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 read it carefully.
Patient health information includes information about your symptoms, test results, diagnosis, treatment, and recovery. It also includes payment, billing, and insurance information. Under federal law, your patient health information is protected and confidential.
How We Routinely Use Your Patient Health Information
We use and disclose health information about you for treatment, to obtain payment for your care, and for Center administrative and quality assurance purposes. For example:
For treatment. Members of your treatment team will record information in your record and use it to determine the most appropriate plan for your care. We may also disclose the information to other health care providers participating in your treatment, to pharmacists who are filling prescriptions for you, and to family members helping with your care.
To obtain payment: Some health plans or third-party administrators require information before authorizing us to provide care for you.
For improving our care. We review records for completeness and assess quality of care and treatment outcomes.
We also may also use your information to contact you with appointment reminders.
Other Uses and Disclosures
Subject to certain requirements, we’re permitted to give out health information without your permission for the following purposes. We may:
In all situations except for the routine and other uses identified above, we will ask for your written authorization before using or disclosing any personally- dentifiable health information about you. If you choose to sign such an authorization, you can later revoke it, to stop any future uses and disclosures.
Your Rights Regarding Your Health Information
While your health record is the Center’s physical property, the information it contains belongs to you. By law, we are not allowed to sell your health information or allow it to be used for marketing without obtaining your written permission. Under Center policy, we refrain from such practices.
You have the right to:
Please contact the person named at the end of this Notice to obtain the appropriate form to exercise these rights.
Our Responsibilities Regarding Your Medical Information
By law we are required to:
We may change our privacy policies at any time, but, before we make a significant change to them, we will change our Notice and post the new one in the Center’s waiting area. Each time you register at the Center for services, we will offer you a copy of the Notice currently in effect, and, at any time, you can request a copy of the Notice then in effect.
If you are concerned that we have violated your privacy rights, or if you disagree with a decision we made about your records, you may contact the person listed below. You may also send a written complaint to the U.S. Department of Health and Human Services. The person listed below will provide you with the appropriate address upon request. You will not be penalized in any way for filing a complaint.
If you have any questions, requests, or complaints, please contact:
Joseph A. George, M.D.
1848 Biddle Avenue
Wyandotte, MI 48192
Effective Date of Notice: July 13, 2021