Privacy Policy
NOTICE OF PRIVACY PRACTICES
To our Patients: This notice describes how health information about
you (as a patient of this practice) may be used and disclosed, and how
you can get access to your health information. This is required by the
Privacy Regulations created as a result of the Health Information
Portability and Accountability Act of 1996 (HIPPA).
OUR COMMITMENT TO YOUR PRIVACY
- Our practice is dedicated to maintaining the privacy of your
health information. We are required by law to maintain the
confidentiality of your health information.
- We realize that these laws are complicated, but we must provide
you with the following important information.
USE AND DISCLOUSURE OF YOUR HEALTH INFORMATION IN CERTAIN
SPECIAL CIRCUMSTANCES
The following circumstances may require us to use or disclose your
health information:
- 1. To the public health authorities and health oversight agencies
that are authorize by law to collect information.
- 2. Lawsuits and similar proceedings in response to a court or
administrative order.
- 3. If required to do so by a law enforcement official.
- 4. 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. We will only make disclosures to a person or organization able
to help prevent the threat.
- 5. If you are a member of U.S. or foreign military forces
(including veterans) and if required by the appropriate authorities.
- 6. To federal officials for intelligence and national security
activities authorized by law.
- 7. To correctional institutions or law enforcement officials if
you are an inmate or under the custody of a law enforcement official.
- 8. For Workers Compensation and similar programs.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
- 1. Communications. You can request that our practice communicate
with you about your health and related issues in a particular manner or
at a certain location. For instance, you may ask that we contact you at
home, rather than work. We will accommodate reasonable requests.
- 2. You can request a restriction in our use or disclose of your
health information for treatment, payment, or health care options.
Additionally, you have the right to request that we restrict our
disclosure of your health information to only certain individuals
involved in your care or the payment for your care, such as family
members and friends. We are not required to agree to your request;
however, if we do agree, we are bound t\by our agreement except when
otherwise required by law, in emergencies, or when the information is
necessary to treat you.
- 3. You have the right to inspect and obtain a copy of the health
information you may be used to make decisions about you, including
patient medical records and billing records, but not including
psychotherapy notes. You must submit your request in writing to Lori
Arnold, M.D.
- 4. You may ask to amend your health information if you believe it
is incomplete, and as long as the information is kept by or for our
practice. To request an amendment, your request must be made in writing
and submitted to Lori Arnold, M.D. at 752 Medical Center Court Suite
207 Chula Vista, Ca. 91911. You must provide us with a reason that
supports your request for amendment.
- 5. Right to copy of this notice: You are entitled to receive a
copy of the Notice of Privacy Practices. You may ask us to give you a
copy of the Notice at any time. To obtain a copy of this notice,
contact our front desk receptionist.
- 6. Right to file a complaint: If you believe your privacy rights
have been violated, you may file a complaint with our practice or with
the secretary of the Department of Health and Human Services. To file a
complaint with our practice, contact Lori Arnold, M.D. at 752 Medical
Center Court Suite 207 Chula Vista, Ca. 91911. All complaints must be
submitted in writing. You will not be penalized for filing a complaint.
- 7. Right to provide an authorization for other users and
disclosures: Our practice will obtain your written authorization for
uses and disclosures that are not identified by this notice or
permitted by applicable law.
If you have any questions regarding this notice or our health
information privacy policies, please contact Lori Arnold, M.D. at (619)
397-2950