For Treatment: We may use and disclose medical and personal information about you to provide treatment or services. We may disclose medical information to other doctors, nurses, technicians, etc. who are involved in your care. We may disclose information to family members, clergy or others that are involved in your care.
For Payment: We may use and disclose medical and personal information about you so that the treatment and services you receive may be billed to and payment collected from a third party.
For Health Care Operations: We may use and disclose medical and personal information about you for practice operations. These uses are necessary to run this practice and to make sure our patients receive quality care. Such information may be used for accreditation, licensing, credentialing and quality control, or to contact you as a reminder about your care.
For Other Practice Reasons: We may use and disclose medical information to notify you of meetings and presentations, to provide business information or information about appearance or health-related services that may be of interest to you.
LEGALLY REQUIRED USE AND DISCLOSURES:
You may already be aware that numerous state and federal laws dictate reporting medical and personal information in circumstances such as: Public Health and Communicable Diseases, Workers Compensation, Abuse and Neglect, Adverse Drug Reaction or Medical Device Reporting, Law Enforcement, National Intelligence, Judicial and Administrative Proceedings, Military Forces and Veterans, Organ Donation, Treatment of Health Care Providers, Health Oversight Activities, and Medical Examiners.
WHAT YOU SHOULD KNOW ABOUT THE INFORMATION WE MAINTAIN:
You may have a copy of medical information we use to make decisions about your care. If you feel that medical information we have is incorrect, you may ask us to amend the information. You may request a list of past disclosures. Please specify a time period, beginning April 2003 and no longer than 5 years. There may be a fee for providing this information. You should submit any requests for the above in writing to our office manager at the practice address.
You may request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations. For example, we may call to remind you of an upcoming appointment or to reschedule an appointment. You may request that we limit to whom we disclose information. We are not required to agree to your request. You should submit any requests for the above in writing to our office manager at the practice address.
You may request that we communicate with you in a confidential manner, by using a certain method (mail, particular phone number), or at a certain location (only at work). You should submit any requests for the above in writing to our office manager at the practice address.
We use a separate written permission for personally identifiable photographs.
If you believe your legal rights have been violated you may send written complaints to our office manager or doctor, or to the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
If you reviewed this notice in an electronic format, you may request a paper copy. Regulations require that we protect the privacy of your information, give you this notice, and follow the terms currently in effect. The terms of our Privacy Practices may change. You may obtain a revised copy by notifying our office manager in writing.
Aesthetic Center for Breast & Cosmetic Surgery, PA.
615 Halton Road, Suite 100
Greenville, South Carolina, 29607