Arizona Family Care Policies
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.
Arizona Family Care respects your privacy. We understand that your personal health information is very sensitive. The law protects the privacy of the health information we create and obtain in providing care and services to you. Your protected health information includes your symptoms, test results, diagnoses, treatment, health information from other providers,and billing and payment information relating to these services.
We will not use or disclose your health information to others without your authorization, except as described in this Notice, or as required by law.
The health and billing records we create and store are the property of Arizona Family Care .The protected health information in it, however,generally belongs to you. You have a right to:
We are required to:
We reserve the right to change our privacy practices and the terms of this Notice, and to make the new privacy practices and notice provisions effective for all of the protected health information we maintain. If we make material changes, we will update and make available to you the revised Notice upon request. You may receive the most recent copy of this notice by calling and asking for it, by visiting our office to pick one up, or by visiting our Web site, if we maintain one.
If you have questions, want more information, or want to report a problem about the handling of your protected health information, you may contact:
If you believe your privacy rights have been violated, you may discuss your concerns with any staff member. You may also deliver a written complaint to The Practice Manager at Arizona Family Care. You may also file a complaint with the Department of Health and Human Services Office for Civil Rights (OCR).
We respect your right to file a complaint with us or with the OCR. If you complain, we will not retaliate against you.
Under the law, we may use or disclose your protected health information under certain circumstances without your permission. The following categories describe the different ways we may use and disclose your protected health information without your permission. For each category, we will explain what we mean and give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose health information will fall within one of the categories.
Below are examples of uses and disclosures of protected health information for treatment, payment, and health care operations.
For health care operations:
For fund-raising communications:
Some of the other ways that we may use or disclose your protected health information without your authorization are as follows.
Certain uses and disclosures of your health information require your written authorization. The following list contains the types of uses and disclosures that require your written authorization:
In addition, other uses and disclosures of your health information that are not described in this Notice will be made only with your written authorization. You have the right to cancel prior authorizations for these uses and disclosures of your health information by giving us a written revocation. Your revocation does not affect information that has already been released. It also does not affect any action taken before we receive the revocation. Sometimes, you cannot cancel an authorization if its purpose was to obtain insurance.
This Notice is effective as of July 10, 2015
TERMS AND CONDITIONS
Arizona Family Care, PLLC, disclaims all responsibilities, whether implied or expressed, for the information contained in this website. We have made every effort to provide you with the most accurate content in this website. However, any use of this information is at your own discretion and should not substitute a visit with your family physician.
NOTIFICATION OF BREACH OF UNSECURED PROTECTED HEALTH INFORMATION-POLICY & PROCEDURES
Purpose: To provide a process for notifying individuals,the media, and the Secretary of Health & Human Services (HHS) of a breach of unsecured Protected Health Information (PHI) as required by law.
Practice Manager and Members
All staff must have sufficient understanding of the Privacy Rule, "unsecured PHI” and "breach" to report potential situations in which unsecured PHI is acquired, accessed, used, or disclosed in a manner not permitted under the Privacy Rule.
Based upon the circumstances of the impermissible acquisition, access,use, or disclosure, additional factors may need to be considered to appropriately assess the risk that PHI has been compromised.
45 CFR Section 164, subpart D RCW 19.255.010
Policy Effective Date: September