Gail A. Hume, D.C.,C.C.S.P. is required by law to maintain the privacy and confidentiality of your protected health information and to provide her patients with notice of her legal duties and privacy practices with respect to your protected health information.
Disclosure of Your Health Care Information
We may disclose your health care information to other healthcare professionals for the purpose of treatment, payment or healthcare operations.
On occasion, it may be necessary to seek consultation regarding your condition from other health care providers.
It is our policy to provide a substitute health care provider, authorized by Dr. Gail Hume, to provide assessment and/or treatment for our patients, without advanced notice, in the event of Dr. Hume's absence due to vacation, sickness or other emergency situation.
We may disclose your health information to your insurance provider for the purpose of payment or healthcare operations.
We may submit an itemized billing statement to your insurance carrier for the purpose of payment to our office for health care services rendered. If you pay for your health care services personally, we will, as a courtesy, provide an itemized billing to you for the purpose of reimbursement from your insurance carrier. The billing statement contains medical information, including diagnosis, date of injury or condition, or codes which describe the healthcare services received.
We may disclose your health information as necessary to comply with State Workers' Compensation Laws.
We may disclose your health information to notify or assist in notifying a family member, or another person responsible for your care about your medical condition or in the event of an emergency or of your death.
As required by law, we may disclose your health information to public health authorities for purposes related to preventing or controlling disease, injury or disability, reporting child abuse or neglect, reporting domestic violence, reporting to the Food and Drug Administration problems with products and reactions to medications, and reporting disease or infection exposure.
Judicial and Administrative Proceedings
We may disclose your health information in the course of any administrative or judicial proceeding.
We may disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena, and other law enforcement purposes.
We may disclose your health information to coroners or medical examiners.
We may disclose your health information to organizations involved in procuring, banking or transplanting organs and tissues.
We may disclose your health information to researchers conducting research that has been approved by an Institutional review board.
It may be necessary to disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or to the general public.
Specialized Government Agencies
We may disclose your health information for military, national security, prisoner and government benefits purposes.
Change of Ownership
In the event that Dr. Gail Hume's Chiropractic practice is sold or merged with another organization, your health information/record will become the property of the new owner.
Your Health Information Rights
1. You have the right to request restrictions on certain uses and disclosures of your health information. Please be advised,however, that we're not required to agree to the restriction that you requested.
2. You have the right to have your health information received or communicated through an alternative method or sent to an alternative location other than the usual method of communication or delivery, upon your request.
3. You have the right to inspect and copy your health information.
4. You have a right to request that we amend your protective health information. Please be advised, however, that we're not required to agree to amend your protected health information. If your request to amend your health information has been denied, you will be provided with an explanation of our denial reason(s) and information about how you can disagree with the denial.
5. You have a right to receive an accounting of disclosures of your protected health information made by this office.
6. You have a right to a paper copy of this Notice of Privacy Practices at anytime upon request.
Changes to this Notice of Privacy Practices
We reserve the right to amend this Notice of Privacy Practices at any time in the future, and will make the new provisions effective for all information that it maintains. Until such amendment is made, we are required by law to comply with this Notice.
Complaints about your Privacy rights, or how we have handled your health information, should be directed to our office.
If you are not satisfied with the manner which this office handles your complaint, you may submit a formal complaint to:
DHHS, Office of Civil Rights
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
This notice is effective as of 04/15/2003