Advanced Chiropractic Therapy

Description

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. Edgar J. Chang, D.C. is required, by law, to maintain the privacy and confidentiality of your protected health information and to provide our patients with notice of our legal duties and privacy practices with respect to your protected health information. Treatment We may disclose your health care information to other healthcare professionals within our practice for the purpose of treatment, payment or healthcare operations. “On occasion, it may be necessary to seek consultation regarding your condition from other health care providers associated with Edgar J. Chang, D.C.” “It is our policy to provide a substitute health care provider, authorized by Edgar J. Chang, D.C. to provide assessment and/or treatment to our patients, without advanced notice, in the event of your primary health care provider's absence due to vacation, sickness, or other emergency situations.” Payment We may disclose your health information to your insurance provider for the purpose of payment or health care operations. “As a courtesy to our patients, we will submit an itemized billing statement to your insurance carrier for the purpose of payment to Edgar J. Chang, D.C. for health care services rendered. If you pay for your health care services personally, we wilt as a courtesy, provide an itemized billing to your insurance carrier for the purpose of reimbursement to you. The billing statement contains medical information, including diagnosis, date of injury or condition, and codes which describe the health care services received. Workers’ Compensation We may disclose your health information as necessary to comply with State Workers’ Compensation Laws. Emergencies We may disclose your health information to notify or assist in notifying a family member, or another person responsible for your care about your medical condition or in the event of an emergency or of your death. Public Health As required by law, we may disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability, reporting child abuse or neglect, reporting ‘domestic violence, reporting to the Food and Drug Administration problems with products and reactions to medications, and reporting disease or infection exposure. Judicial and Administrative Proceedings We may disclose your health information in the course of any administrative or judicial proceeding. Law Enforcement We may disclose your health information to law enforcement official(s) for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena, and other law enforcement purposes. Deceased Persons We may disclose your health information to coroners or medical examiners.

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