|
Right to Notice
As a patient, you have the right to adequate notice of the uses and disclosures
of your protected health information. Under the Health Insurance Portability and
Accessibility Act (HIPAA),
Jeffrey Cooper O.D., P.C. can
use your protected health information for treatment, payment and health care
operations.
a) Treatment - We may use or disclose your health information
to a physician or other healthcare provider providing treatment to you.
b) Payment - We may use and disclose your health information
to obtain payment for services we provide you.
c) Health care operations - We may use and disclose your
health information in connection with our healthcare operations. Healthcare
operations include quality assessment and improvement activities, reviewing the
competency or qualifications of healthcare professionals, evaluating provider
performance, conducting training programs, accreditation, certification,
licensing or credentialing activities.
Your Authorization
Most uses and disclosures that do not fall under treatment, payment, health care
operations will require your written authorization. Upon signing, you may revoke
your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we will disclose
health information to a family member, or another person responsible for your
care, using our professional judgment. We will only disclose health information
that is directly relevant to the person's involvement in your healthcare.
Marketing
We will not use your health information for marketing communications without
your written authorization.
Required by Law
We may also use or disclose your health information when we are required to do
so by law.
Abuse or Neglect
We may disclose your health information to appropriate authorities if we
reasonably believe that you are a possible victim of abuse, neglect, or domestic
violence or the victim of other crimes. We may disclose your health information
to the extent necessary to avert a serious threat to your or other people's
health or safety.
National Security
We may disclose the health information of Armed Forces personnel to military
authorities under certain circumstances. We may disclose health information to
authorized federal officials required for lawful intelligence,
counterintelligence and other national security activities. We may disclose
health information of inmates or patients to the appropriate authorities under
certain circumstances.
Appointment Reminders
We may use or disclose your health information to provide you with appointment
reminders via phone, e-mail or letter.
Your Rights as a Patient
You have the right to restrict the disclosure of your protected health
information (in writing). The request for restriction may be denied if the
information is required for treatment, payment or health care operations.
-You have the right to receive confidential communications regarding your
protected health information.
-You have the right to inspect and copy your protected health information.
-You have the right to amend your protected health information.
-You have the right to receive an account of disclosures of your protected
health information.
-You have the right to a paper copy of this notice of privacy practices.
Legal Requirements
Jeffrey Cooper O.D., P.C. are required by law to
maintain the privacy of your protected health information. We are required to
abide by the terms of this notice as it is currently stated, and reserve the
right to change this notice. The policies in any new notice will not be in
effect until they are posted to this site, or are available within our office.
Complaints
If you have complaints regarding the way your protected health information was
handled, you may submit a complaint in writing to our office. You will not be
retaliated against in any manner for a complaint.
Contact Information
For further information about [Jeffrey
Cooper O.D., P.C.
privacy policies, please contact
Drs. Jeffrey Cooper
at the following address or phone number:
539 Park Ave. New York, New York 10021
212 758 0772
|
