Notice of Privacy Practices
State and Federal laws require Central Park Ambulatory Care, PLLC d/b/a Central Park Ambulatory Surgery (CPAS) to maintain the privacy of our patients’ Protected Health Information and to inform all patients about our privacy practices by providing this Notice. CPAS must follow the privacy practices as described below.
It is our right to change our privacy practices provided law permits the changes. Before any significant change is made, this Notice will be amended to reflect the changes and be available to upon request. We reserve the right to make any changes in our privacy practices and the new terms of our Notice effective for all health information maintained, created, and/or received by us before the changes were made.
You may request a copy of our Privacy Notice at any time by contacting our office.
TYPICAL USES AND DISCLOSURES OF HEALTH INFORMATION
We will keep your health information confidential, using it only for the following purposes:
TREATMENT: We may use the patient’s health information to provide our professional services. We have established “minimum necessary” or “need to know” standards that limit various staff members’ access to your health information according to their primary job junctions. Everyone on our staff is required to sign a confidentiality statement.
DISCLOSURE: We may disclose and or share your healthcare information with other health care professionals who provide treatment and/or service to you. These professionals will have a privacy and confidentiality policy like this one. Health information about you may also be disclosed to your family, friends and/or persons you choose to involve in your care, only if you agree that we may do so.
PAYMENT: We may use and disclose your health information to seek payment for services we provide to you. This disclosure involves our business office staff and may include insurance organizations or other businesses that may become involved in the process of mailing statement and/or collecting unpaid balances.
EMERGENCIES: We may use or disclose your health information to notify, or assist in the notification of a family member or anyone responsible for your care, in case of any emergency involving your care, your location, your general condition of death. If at all possible, we will provide you with an opportunity to object to this use or disclosure. Under emergency conditions or if you are incapacitated, we will use our professional judgement to disclose only that information directly relevant to your care. We will also use our professional judgement to make reasonable inferences of your best interest by allowing someone to pick up filled prescriptions, x-rays or other similar forms of heath information and/or supplies unless you have advised us otherwise.
HEALTHCARE OPERATIONS: We will use and disclose your health information to keep our practice operable. Examples of personnel you may have access to this information include, but are not limited to our medical records staff, outside health or management reviewers and individuals performing similar activities.
REQUIRED BY LAW: We may use or 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 possible victim of other crimes. This information will be disclosed only to the extent necessary to prevent a serious threat to your health or safety or that of others.
PUBLIC HEALTH RESPONSIBILITIES: We will use your health care information to report problems with products, reactions to medication, product recalls, disease/infection exposure and to prevent and control disease, injury and/or disability.
MARKETING HEALTH-RELATED SERVICES: We will not use your health information for marketing purposes unless we have your written authorization to do so.
NATIONAL SECURITY: The health information of Armed Forces personnel may be disclosed to military authorities under certain circumstances. If the information is required for lawful intelligence, counterintelligence or other national security activities, we may disclose it to authorized federal officials.
APPOINTMENT REMINDERS: We may use or disclose your health information to provide you with appointment reminders, including but not limited, voice mail messages, postcards or letters.
EFFECTIVE DATE: This Notice took effect on January 23, 2009 and will remain in effect until it is amended or replaced by the company.