以以下方式使用或共享您的必威betwat信息.

Treat you

  • 我们可以使用你的必威betwat信息,并与其他治疗你的专业人士分享.
  • 例子:给你治疗受伤的医生问另一位医生你的整体必威betwat状况.

 Run our organization

  • We can use and share your health information to run our practice, improve your care, and contact you when necessary.
  • 示例:我们使用您的必威betwat信息来管理您的治疗和服务.

 Bill for your services

  • 我们可以使用和共享您的必威betwat信息,以便从必威betwat计划或其他实体收取账单和付款.
  • 我们把你的信息提供给你的必威betwat保险计划,这样它就会支付你的服务费用.

 How else can we use or share your health information? 

我们被允许或要求以其他方式分享您的信息-通常以有助于公共利益的方式, such as public health and research. 在我们出于这些目的共享您的信息之前,我们必须满足法律上的许多条件. For more information see:  www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html

Help with public health and safety issues

  • 我们可以在某些情况下分享您的必威betwat信息,例如:
  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • 防止或减少对任何人必威betwat或安全的严重威胁

Do research

  • We can use or share your information for health research.

 Comply with the law

  • 如果州或联邦法律要求,我们将分享有关您的信息, 包括卫生和公共服务部,如果他们想看到我们遵守联邦隐私法的话.

 Respond to organ and tissue donation requests

  • 我们可以与器官采购组织分享你的必威betwat信息.

 Work with a medical examiner or funeral director

  • We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

 解决工人赔偿、执法和其他政府要求

  • We can use or share health information about you:
  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

 Respond to lawsuits and legal actions

  • 我们可以根据法院或行政命令分享您的必威betwat信息, or in response to a subpoena.

Health Information Exchange

  • We participate in one or more Health Information Exchanges. 您的医疗保健提供者可以使用此电子网络安全地提供对您的必威betwat记录的访问,以便更好地了解您的必威betwat需求. We, and other healthcare providers, 是否允许通过必威betwat信息交换获取您的必威betwat信息以进行治疗, payment or other healthcare operations. This is a voluntary agreement. You may opt-out at any time by notifying our Compliance Officer.

Our responsibilities

  • 法律要求我们维护您受保护的必威betwat信息的隐私和安全.
  • 如果发生可能危及您信息隐私或安全的违规行为,我们将及时通知您.
  • 我们必须遵守本通知中所述的责任和隐私惯例,并向您提供一份本通知的副本.
  • 除非您以书面形式告知我们,否则我们不会使用或分享您的信息. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. 新的通知将根据要求在我们的办公室和网站上提供. Effective date of this notice is February 1, 2019.