Patient Privacy

Stanley E Harris

HIPAA NOTICE OF PRIVACY PRACTICES

Effective Date (2004)

 

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. If you have any

questions about this notice, please contact :

Stanley E Harris at 213/740-7711               .

This notice describes the privacy practices at our office.

 

We are required by law to:

 

* Maintain the privacy of protected health information

* Give you this notice of our legal duties and privacy

practices regarding your health information

* Follow the terms of the notice currently in effect.

 

How we may use and disclose your health information

 

Described as follows are the ways we may use and disclose

your health information. Except for the following purposes

we will use and disclose your health information only with

your written permission. You may revoke such permission at

any time by writing to Stanley E Harris.

 

Treatment. We may use and disclose your health information

for your treatment and to provide you with treatment-

related health care services. For example, we may disclose

your health information to doctors, nurses, technicians,

or

other personnel, including people outside our office, who

are involved in your medical care and need the information

to provide you with medical care.

 

Payment. We may use and disclose your health information

so

that others or we may bill and receive payment from you,

an

insurance company, or a third party for the treatment and

services you received. For example, we may give

information

to your health plan so that they will pay for your

treatment.

 

Health Care Operations. We may use and disclose your

health

information to evaluate and improve our medical care and

to

operate and manage our office. For example, we may use and

disclose information to a peer review organization or a

health plan that is evaluating our care. We may also share

information with others that have a relationship with you

for their health care operation activities.

 

Appointment Reminders, Treatment Alternatives, and Health-

Related Benefits and Services. We may use and disclose

your

health information to contact you and remind you of your

appointment, to tell you about treatment alternatives or

health-related benefits and services you could use.

 

Individuals Involved in Your Care or Payment for Your

Care.

When appropriate, we may share your health information

with

a person involved in, or paying for, your care (such as

your family or a close friend). We may notify your family

about your location or condition or disclose such

information to an entity assisting in disaster relief.

 

Research. We may use and disclose your health information

for research. For example, a research project may involve

comparing the health of patients who received one

treatment

to those who received another for the same condition.

Before we do so, the project needs to go through a special

approval process. Even without special approval, we may

permit researchers to look at records to help identify

patients who may be included in their research, as long as

they do not remove or copy any of your health information.

 

As Required by Law. We will disclose your health

information when required to do so by international,

federal, state or local law.

 

To Avert a Serious Threat to Health or Safety. We may use

and disclose your health information when necessary to

prevent a serious threat to the health and safety of you,

another person, or the public. Disclosures will be made

only to someone who can prevent the threat.

 

Business Associates. We may disclose your health

information to our business associates that perform

functions on our behalf or provide us with services if

necessary. For example, we may use another company to

perform billing services on our behalf. All of our

business

associates are obligated to protect the privacy of your

information and are not allowed to use or disclose the

information for any other purpose than appears in their

contract with us.

 

Military and Veterans. If you are a member of the armed

forces, we may release your health information as required

by military command authorities. If you are a member of a

foreign military we may release your health information to

the foreign military command authority.

 

Worker's Compensation. We may release your health

information for worker's compensation or similar programs

that provide benefits for work-related injuries or illness.

 

Public Health Risks. We may disclose your health

information for public health activities to prevent or

control disease, injury or disability. We may use your

health information in reporting births or deaths,

suspected

child abuse or neglect, medication reactions or product

malfunctions or injuries, and product recall

notifications.

We may use your health information to notify someone who

may have been exposed to a disease or may be at risk for

contracting or spreading a disease or condition. If we are

concerned that a patient may have been a victim of abuse,

neglect, or domestic violence we may ask your permission

to

make a disclosure to an appropriate government authority.

We will make that disclosure only when you agree or when

required or authorized to do so by law.

 

Health Oversight Activities. We may disclose your health

information to a health oversight agency for activities

authorized by law. These may include audits,

investigations, inspections, and licensure. These

activities are necessary to for the government to monitor

the health care system, government programs, and

compliance

with civil rights laws.

 

Lawsuits and Disputes. If you are involved in a lawsuit or

dispute, we may disclose your health information in

response to a court or administrative order. We may

disclose your health information in response to a

subpoena,

discovery request, or other lawful process by someone else

involved in the dispute, but only if efforts have been

made

to tell you about the request or to obtain an order

protecting the information requested.

 

Law Enforcement. We may release your health information

request by law enforcement official if 1) there is a court

order, subpoena, warrant, summons or similar process; 2)

if

the request is limited to information needed to identify

or

locate a suspect, fugitive, material witness, or missing

person; 3) the information is about the victim of a crime

even if, under certain very limited circumstances, we are

unable to obtain your agreement; 4) the information is

about a death that may be the result of criminal conduct;

5) the information is relevant to criminal conduct on our

premises; and 6) it is needed in an emergency to report a

crime, the location of a crime or victims, or the

identity,

description, or location of the person who may have

committed the crime.

 

Coroners, Medical Examiners, and Funeral Directors. We may

release your health information to a coroner, medical

examiner, or funeral director to identify a deceased

person

or cause of death, or other similar circumstance.

 

National Security and Intelligence Activities. We may

disclose your health information to authorized federal

officials for intelligence and other national security

activities authorized by law.

 

Inmates or Individuals in Custody. If you are an inmate of

a correctional institution or in custody we may disclose

your information 1) for the institution to provide you

with

health care, 2) to protect your health and safety or that

of others, and 3) for the safety and security of the

institution.

 

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

 

Right to Inspect and Copy. You have the right to inspect

and copy your medical and billing records by written

request to Stanley E Harris.

 

Right to Amend. You have the right to request an amendment

to your records by written request to Stanley E Harris.

 

Right to an Accounting Of Disclosures. You have a right to

an accounting of certain disclosures by written request to

Stanley E Harris.

 

Right to Request Restrictions. You have the right to

request restriction or limitation on your health

information used for treatment, payment or health care

operations. You may request us to limit disclosure to

someone involved in your care or in payment for your care

(such as a spouse) by written request to Stanley E Harris.

We are not required to agree with your request, but we

will try to comply.

 

Right to Request Confidential Communication. You have the

right to request that we communicate with you about

medical

matters in a certain way or at a certain location. You can

ask, for example, that we contact you only by mail or at

work. Your written request must specify how or where you

wish to be contacted and be addressed to Stanley E Harris.

We will accommodate reasonable requests.

 

CHANGES TO THIS NOTICE

 

We may change this notice and make it effective for

medical

information we already have about you as well as new

information. The current notice will be posted and

available at all times. You have a right to request a

paper

copy of the current notice at any visit or by written

request to Stanley E Harris.

 

Stanley E Harris

857 Downey Way, Room 100

Los Angeles, CA, 90089-0051

213/740-7711