* This notice describes how your health information may be used and disclosed and how you can
access this information. Please review it carefully.
* At DR BRAD WILLIAMS PC, we have always kept your health information
secure and confidential. A new law requires us to continue maintaining your privacy, to give you this notice and to follow
the terms of this notice.
* The law permits us to use or disclose your health information to those involved in your
treatment. For example, a review of your file by another physician we may involve in your care.
* We may use or disclose
your health information for payment of your services. For example, we may send a report of your progress to your insurance
company.
* We may use or disclose your health information for our normal healthcare operations. For example, one of
our staff will enter your information into our computer.
* We may share your medical information with our business associates,
such as a billing service. We have a written contract with each business associate that requires them to protect your privacy.
*
We may use your information to contact you. For example, we may call to confirm your appointments. If you are not at home,
we may leave this information on your answering machine or with the person who answers the phone.
* In an emergency,
we may disclose your health information to a family member or another person responsible for your care.
* We may release
some or all of your health information when required by law.
* If this practice is sold, your information will become
the property of the new owner.
* Except as described above, this practice will not use or disclose your health information
without your prior written authorization.
* You may request in writing that we not use or disclose your health information
as described above. We will let you know if we can fulfill your request.
* You have the right to know of any uses or
disclosures we make with your health information beyond the above normal uses.
* As we will need to contact you from
time to time, we will use whatever address or telephone number you prefer.
* You have the right to transfer copies of
your health information to another practice. We will fax your files to the doctor's office for you at no charge.
* You
have the right to see and receive a copy of your health information, with a few exceptions. Give us a written request regarding
the information you want to see. If you also want a copy of your records, we will charge you a reasonable fee for the copies.
*
You have the right to request an amendment to your health information. Give us your request to make changes in writing. If
you wish to include a statement in your file, please give it to us in writing. We will include your statement in your file.
If we agree to an amendment, we will not remove nor alter earlier documents, but will add new information.
* You have
the right to receive a copy of this notice.
* If we change any of the details of this notice, we will notify you of
the changes in writing.
* If you have a complaint, please contact our office and ask for the office manager. Your conversation
will be confidential, your name will not be shared with employees and you will not be retaliated against for filing a
complaint. You may file a complaint regarding your personal health information with
the Department of Health and Human Services, 200 Independence Avenue, S.W., Room 509F, Washington, DC 20201. You will not
be retaliated against for filing a complaint. However, before filing a complaint, or for more information or assistance regarding
your health information privacy, please contact our office at the address above.