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NOTICE OF PRIVACY PRACTICES
Thursday, December 20, 2007
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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOUR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Pediatric Associates, P.S.C., is committed to providing you with high quality health care and to forming a relationship with you that is built on trust. That relationship includes respecting the privacy and confidentiality of your medical information.
Pediatric Associates is required by law to protect the privacy of your child's protected health information (PHI). Pediatric Associates is also required to give you this notice to tell you how we may use and give out (disclose) your child's protected health information to carry out treatment, payment, other health care operations (TPO) and for other purposes permitted or required by law.
Pediatric Associates will use and give out your child's protected health information:
# To you or someone who has the legal right to act on behalf of your child,
# To the Secretary of the Department of Health and Human Services, if necessary, to make sure your child's privacy is protected,
# To law enforcement officials when investigating and/or prosecuting alleged or civil or criminal actions, and
# Where required by law.
Primary Uses and Disclosures of PHI
Pediatric Associates has the right to use and disclose your child's protected health information to administer treatment, payment, and other health care operations. Permission to use or disclose PHI for TPO is the same whether the PHI was created before or after the HIPAA privacy compliance deadline. By signing the Pediatric Associates Consent Form you are agreeing that Pediatric Associates has the right to use/give out your child's PHI, for example:
# To a specialist/agency providing services to your child upon referral by a Pediatric Associates provider.
# To your insurance company to determine eligibility for benefits, review services provided for medication, obtain payment, or undertake utilization review activities.
# To your child's school or day care for purposes of communicating current vaccination status or medication needs.
# To a lab to carry out tests to aid in diagnosis.
# To your pharmacy to assist in administering medications.
# To an outside source for purposes of confirming your child's appointments.
Other Permitted Uses and Disclosures of Protected Health Information
Pediatric Associates has the right to use or give out your child's PHI for the following purposes without consent or authorization. All such disclosures will be made consistent with requirements of applicable federal and state laws. When state law is more stringent than federal, such uses/disclosures will be made consistent with state law.
# When required by law. The use or disclosure will be made in compliance with the law and limited to relevant requirements of the law. You will be notified of any uses or disclosures.
# For public health activities. Such a disclosure will be made for purposes of controlling disease, injury or disability. We may share your child's PHI, if directed by the public health authority, with a foreign government or agency that is collaborating with the public health authority.
# Regarding victims of abuse, neglect or domestic violence. We may disclose your child's PHI, for example, to a public health agency authorized by law to receive reports of abuse or neglect if it is believed that the child has been a victim.
# For health oversight activities. Such disclosures may be made to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.
# For judicial and administrative proceedings. Such disclosures would be made in response to an order of a court.
# For law enforcement purposes. For example, we may disclose PHI if asked to do so by a law enforcement official to identify or locate a suspect or material witness, or in an emergency to report a crime including the description, i
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