Privacy Policy
The following is a brief summary of your rights and our responsibilities.
This summary is for your convenience and is not a substitute for the entire
Notice available in our office that will be provided at the time of initial
consultation.
Uses and Disclosures of Your Health Information
We may use the information we develop and collect for treatment by our practice
or disclose the information to others to whom we refer you for treatment, for
payment for these services and for certain health care "operations" such as
improving the competence and quality of our staff and business planning and
management. We may disclose your information to our business associates such
as medical transcriptionists, billing services and others who assist in the
operations of our practice. We may call you to remind you of appointments and
may leave a message on your answering machine if you have one. We may also
disclose information to your family about your location, general condition or
death. If you are available and able, we will ask your consent first. We
may also use your information to recommend products or services related to your
care but will not disclose your medical information for marketing without your
written authorization. Your medical information may be disclosed without your
authorization as required by law, for public health purposes, healthcare
oversight, including audits and investigations, judicial and administrative
proceedings, subject to the limits imposed by state and federal law, and
certain other purposes.
Other Uses and Disclosures
Except as described in the Notice, we will not use or disclose your medical information without your written authorization. You can revoke an authorization at any time, except to the extent that we have already taken action in reliance on the authorization.
Your Health Information Rights
You have a number of rights under state and/or federal law which are subject to
the terms and conditions specified in the Notice:
- a) You may request restrictions on certain uses and disclosures of your information
- b) You may request that you receive your information from us in a certain way
- c) You may inspect and copy your medical records
- d) You may request an amendment to any record you believe is inaccurate
- e) You may request an accounting of disclosures made of your record
Changes to the Notice
We reserve the right to change the Notice. If we do so, we will post it in our
office, and on our website and provide a copy upon request.
Complaints
You may file a complaint to our Privacy Official whose name is above or with
the federal government as detailed in the Notice. You will not be penalized
for filing any complaint
© 2002 Connecticut State Medical Society