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Midwest Orthopedic Specialists, Inc makes no representation as to the availability, accuracy, or completeness of the content of this site. Midwest Orthopedic Specialists shall not be liable for any damages or injury resulting from users' access to or inability to access this site or from reliance on any information at this site.
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.
This Privacy Notice is being provided to you as a requirement of a federal law, the Health Insurance Portability and Accountability Act (HIPAA). This Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information in some cases. Your "protected health information" means any written and oral health information about you, including demographic data that can be used to identify you. This is health information that is created or received by your health care provider, and that relates to your past, present or future physical or mental health or condition.
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| I. |
Uses and Disclosures of Protected Health Information |
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A. |
Treatment. |
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B. |
Payment. |
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C. |
Operations. |
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D. |
Other Uses and Disclosures. As part of treatment, payment and health care operations, we may also use or disclose your protected health information for the following purposes: to remind you of your surgery date, to inform you of potential treatment alternatives or options, to inform you of health-related benefits or services that may be of interest to you. |
| II. |
Uses and Disclosures Beyond Treatment, Payment, and Health Care Operations Permitted Without Authorization or Opportunity to Object
Federal privacy rules allow us to use or disclose your protected health information without your permission or authorization for a number of reasons including the following: |
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A. |
When Legally Required. |
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B. |
When There Are Risks to Public Health. |
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C. |
To Report Suspected Abuse, Neglect Or Domestic Violence. |
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D. |
To Conduct Health Oversight Activities. |
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E. |
In Connection With Judicial And Administrative Proceedings |
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F. |
For Law Enforcement Purposes. |
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G. |
To Coroners, Funeral Directors, and for Organ Donation. |
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H. |
For Research Purposes. |
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I. |
In the Event of a Serious Threat to Health or Safety. |
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J. |
For Specified Government Functions. |
| IV. |
Uses and Disclosures which you Authorize |
| V. |
Your Rights
You have the following rights regarding your health information:
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A. |
The right to inspect and copy your protected health information. |
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B. |
The right to request a restriction on uses and disclosures of your protected health information. |
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C. |
The right to request to receive confidential communications from us by alternative means or at an alternative location. |
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D. |
The right to request amendments to your protected health information. |
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E. |
The right to receive an accounting. |
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F. |
The right to obtain a paper copy of this notice. |
| VI. |
Our Duties |
| VII. |
Complaints |
| VIII. |
Contact Person
The facility’s contact person for all issues regarding patient privacy and your rights under the federal privacy standards is the Privacy Officer. Information regarding matters covered by this Notice can be requested by contacting the Privacy Officer. If you feel that your privacy rights have been violated by this facility you may submit a complaint to our Privacy Officer by sending it to:
Midwest Orthopedic Specialists
188 Medical Drive, P.O. Box 935
Hannibal MO 63401
ATTN: Privacy Officer
The Privacy Officer can be contacted by telephone at 573-248-1010, EXT. 305
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| IX. |
Effective Date
This Notice is effective April 14, 2003.
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