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PRIVACY PRACTICES
Atlanta Health & Wellness Notice of Privacy Practices
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.
Atlanta
Health & Wellness is required, by law, to maintain the privacy and
confidentiality of your protected health information and to provide our
patients with notice of our legal duties and privacy practices with
respect to your protected health information.
Disclosure of Your Health Care Information
Treatment
We
may disclose your health care information to other healthcare
professionals within our practice for the purpose of treatment, payment
or healthcare operations. (example)
“On
occasion, it may be necessary to seek consultation regarding your
condition from other health care providers associated with Atlanta Health & Wellness Chiropractic Center.”
Payment
We may disclose your health information to your insurance provider for
the purpose of payment or health care operations.
Workers’ Compensation
We may disclose your health information as necessary to comply with State Workers’ Compensation Laws.
Emergencies
We
may disclose your health information to notify or assist in notifying a
family member, or another person responsible for your care about your
medical condition or in the event of an emergency or of your death.
Public Health
As
required by law, we may disclose your health information to public
health authorities for purposes related to: preventing or controlling
disease, injury or disability, reporting child abuse or neglect,
reporting domestic violence, reporting to the Food and Drug
Administration problems with products and reactions to medications, and
reporting disease or infection exposure.
Judicial and Administrative Proceedings.
We may disclose your health information in the course of any administrative or judicial proceeding.
Law Enforcement.
We
may disclose your health information to a law enforcement official for
purposes such as identifying or locating a suspect, fugitive, material
witness or missing person, complying with a court order or subpoena,
and other law enforcement purposes.
Deceased Persons.
We may disclose your health information to coroners or medical examiners.
Organ Donation.
We may disclose your health information to organizations involved in
procuring, banking, or transplanting organs and tissues.
Research.
We
may disclose your health information to researchers conducting research
that has been approved by an Institutional Review Board.
Public Safety.
It
may be necessary to disclose your health information to appropriate
persons in order to prevent or lessen a serious and imminent threat to
the health or safety of a particular person or to the general public.
Specialized Government Agencies.
We may disclose your health information for military, national
security, prisoner and government benefits purposes.
Change of Ownership.
In
the event that Atlanta Health & Wellness is sold or merged with
another organization, your health information/record will become the
property of the new owner.
Your Health Information Rights
- You
have the right to request restrictions on certain uses and disclosures
of your health information. Please be advised, however, that Atlanta
Health & Wellnessis not required to agree to the restriction that
you requested.
- You
have the right to have your health information received or communicated
through an alternative method or sent to an alternative location other
than the usual method of communication or delivery, upon your request.
- You have the right to inspect and copy your health information.
- You
have a right to request that Atlanta Health & Wellness amend your
protected health information. Please be advised, however, that Atlanta
Health & Wellness is not required to agree to amend your protected
health information. If your request to amend your health information
has been denied, you will be provided with an explanation of our denial
reason(s)and information about how you can disagree with the denial.
- You
have a right to receive an accounting of disclosures of your protected
health information made by Atlanta Health & Wellness Chiropractic
Center.
- You have a right to a paper copy of this Notice of Privacy Practices at any time upon request.
Changes to this Notice of Privacy Practices
Atlanta
Health & Wellnessreserves the right to amend this Notice of Privacy
Practices at any time in the future, and will make the new provisions
effective for all information that it maintains. Until such amendment
is made, Atlanta Health & Wellness is required by law to comply
with this Notice.
Atlanta
Health & Wellness Center is required by law to maintain the privacy
of your health information and to provide you with notice of its legal
duties and privacy practices with respect to your health information.
If you have questions about any part of this notice or if you want more
information about your privacy rights, please contact: Dr. Anthony
Staiano by calling this office at 404.325.8870
. If Dr. Anthony Staiano is not available, you may make an appointment
for a personal conference in person or by telephone within 2 working
days.
Complaints
Complaints
about your Privacy rights, or how Atlanta Health & Wellness has
handled your health information should be directed to Dr. Anthony
Staiano
, by calling this office at 404.325.8870 If Dr. Anthony Staiano is not
available, you may make an appointment for a personal conference in
person or by telephone within 2 working days.
If you are not satisfied with the manner in which this office handles your complaint, you may submit a formal complaint to:
DHHS, Office of Civil Rights
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
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