|
Our Practice |
Examining Instruments | Disease Conditions |
Glasses | Contact Lenses
| Laser Vision | Insurance
Plans
THIS NOTICE DESCRIBES
HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
THIS NOTICE IS
EFFECTIVE 4/15/2003 UNTIL FURTHER NOTICE.
Right
to Notice
As a patient, you have the right to adequate notice of the uses and
disclosures of your protected health information. Under the Health
Insurance Portability and Accessibility Act (HIPAA), Dr. S. Katims can use
your protected health information for treatment, payment and health care
operations.
a) Treatment - We may use or disclose your health information to a
physician or other healthcare provider providing treatment to you.
b) Payment - We may use and disclose your health information to obtain
payment for services we provide you.
c) Health care operations - We may use and disclose your health
information in connection with our healthcare operations. Healthcare
operations include quality assessment and improvement activities,
reviewing the competency or qualifications of healthcare professionals,
evaluating provider performance, conducting training programs,
accreditation, certification, licensing or credentialing activities.
Your Authorization
Most uses and disclosures that do not fall under treatment, payment,
health care operations will require your written authorization. Upon
signing, you may revoke your authorization (in writing) through our
practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we will
disclose health information to a family member, or another person
responsible for your care, using our professional judgment. We will only
disclose health information that is directly relevant to the person's
involvement in your healthcare.
Marketing
We will not use your health
information for marketing communications without your written
authorization.
Required by Law
We may also use or disclose your health information when we are required
to do so by law.
Abuse or Neglect
We may disclose your health
information to appropriate authorities if we reasonably believe that you
are a possible victim of abuse, neglect, or domestic violence or the
victim of other crimes. We may disclose your health information to the
extent necessary to avert a serious threat to your or other people's
health or safety.
National Security
We may disclose the health
information of Armed Forces personnel to military authorities under
certain circumstances. We may disclose health information to authorized
federal officials required for lawful intelligence, counterintelligence
and other national security activities. We may disclose health information
of inmates or patients to the appropriate authorities under certain
circumstances.
Appointment
Reminders
We may use or disclose your
health information to provide you with appointment reminders via phone,
e-mail or letter.
Your Rights as a
Patient
You have the right to restrict
the disclosure of your protected health information (in writing). The
request for restriction may be denied if the information is required for
treatment, payment or health care operations.
-You have the right to receive confidential communications regarding your
protected health information.
-You have the right to inspect and copy your protected health information.
-You have the right to amend your protected health information.
-You have the right to receive an account of disclosures of your protected
health information.
-You have the right to a paper copy of this notice of privacy practices.
Legal Requirements
Dr. S. Katims is required by law to maintain the privacy of your
protected health information. We are required to abide by the terms of
this notice as it is currently stated, and reserve the right to change
this notice. The policies in any new notice will not be in effect until
they are posted to this site, or are available within our office.
Complaints
If you have complaints regarding the way your protected health information
was handled, you may submit a complaint in writing to our office. You will
not be retaliated against in any manner for a complaint.
Contact
Information
For further information about Dr. S. Katms’ privacy policies, please
contact Dr. Katims at the following address or phone number:
76 Main Street
Port Washington, NY
11050
516-767-2106
76 Main Street • Port Washington, NY 11050 •
516-767-2106 • info@katims.com
Copyright (c) 2002 • Dr. Sandy Katims, O.D. • All Rights Reserved |