Notice of Privacy Practices
Effective Date 4/14/2003
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Uses and Disclosures of your Medical Information
Each time you visit Carolina Regional Orthopaedics, a record of your visit is made. This information is often referred to as your health or medical records' private information and will be protected at all times. This information will be disclosed for treatment, payment and health care operational requirements.
Treatment example - your medical information may be forwarded to other physicians that will be providing care for you.
Payment example - your insurance carrier may require documentation of your care in order to process claims for payment.
Operational example - as a legal document describing the care you received.
Additionally, we may use the information in your record to contact you regarding future appointments or to consult with you regarding treatment alternatives for you.
Other situations in which we would use and disclose your protected health information are:
a) Uses and disclosures for public health activities;
b) Reporting about victims of abuse, neglect or domestic violence;
c) Disclosures for health oversight activities;
d) Disclosures for judicial and administrative proceedings;
e) Disclosures for law enforcement purposes;
f) Uses and disclosures about decedents
g) Uses and disclosures for cadaveric organ, eye or tissue donation purposes;
h) Disclosures to avert a serious threat to health or safety; and
i) Uses and disclosures for specialized government functions.
All other uses and disclosures will be made only with your written authorization.
Although your health record is the physical property of Carolina Regional Orthopaedics which complied it, the information belongs to you. You have to right to:
1. to request restrictions on certain uses and disclosures, including a statement that the practice is not required to agree to a requested restriction;
2. to receive confidential communications;
3. to inspect and copy protected health information;
4. to amend protected health information;
5. to receive an accounting of disclosures of protected health
6. to obtain a paper copy of the notice from the practice upon request.
Carolina Regional Orthopaedic���s Duties
Carolina Regional Orthopaedics will maintain the privacy of your confidential information and will provide you, upon request, with notice of its legal duties and privacy practices with respect to such information; Carolina Regional Orthopaedics will abide by the terms of the notice currently in effect; and reserves the right to change the terms of its notice and to make the new notice provisions effective for all confidential information that it maintains. We shall provide you with a revised notice.