See the Patient Forms section for our Notice of Privacy Practices in compliance with HIPAA
Summary of Notice of Privacy Practices
This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
If you have any questions about this notice, please contact this Practice’s Compliance Office:
This Practice’s Legal DutyThis Practice is required by law to maintain the privacy of protected health information, to provide individuals with a notice of our legal duties and privacy practices with respect to protected health information, and to abide by the terms of the information practices that are described in this Notice of Privacy Practices (“Notice”). This Notice will be provided to our patients no later than the date of the first service delivery, including service delivered electronically. We will post this Notice in a clear and prominent location where it will be accessible for you to read.
Your Health Information Rights
Although your health record is the physical property of the healthcare practitioner or facility that compiled it, the information belongs to you. You have the right to:
The Practice’s Responsibilities and Our Pledge to You
This organization is required by law to:
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, complaints or would like additional information, you may contact the Practice’s Compliance Office at Gastroenterology Consultants, PA at 954-961-8400. All complaints must be submitted in writing.
If you believe your privacy rights have been violated, you can file a complaint with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint.
How We Will Use and Disclose Health Information About You
We will use your health information for treatment purposes.
We will use your health information to recommend treatment alternatives.
You have the following rights regarding health information we maintain about you:
Right to inspect and copy
Right to amend
Right to an accounting of disclosures
Right to request restrictions
Right to request confidential communication
Right to a paper copy of this notice
You may obtain a copy of this notice at our Practice website:
Changes to this notice
We reserve the right to change this notice at any time. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in the waiting room of the Practice. The notice will contain on the first page, in the top right-hand comer, the “Effective Date”. In addition, each time you register at or are admitted to this Practice for treatment or health care services, we will make available to you a copy of the current notice in effect. We will post all new notices in the waiting room of the Practice. You can request a copy of our notice at any time.
Should we revise this notice because of a material change to the uses or disclosures of protected health information, to individual's rights, to our legal duties, or to other privacy practices stated in the notice, we will promptly revise and make available the new notice. Except when required by law, a material change in any term of the notice may not be implemented prior to the Effective Date of the notice in which such material change is reflected. Pursuant to the HIP AA privacy regulations, we will document compliance with the notice requirements by retaining copies of all notices issued.
Other uses of health information.
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization You may request in writing that we not use or disclose your information for treatment, payment and administrative purposes except when specifically authorized by you, when required by law, or in emergency circumstances. We will consider your request but are not legally required to accept it. If you provide us authorization to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your authorization, and that we are required to retain our records of the care that we provided to you.
FOR MORE DETAILED INFORMATION ON ALL TOPICS SET FORTH IN THIS SUMMARY OF NOTICE OF PRIVACY PRACTICES PLEASE REFER TO OUR PRACTICE’S COMPLETE NOTICE OF PRIVACY WHICH IS POSTED IN OUR OFFICES AND AVAILABLE ON OUR WEB SITE. YOU MAY REQUEST A COPY OF THE COMPLETE NOTICE OF PRIVACY PRACTICES FROM THIS OFFICE.