Privacy Policy

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.

OUR PLEDGE REGARDING MEDICAL INFORMATION The privacy of your medical information is important to us. We understand that your medical information is personal and we are committed to protecting it. We create a record of the care and services you receive at PERSONAL TOUCH MEDICAL CENTER. We need this record to provide you with quality care and to comply with certain legal requirements. This notice will tell you about the ways we may use and share medical information about you. We also describe your rights and certain duties we have regarding the use and disclosure of medical information.

OUR LEGAL DUTY Law Requires Us to:
Keep your medical information private.
Give you this notice describing our legal duties, privacy practices, and your rights regarding your medical information.
Follow the terms of the notice that is now in effect.
We have the Right to:
Change our privacy practices and the terms of this notice at any time, provided that the changes are permitted by law.
Make the changes in our privacy practices and the new terms of our notice effective for all medical information that we keep, including information previously created or received before the changes.
Notice of Change to Privacy Practices:
Before we make an important change in our privacy practices, we will change this notice and make the new notice available upon request.

USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION The following section describes different ways that we use and disclose medical information. Not every use or disclosure will be listed. However, we have listed all of the different ways we are permitted to use and disclose medical information. We will not use or disclose your medical information for any purpose not listed below, without your specific written authorization. Any written authorization you provide may be revoked at any time by writing to us.

FOR TREATMENT: We may use medial information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, medical students, or other people who are taking care of you. We may also share medical information about you to other health care providers to assist them in treating you.

FOR PAYMENT: We may use and disclose your medical information for payment purposes.

FOR HEALTH CARE OPERATIONS: We may use and disclose your medical information for our health care operations. This might include measuring and improving quality, evaluating the performance of employees, conducting training programs, and getting the accreditation, certificates, licenses and credentials we need to serve you.

ADDITIONAL USES AND DISCLOSURES In addition to using and disclosing your medical information for treatment, payment, and health care operations, we may use and disclose medical information for other purposes. A detailed copy of these other purposes may be obtained by making a request in writing to PERSONAL TOUCH MEDICAL CENTER.

YOUR INDIVIDUAL RIGHTS
You Have a Right to:

  1. Look at or get copies of your medical information. You may request that we provide copies in a format other than photocopies. We will use the format you request unless it is not practical for us to do so. You must make your request in writing. You may get the form to request access by using the contact information listed at the end of this notice. You may also request access by sending a letter to the contact person listed at the end of this notice. If you request copies, we will charge you $30.00 for each copy, and postage if you want the copies mailed to you. Contact us using the information listed at the end of this notice for a full explanation of our fee structure.
  1. Receive a list of all the times we or our business associates shared your medical information for purposes other than treatment, payment, and health care operations and other specified exceptions.
  1. Request that we place additional restrictions on our use or disclosure of your medical information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in the case of an emergency).
  1. Request that we communicate with you about your medical information by different means or to different locations. Your request that we communicate your medical information to you by different means or at different locations must be in writing to the contact person listed at the end of this notice.

If you have received this notice electronically, and wish to receive a paper copy, you have the right to obtain a paper copy by making a request in writing to the Privacy Officer at our office.

QUESTIONS AND COMPLAINTS If you have any questions about this notice or if you think we may have violated your privacy rights, please contact us.

ADDITIONAL INFORMATION PERTAINING TO OUR PRIVACY PRACTICES, WRITTEN COPIES, AND QUESTIONS CAN BE DIRECTED TO PERSONAL TOUCH MEDICAl CENTER, FAMILY PHYSICIAN (770) 892-7802.