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Amazon Medical Project, Inc
Distance: 20.8 MiPO BOX 194
53560 Mazomanie -
Healthworcs
Distance: 30.3 Mi1714 Camus Ln
53705 Madison -
Medical Education Institute/Life Options
Distance: 31.1 Mi414 Donofrio Dr Ste 200
53719 Madison -
U W Health Massage Therapy
Distance: 32.2 Mi621 Science Dr
53711 Madison -
Dr. Dave Goodman Independent Medical Examinations
Distance: 32.5 Mi2222 Van Hise Ave
53726 Madison
Website Links
Description
Dr. Ashraf W. Sedhom Board Certified Oral and Maxillofacial Surgeon Oral Surgery Centers 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. Uses and Disclosures Treatment Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, the results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment to you or who may be consulted by our staff members. Payment Your health information may be used to seek payment from your insurance company, from other sources of coverage such as an automobile insurer, or from check and credit card companies that you may use to pay for services. For example, your insurance company may request and receive information on the dates and type of services provided as well as the medical condition being treated. Health Care Operations Your health information may be used as necessary to support the day-to-day activities and management of THE CENTER FOR ORAL & RECONSTRUCTIVE SURGERY & IMPLANTOLOGY and/or SANTA FE ORAL SURGERY CENTER. For example, information on the services you received may be used to support budgeting and financial reporting, and to evaluate and promote quality. Law Enforcement Your health information may be disclosed to facilitate law enforcement agency investigations, and to comply with government mandated reporting, audits and inspections. Public Health Reporting Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state ’s public health department. Other Uses and Disclosures Require Your Authorization Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing use or disclosure of your information, you may submit a written revocation. However, your decision to revoke the authorization will not undo any use or disclosure of information that occurred before you notified us of your decision. Additional Uses of Information Appointment reminders Your health information will be used by our staff to send you appointment reminders. Information About Your Treatment Your health information may be used to send you information regarding the treatment and management of your medical condition. We may also send you information describing other health-related goods and services that may be of interest to you. Individual Rights You have certain rights under the Federal Privacy Standards. These include: The right to request restrictions on the use and disclosure of your protected health information. The right to receive confidential communications concerning your medical condition and treatment. The right to inspect and copy your protected health information. The right to amend or submit corrections to your protected health information.