Staker Chiropractic Center

Description

Our insurance or billing staff may have to disclose your examination and treatment records and your billing records to another party, such as an insurance carrier, an HMO, a PPO, or your employer, if they are potentially responsible for the payment of your services. If necessary, our practice may use your PHI in other collection efforts with respect to all persons who may be liable to the practice for bills related to your care.

You have the right to refuse to give us authorization to contact you to provide appointment reminders, information about treatment alternatives, or other health related information. If you do not give us authorization, it will not affect the treatment we provide to you or methods we use to obtain reimbursement for your care.

Emergency Situations – We are permitted to use or disclose your health information if we provide health care services in an emergency provided that we attempt to obtain your consent as soon as possible. The practice may also disclose PHI to a public or private entity authorized by law or by its charter to assist in disaster relief efforts, for the purpose of coordinating your care with such entities in an emergency situation.

Our practice is dedicated, and we are required by applicable federal and state laws, to maintain the privacy of your health information. These laws also require us to provide you with this notice of our privacy practices, and to inform you of your rights, and our obligations, concerning your health information. We are required to follow the privacy practices described below while this Notice is in effect. This notice is effective as of April 14, 2003, and will remain in effect until we replace it.

Information that we use or disclose may be subject to re-disclosure by the person to whom we provide the information and may no longer be protected by federal privacy rules.

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