PRACTICES REGARDING disclosure of patient health information

As required by the privacy regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). 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 INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.

Our commitment to your privacy: Boketto is dedicated to maintaining the privacy of your individually identifiable health information (also called protected health information, or PHI). In conducting business, we may 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 realize that these laws are complicated, any many don’t apply to you/Boketto. Legally, we must provide you with the following important information: 

Your Health Record
Each time you visit a health care provider a record of your visit is made. Usually this record has your symptoms, exam and test results, diagnoses, treatment, and a plan for future care. This information is called your medical record. It serves as a basis to plan your care and treatment, a way the health professionals who care for you communicate with each other. Understanding what is in your record and how your health information is used helps you to know who, what, when, where, and why others may have your health information, as well as to make informed decisions when authorizing others to have access to your records.

We will not use or give out your health information without your permission. 

We will use your personal information to communicate with you. If you give us your phone number and give us permission to contact you, we may call to remind you of appointments. We may contact you if a problem arises with your health care. You have the right to request restrictions on the use and disclosure of your private information. 

Your Rights to Your Health Information
Although your health record belongs to Boketto, the information in it belongs to you. You have the right to look at and/or ask for a copy of your health record; Get a list of disclosures (releases) of your health record for purposes other than treatment, payment, or health care operations; Get additional paper copies of the Privacy Notice; Request an amendment (change) to your health record; Take back your authorization to disclose health information. (If you want to take back your authorization, you must request this in writing.)

Our Responsibilities
It’s required to maintain the privacy of your health information and give you this notice about our privacy practices. We’re required to do what we say in this Notice and tell you if we are unable to agree to a requested restriction or change to your record and why. We reserve the right to change our privacy practices for all protected health information we keep. If our Privacy Notice changes, we will notify you and offer you a copy when you come to Boketto. You may also ask for a current copy at any time.