OUR COMMITMENT TO YOUR PRIVACY

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Our practice is dedicated to maintaining the privacy of your Protected Health Information (PHI). In conducting our business, we will create records regarding you and the treatment and services we provide to you.  We are required by law to maintain the confidentiality of health information that identifies you.  We also are required by law to provide you with this notice of our legal duties and the privacy practices that we maintain in our practice concerning your PHI.  By federal and state law, we must follow the terms of the Notice of privacy Practices that we have in effect at the time.  We must provide you with the following important information. How we may use and disclose your PHI, your privacy rights to your PHI and Our obligations concerning the use and disclosure of your PHI. The terms of this notice apply to all records containing your PHI that are created or retained by our practice.  We reserve the right to change or amend this Notice of Privacy practices.  Any change or amendment to this notice will be effective for all of your records that our practice has created or maintained in the past, and for any of your records that we may create or maintain in the future.  Our practice will post a copy of our current Notice in our office in a prominent location at all times.

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WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION (PHI) IN THE FOLLOWING WAYS

The following categories describe the different ways in which we may use and disclose your PHI. Treatment.   Our practice may use your PHI to treat you.  We may also disclose PHI about you for the treatment activities of another healthcare provider.  Payment.   Our practice may use and disclose your PHI in order to bill and collect payment for the services you may receive from us.  Healthcare Operations.   Our practice may use and disclose your PHI to operate our business.as examples of the ways in which we may use and disclose your information for our operations, our practice may use your PHI to evaluate the quality of care you received from us, or to conduct cost-management and business planning activities for our practice.  Appointment Reminders.   Our practice may use and disclose your PHI to contact you and remind you of an appointment or to provide information about treatment alternatives or other health benefits and services that may be of interest to you.  Release of Information to Family/Friends.   In certain situations, our practice may release your PHI to a family member or close personal friend that is involved in your care or payment for your care.

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USE AND DISCLOSURE OF YOUR PHI IN CERTAIN SPECIAL CIRCUMSTANCES WITHOUT YOUR AUTHORIZATION

The following categories describe special situations in which we may use or disclose your PHI without your authorization, or opportunity to agree or object: Public Health Risks.   Our practice may disclose your PHI to public health authorities that are authorized by law to collect information, including: maintaining vital records, such as births and deaths, reporting child abuse, neglect or domestic violence, preventing or controlling disease, injury or disability , notifying a person regarding potential exposure to a communicable disease ,notifying a person regarding a potential risk for spreading or contracting a disease or, condition, reporting reactions to drugs or problems with products or devices regulated by the Federal Food and Drug Administration (FDA), notifying individuals if a product or device they may be using has been recalled

Notifying your employer under limited circumstances to workplace injury/illness or medical surveillance information. Law Enforcement.   We may release PHI if asked to do so by a law enforcement official: Regarding a crime victim in certain situations, if we are unable to obtain the person’s agreement Concerning a death we believe has resulted from criminal conduct Regarding criminal conduct at our offices In response to a warrant, summons, court order, subpoena or similar legal process To identify/locate a suspect, material witness, fugitive or missing person In an emergency, to report a crime (including the location or victim(s) of the crime, or the description, identity or location of the perpetrator). Serious Threats to Health or Safety.   Our practice may use and disclose your PHI when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public.  Under these circumstances, we will only make disclosures to a person or organization able to help prevent the threat. Military.   Our practice may disclose your PHI if you are a member of U.S. or foreign military forces (including veterans) and if required by the appropriate authorities.

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If you have any questions regarding this notice or our health information privacy policies, please contact: Ocala Consulting & Prevention, LLC Jackie Jacobowitz, CEO      2303 SE 17TH Street, Suite 102 Ocala, FL 34471-4171 (352) 622-4488.

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