Rutherford OB-GYN Associates, P.A.
NOTICE OF PATIENT INFORMATION PRACTICES
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Please read carefully.
RUTHERFORD OB-GYN ASSOCIATES LEGAL DUTY
Rutherford OB-GYN Associates is required by law to protect the privacy of your personal health information, provide this notice about our information practices and follow the information practices that are described below.
UNDERSTANDING HEALTH INFORMATION
Each time you visit our practice, a record of the visit is made. Typically this record contains your history, symptoms, examination and test results, diagnoses, treatment and a plan for your future care or treatment. This information, often referred to as your health or medical record, serves as a:
Understanding what is in your record and how your health information is used helps you to ensure it is correct, better understand how your health information is shared with others and allows you to make informed decisions when authorizing disclosure to others.
We will not use or disclose your health information without your authorization except as described in this notice.
HOW WE WILL USE OR DISCLOSE HEALTH INFORMATION
Treatment: We will use for health information for treatment. For example, we will record information we obtain during the visit in the medical record and share this information with other members of your healthcare team. We may provide a copy of your health information to other physicians that we refer you to assist them in treating you.
Payment: We will use your health information for payment. For example, a bill may be sent to your insurance company or third-party payer that includes information about the date you or your child was seen, the diagnosis and the services we provided.
Health Care Operations: We will use your health information for regular health operations. For example, we may use the information in the record to assess the care and treatments provided in our practice.
Business Associates: There are some services provided in our practice through contacts with business associates. Examples include our accountants, consultants and attorneys. When these services are provided, we may disclose health information to our business associates so they can perform the job we have asked them to do. To protect your information, we will require they appropriately protect this information.
Communication with Family: Health professionals, using their best judgment, may disclose to a family member, other relative or close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment of services provided.
Research: We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established methods to ensure the privacy of the information.
Funeral Directors: We may disclose health information to funeral directors and coroners to carry out the duties consistent with the law.
Organ Procurement Organizations: Consistent with the law, we may disclose health information to organ procurement organizations for their designated services.
Marketing: We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs or replacement.
Workers Compensation: We may disclose health information to the extent authorized by state law governing workers compensation health care services.
Public Health: As required by law, we may disclose health information to public health officials charged with preventing or controlling disease, injury or disability. For example, we are required to report certain communicable diseases we provide treatment for.
Correctional Institution: We may disclose to correctional institutions information regarding the care we have given when they are responsible for you.
Law Enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.
Reports: We may disclose health information when directed by the appropriate federal oversight agency related to any complaints, surveys or requests.
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the physical property of the practice, the information in the health record belongs to you. You have the following rights:
CONCERNS AND COMPLAINTS
If you are concerned that Rutherford OB-GYN Associates may have violated your privacy rights or if you disagree with any decisions we have made regarding access or disclosure of your personal health information, please contact our privacy officer at the address listed below. You may also send a written complaint to the US Department of Health and Human Services. For further information on Rutherford OB-GYN Associates health information practices or if you have a complaint, please contact the following person:
Rutherford OB-GYN Associates
446 NC 108 Hwy
Rutherfordton , NC 28193
(828) 287-7383 or (800) 422-8716
CHANGES TO THIS POLICY
Rutherford OB-GYN Associates may change or update this policy at any time. When changes are made, a new “Notice of Information Practices” will be posted in the waiting room and will be provided at your next visit. You may also request an updated copy of our notice at any time.