THIS NOTICE EXPLAINS HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED, AS WELL AS HOW YOU CAN ACCESS THAT INFORMATION.
PLEASE REVIEW THIS INFORMATION CAREFULLY.
NOTE: If you have any questions about this notice, please contact Parker County Imaging at 000-000-0000.
HOW WE MAY USE AND DISCLOSE YOUR MEDICAL INFORMATION
We may use and disclose your protected health information for purposes of treatment, payment, and healthcare operations. This includes sharing your information with physicians, radiologists, and other healthcare providers involved in your care; submitting information to insurance companies or other payors to obtain payment for services; and using your information for internal business activities such as quality improvement, staff training, accreditation, and compliance. We may also use or disclose your information as required by law, for public health reporting, health oversight activities, legal proceedings, law enforcement purposes, to prevent a serious threat to health or safety, for workers’ compensation claims, and to contact you regarding appointments or follow-up care. Parker County Imaging stores imaging studies using secure systems that comply with DICOM standards. Reports may be transmitted electronically through secure systems that comply with HL7 standards. Any other uses or disclosures not described in this Notice will be made only with your written authorization, as required by law.
USES REQUIRING YOUR AUTHORIZATION & YOUR RIGHTS
We will not use or disclose your protected health information without your written authorization except as described in this Notice or as permitted or required by law. Uses and disclosures that generally require your authorization include marketing purposes (where applicable), the sale of your health information, and other uses not otherwise described in this Notice. You may revoke your authorization at any time in writing, except to the extent that we have already taken action in reliance on your authorization. You have the right to access and obtain a copy of your medical records, request amendments to your records if you believe they are incorrect or incomplete, request restrictions on certain uses and disclosures of your information, request confidential communications by alternative means or at alternative locations, receive an accounting of certain disclosures of your information, and obtain a paper copy of this Notice upon request, even if you have agreed to receive it electronically.
OUR RESPONSIBILITIES
We are required by law to maintain the privacy and security of your protected health information and to provide you with notice of our legal duties and privacy practices. We will follow the terms of this Notice currently in effect and will not use or disclose your information other than as described here unless you authorize us to do so in writing. We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information. We reserve the right to change the terms of this Notice at any time and to make the revised or updated terms effective for all protected health information that we maintain. Any changes will apply to information we currently maintain as well as any information we receive in the future. The current version of this Notice will be posted in our facility, on our website, and made available upon request.
COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer using the contact information provided in this Notice, or you may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by mail at 200 Independence Avenue, S.W., Washington, D.C. 20201 or by phone at 1-877-696-6775. You will not be retaliated against or penalized in any way for filing a complaint.