Hipaa Privacy Policy
Dr. Brock Elgin - 7021 Oak St, Kansas City, MO 64113
Contact Information: Dr. Brock Elgin, D.C.
Phone: (816) 666-2035
Effective Date: 8-8-13
This notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.
We understand the importance of your privacy and are committed to maintaining the confidentiality of your medical information. We keep records of the medical care we provide and may also receive records from other providers. These records are used to provide quality care, obtain payment for services, and fulfill our legal obligations. By law, we are required to maintain the privacy of your protected health information (PHI) and provide you with this notice outlining our practices. Additionally, we must notify you if any breach of your unsecured PHI occurs. If you have any questions, please contact our Privacy Officer listed above.
Table of Contents:
How This Practice May Use or Disclose Your Health Information
When This Practice May Not Use or Disclose Your Health Information
Your Health Information Rights
Changes to This Notice of Privacy Practices
Complaints
A. How This Practice May Use or Disclose Your Health Information:
This practice collects health information about you and stores it in both paper and electronic formats. Your medical record belongs to us, but the information in it belongs to you. The law allows us to use or disclose your information for these purposes:
Treatment:
We use your information to provide care and share it with others involved in your treatment (e.g., specialists, pharmacies, labs). We may also share information with family members or others who assist with your care.
Payment:
We use and disclose information to get paid for the services we provide (e.g., sharing necessary information with your health plan or other providers to coordinate payment).
Health Care Operations:
We may use your information for operational purposes such as reviewing the quality of care provided, audits, legal services, and fraud detection. We may also share information with our business associates who perform administrative services on our behalf. These associates are required by contract to protect the confidentiality of your information. We may also disclose information to other health care providers, clearinghouses, and health plans for their own operations if they are involved in your care.
Appointment Reminders:
We may contact you to remind you of appointments, either by phone or other means.
Notification and Communication with Family:
We may notify or assist in notifying family members or others involved in your care about your condition or location. In cases of disaster, we may share your information with relief organizations. If you can agree or object, we will give you the opportunity to do so.
Marketing:
We may provide you with information about treatments or services related to your care without receiving payment for those communications. We will not sell your health information without your written consent.
Public Health & Legal Obligations:
We may be required to disclose information for public health, law enforcement, judicial, or administrative proceedings, as well as for health oversight activities or to prevent serious harm.
Other Uses:
This includes organ donation, workers' compensation cases, or situations involving national security.
B. When This Practice May Not Use or Disclose Your Health Information:
Except as described in this notice, we will not use or disclose your health information without your written authorization. You can revoke your authorization at any time.
C. Your Health Information Rights:
Right to Request Special Privacy Protections:
You may request restrictions on the use or disclosure of your health information. We will comply with requests to limit information disclosed to your health plan if you have paid for services out-of-pocket.
Right to Confidential Communications:
You may request to receive your information through specific means or at a specific location (e.g., sending information to a work address).
Right to Inspect and Copy:
You have the right to inspect and copy your health records. We may charge a reasonable fee for copies.
Right to Amend:
If you believe your health information is incorrect or incomplete, you may request an amendment. We are not required to make changes but will provide a written explanation if your request is denied.
Right to an Accounting of Disclosures:
You can request a list of disclosures of your health information made by this practice, except for those related to treatment, payment, operations, or as authorized by you.
Right to a Paper or Electronic Copy of This Notice:
You have the right to receive this notice in paper or electronic format.
D. Changes to This Notice of Privacy Practices:
We reserve the right to change this notice and apply new practices to all the PHI we maintain. The most current notice will be available at our office and on our website.
E. Complaints:
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not face penalties for filing a complaint.
To file a complaint with us, please contact:
Dr. Brock Elgin, Privacy Officer
Phone: (816) 666-2035
To file a complaint with the U.S. Department of Health and Human Services, send an email to: OCRMail@hhs.gov
More information is available at www.hhs.gov/ocr/privacy/hipaa/complaints/