Clinic Name Glacier Ear, Nose and Throat, Head and Neck Surgery <\/p>\n\n\n\n
Effective Date: 2017<\/p>\n\n\n\n
YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. <\/strong>If you have any questions about this notice, please contact: Glacier Ear, Nose and Throat, Head and Neck Surgery; Privacy Officer; 160 Heritage Way, Kalispell, MT. 59901; Phone Number: (406) 752-8330<\/strong><\/p>\n\n\n\n <\/a>WHO WILL FOLLOW THIS NOTICE : <\/strong>This Notice of Privacy Practices applies to Clinic <\/strong>and describes our practices and that of: (1) Any health care professional authorized to enter information into your chart; (2) All departments and units of the organization covered by this notice; (3) Any member of a volunteer group we allow to help you; (4) Any organization that we retain to support operation of this practice that has executed an agreement regarding uses and disclosures of your protected health information.<\/p>\n\n\n\n <\/a>OUR LEGAL DUTY REGARDING YOUR MEDICAL INFORMATION: <\/strong>We may share medical information for treatment, payment or operational purposes described in this notice. We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. Medical information covered by this Notice is information that: (1) identifies you or could be used to identify you; (2) that we collect from you or that we create or receive; and (3) that relates to your past, present or future physical or mental health condition, including health care services provided to you and past, present, or future payment for such health care services. This notice applies to all of protected health information created by any of the organizations listed in this notice. Your doctor may also create information at the hospital or other medical facility. These facilities may have different policies or notices regarding their use and disclosure of your medical information created by your doctor while at that facility. This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information. We are required by law to: Make sure that medical information that identifies you is kept private; give you this notice of our legal duties and privacy practices with respect to medical information about you; and follow terms of the current notice.<\/p>\n\n\n\n HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU: <\/strong>The following categories describe different ways that we use and disclose medical information. For each category of uses or disclosures, we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.<\/p>\n\n\n\n 1 For Treatment.<\/u> <\/strong>We may use medical information about you to provide you with medical treatment or services. We will contact you to provide appointment reminders. We may disclose medical information about you to doctors, nurses, technicians, medical students, or personnel who are involved in taking care of you. For example, a doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. We may share medical information about you in order to coordinate the different things you need, such as prescriptions, lab work and x-rays that are provided by other healthcare organizations. We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.<\/p>\n\n\n\n To prevent or control disease, injury or disability; to report births and deaths; to report child abuse or neglect; to report reactions to medications or problems with products; to notify people of recalls of products they may be using; to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and to notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.<\/p>\n\n\n\n <\/a>USES OR DISCLOSURES THAT CAN ONLY BE MADE WITH<\/u> YOUR AUTHORIZATION: <\/strong>Uses and disclosures of medical information not covered by this notice or laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization.<\/p>\n\n\n\n <\/a>You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of care we have provided to you.<\/p>\n\n\n\n <\/a>YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU: <\/strong>You have the following rights regarding medical information we keep about you:<\/p>\n\n\n\nUSES OR DISCLOSURES THAT CAN BE MADE WITHOUT YOUR AUTHORIZATION OR AN OPPORTUNITY FOR YOU TO OBJECT<\/h3>\n\n\n\n
<\/a>USES OR DISCLOSURES WHEN YOU HAVE AN OPPORTUNITY TO OBJECT<\/h3>\n\n\n\n