HIPAA Policy
Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED, AND HOW YOU CAN GAIN ACCESS TO THE INFORMATION. PLEASE REVIEW IT CAREFULLY.

You’re Privacy Rights, My Responsibilities
   It is required by law to protect the privacy of your health information and provide you with this Notice of Privacy Practices. This notice describes how we may use and share your health information and explain your privacy rights. I will use or disclose your information only as described in this notice. However, I reserve the right to change my privacy practices and the terms of this notice and to make new provisions effective for all health information that I maintain. Revisions will be posted in the waiting area, and will make a copy of the revisions available to you upon request.

   If at any time you have any questions or concerns about the information in this notice or about this office’s privacy policies, procedures, or practices, you may contact me at (504-236-5094)

Use and Disclosure of Protected Health Information without Authorization 

   The law permits this office to use or disclose your health information with your written consent or authorization for all of the following purposes: 

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Treatment- I may use health information about you to provide treatment and services. I may disclose your health information to others who are involved in your treatment. 

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Contacting you- I may contact you regarding an appointment, to respond to your contact, to notify you of your discharge, provided information about services that may be of interest to you, or assess satisfaction with on going treatment.

Other circumstances- In addition, I may use or disclose your health information for the following purposes without your consent or authorization:

1. as required or permitted by law (cooperation with law enforcement, court officials, or government agencies)

2. for health oversight activities (investigations, inspections, accreditation, licensure)

3. to avoid serious threat to health or safety

4. as authorized by worker’s compensation laws or similar programs that provide benefits for work-related injuries or illness

 

Use and Disclosure of Protected Health Information That Requires Your Authorization

    Except as provided in this Notice of Privacy Practices, I will not use or disclose your health information without your written authorization. If you sign authorization form, you may withdraw your authorization at any time, as long as your withdrawal is in writing.

You’re Rights Regarding Your Protected Health Information
   You have several rights with regard to your health information. Specifically, you have the right to:

 

• Obtain a paper copy of this notice. You may request a written copy at any time.

• Receive confidential communications. You have the right to request in writing so I can communicate to you in a certain format. I will accommodate all reasonable requests.

• Inspect and copy protected information. This right is subject to certain legal restrictions. For example, this right does not apply to psychotherapy notes or information compiled for judicial proceedings.

• You have a right to ask for restrictions on how your health information is used or to whom your information is disclosed. I am not required to agree to your requested restriction, but I will consider your request and the possibility of accommodating it.

• You have the right to request in writing that portions of your records be corrected when you feel information is incorrect or incomplete. Your request will be denied if the information was not created by me, you will need to contact the agency who created the mistake.

• You have a right to receive an accounting of disclosures of your health information made by our office, except for disclosures such as treatment, payment, office operations and certain other disclosures provided by law.