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  Notice of Information Practices / Effective: April 14, 2003
** 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.
Patient Privacy Protection
Disclosed health information
PromptCare's Responsibilities
Federal Rights
Complaints?
Who Will Follow This Notice?
  Need more information?
Call or eMail the Privacy Officer.

Disclosed Health Information

How do we use and disclose health information? When Promptcare visits you, we use and disclose your health information for the normal business activities that the law sees as falling in the categories of treatment, payment and health care operations. Below we provide examples of those activities, although not every use or disclosure falling within each category is listed:

Treatment - We keep a record of each clinical visit or service. This record may include your test results, diagnoses, medications, and your response to medications or other therapies. We disclose this information so that doctors, nurses, other staff members, and entities such as laboratories can meet your needs. For example, our pharmacist may need to advise your treating physician of medications you may be receiving from another physician that could result in an adverse drug interaction.

Payment - We document the services and supplies you receive at each visit so that you, your insurance company or another third party can pay us. We may alert your health plan to upcoming treatment or services that require prior approval by your health plan. For example, we may need to provide to your health plan, information about a therapy or piece of equipment you received in order for your health plan to authorize service or reimburse for the therapy or piece of equipment.

Health Care Operations - Health information is used to improve the services we provide, to train staff, for business management, quality improvement, and for customer service. For example, we may use your health information to review our treatment and services and to evaluate the performance of our staff in caring for you.

However, we are limited by state law from releasing certain categories of health information for purposes of treatment, payment or health care operations. For example, we will generally not disclose AIDS/HIV, substance abuse treatment or genetic testing information without your permission.

We may also use your health information to
:

• Comply with federal, state or local laws that require disclosure.
• Assist in public health activities such as tracking diseases or medical devices.
• Inform authorities to protect victims of abuse or neglect.
• Comply with Federal and state health oversight activities such as fraud investigations.
• Respond to law enforcement officials or to judicial orders, subpoenas or other process.
• Inform coroners, medical examiners and funeral directors of information necessary for them to fulfill their duties.
• Facilitate organ and tissue donation or procurement.
• Conduct research following internal review protocols to ensure the balancing of privacy and research needs.
• Avert a serious threat to health or safety.
• Assist in specialized government functions such as national security, intelligence and protective services.
• Inform military and veteran authorities if you are an armed forces member (active or reserve).
• Inform a correctional institution if you are an inmate.
• Inform workersÕ compensation carriers or your employer if you are injured at work. • Recommend treatment alternatives.
• Tell you about health-related products and services.
• Communicate with other PromptCare organizations for treatment, payment, or health care operations.
• Communicate with other providers, health plans, or their related entities for their treatment or payment activities, or health care operations activities relating to quality assessment or licensing.
• Provide information to other third parties with whom we do business, such as drug safety net program or collection agency. However, you should know that in these situations, we require third parties to provide us with assurances that they will safeguard your information.

We may also use or disclose your personal or health information for the following operational purposes. We may:

• Communicate with individuals involved in your care or payment for that care, such as friends or family member.
• Send scheduling reminders.

You may tell the scheduler or Patient Service Coordinator that you do not want us to use or disclose your information for these two activities.

All other uses and disclosures, not previously described, may only be done with your written authorization. You may revoke your authorization; however, this will not affect prior uses and disclosures.

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