Your Information. Your Rights. Our Responsibilities.

This notice explains how medical information about you may be used and disclosed, how you can access that information, and the privacy rights available to you. Please review it carefully.

 

Your Rights

You have the right to:

• • Inspect or obtain an electronic or paper copy of your medical record and other health information we maintain about you. We generally provide a copy or summary within 30 days and may charge a reasonable, cost-based fee.

• • Ask us to correct health information you believe is incorrect or incomplete. We may deny the request, but we will explain why in writing, generally within 60 days.

• • Ask us to contact you in a specific way or at a different address. We will accommodate reasonable requests.

• • Ask us to limit certain uses or disclosures for treatment, payment, or health care operations. We are not always required to agree. If you pay in full out-of-pocket for an item or service, you may ask us not to disclose that information to your health plan for payment or operations unless disclosure is required by law.

• • Request an accounting of certain disclosures of your health information made during the six years before your request.

• • Receive a paper copy of this notice at any time, even if you agreed to receive it electronically.

• • Authorize a personal representative, such as a person holding a medical power of attorney or a legal guardian, to exercise your rights when legally permitted.

• • File a complaint if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.

 

Your Choices

In certain situations, you may tell us how you want your information shared. Depending on the circumstances, you may choose whether we share information:

• • with family members, close friends, or others involved in your care or payment for your care.

• • in a disaster relief situation.

If you cannot tell us your preference, such as when you are unconscious, we may share information if we believe doing so is in your best interest. We may also share information when necessary to lessen a serious and imminent threat to health or safety.

We will not use or disclose your information for marketing purposes or sell your information without your written authorization, except as permitted by law.

 

How We May Use and Share Your Health Information

We may use or disclose your health information without your written authorization when permitted or required by law, including for the following purposes:

Treatment: To provide, coordinate, or manage your care and to share information with healthcare professionals involved in your treatment.

Healthcare operations: To operate our organization, manage services, improve quality, and contact you when necessary.

Payment: To bill for services and obtain payment from health plans or other responsible parties.

Public health and safety: For activities such as disease prevention, product recalls, reporting adverse medication reactions, reporting suspected abuse or neglect, and preventing or reducing serious threats to health or safety.

Research: For health research when applicable legal requirements are met.

Legal and regulatory requirements: When federal or state law requires disclosure, including to the U.S. Department of Health and Human Services for privacy-compliance purposes.

Medical examiners and funeral directors: To coroners, medical examiners, or funeral directors when an individual dies.

Workers’ compensation, law enforcement, oversight, and government functions: For workers’ compensation claims; certain law-enforcement purposes; legally authorized health oversight; and special government functions such as military, national security, and presidential protective services.

Legal proceedings: In response to a court or administrative order or, when legally permitted, a subpoena.

 

Our Responsibilities

• • We are required by law to maintain the privacy and security of your protected health information.

• • We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.

• • We must follow the duties and privacy practices described in this notice and make this notice available to you.

• • We will not use or disclose your information other than as described in this notice unless you authorize us in writing. You may revoke that authorization in writing at any time, subject to actions already taken in reliance on it.

 

Complaints and Questions

If you believe your privacy rights have been violated, or if you have questions about this notice, contact us by phone at (858) 874-8181 or send an email to contact@mcgannoralsurgery.com.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by writing to 200 Independence Avenue, S.W., Washington, D.C. 20201 or calling 1-877-696-6775.

 

Changes to This Notice

We may change the terms of this notice. Any changes will apply to all health information we maintain about you. The current notice will be available on our website, at our office, and upon request.

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