We will continue to communicate with other parties as needed
in order to provide you with quality medical care. These are medical care
providers who referred you to this office, including providers to whom you
have agreed to be referred, your insurance company (for both treatment and
billing purposes) and laboratories and pharmacies who participate in your
care. Unless you instruct us otherwise, we will continue to exchange
information with these parties. We may send appointment reminders to you by
phone or mail, and may leave messages on your answering machine. We may
contact you about other details of your medical care. If you want your
information handled any other way, please tell us in writing.
You will need to give express, written authorization before the exchange of
information between us and anyone besides the parties noted above. There
will be no other information released from your medical record outside this
office, except as above or when such exchange is required by law or court
order. You have the right to request restrictions on certain uses and
disclosures of your information.
Your medical information belongs to you. You have the right to inspect and
receive a copy of the record of your medical care in this office in a
confidential manner. The physical record belongs to us and, in fact, we are
the legal custodian of the record of your medical care here. There may be a
charge for fulfilling your copying and mailing requests. If you believe our
chart is not accurate, please put your concerns in writing and give them to
Your record and our computer terminals are observed constantly to prevent
unauthorized persons from viewing your information. Our computer files are
not accessible electronically from outside the office. Our computer files
are backed up periodically to prevent loss of data, and the backup media are
stored in a secure place. Otherwise computer hardware and software
containing your information does not leave our office.
Paper information with your name on it which is to be discarded is destroyed
in a confidential manner.
Please tell us if you want more information about the privacy of your