Hawk's Prairie Vision Clinic

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Privacy Notice

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

This notice of privacy practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, or health care operations and for other purposes that are permitted or required by law.

1. Uses and disclosures of protected health information:
Treatment
Payment
Health care operations

2. Permitted and required uses and disclosures that may be made with your authorization and opportunity to object
We may use and disclose your protected health information in the following instances:
Facility directories
Others involved in your health care
Emergencies
Psychotherapy notes (for TPO)
Marketing

3. Permitted and required uses and disclosures that may be made without your authorization or opportunity to object.
We may use or disclose your protected health information in the following situations without your consent:
Required by law
Communicable diseases
Legal proceedings
Law enforcement
Research
Worker's Compensation
Military activity and national security
Coroners, funeral directors, and organ donation
Public health
Health oversight
Abuse or neglect
Criminal activity
Inmates
Food and drug administation
Required uses and disclosures

4. Your Rights
Following is a statement of your rights with respect to your protected health information and how you may exercise these rights. You have the right to:
Inspect and copy your protected health information
Request a restriction of your protected health information
Request to recieve a confidential communications from us by alternative means or at an alternative location
Have your physician amend your protected health information
Receive an accounting of certain disclosures we have made, if any, of your protected health information
Obtain a paper copy of this notice from us.

5. Complaints
You may complain to us or to the Sceretary of Health and Human Services if you believe your privacy rights have been violated by us.