805 Burkesville Street, Columbia, KY 42728
· Treatment: We may send you medical record information to a specialist or physician as part of referral for continuity of care.
· Payment: We will use your health information and other identifying information for billing Medicare, Medicaid, or other health plans.
· Operations or administrative purposes: We use your information when processing your medical records for completeness and to compare patient data to improve our treatment methods.
As a healthcare provider, we are subject to certain requirements in which we have to disclose your health information. These disclosures are generally routine to all patients and are done without your specific authorization for several reasons.
· State and Federal laws require us to report cases of abuse, neglect, or other reasons requiring law enforcement
· Public health activities
· Health oversight agencies
· Judicial and administrative proceedings
· Death and funeral arrangements
· Organ donation
· Special government functions including military and veteran requests
· The referral of a patient for healthcare from one healthcare provider to another
· Consultation between healthcare providers relating to a patient
· To prevent serious threat to health or public safety
We may also contact you after a visit for future appointment reminds or to provide you with treatment information. Do remember, if you authorize us to release your information, you always have the right to revoke that authorization except to the extent that we may have already acted.
· Access to your Health Information: In most cases, you have the right to look at or receive a readable hard copy of your health information. It may take up to 30 days to prepare.
· Accounting of disclosure: You have the right to ask for a list of instances in which we have disclosed your information for reasons other than treatment, payment, and operations. We can provide one list per year without charge.
· Amendment/Correction of Health Information: If you believe that the information we have about you is incorrect or if important information is missing, you have the right to request that we amend the existing information. There may be a reason that we cannot honor this request for which you submit a statement of disagreement.
· Restrictions on Use/Disclosure of Your Health Information: You can request in writing that we not use or disclose your information for any reasons in this document or to persons involved in your care except when specifically authorized by you or when required by law, or in emergency circumstances. We are not legally required to accept such a request, but we will try to honor any reasonable request.
· Alternate/Confidential Communications: You can request that your health information be communicated to you at an alternate location or address from which you have registered with such as sending mail to an address other than your home.
We are required by law to protect the privacy of your information. We are providing this notice to you so that we can explain what our privacy practices are. We will follow the practices described in this notice. We reserve the right to change our policies and notice of privacy practices at any time. If we should make a significant change in our policies, we will change this notice and post the new notice within 60 days effective date of such revision, amendment, or change. You can also request a copy of our notice.
For more information about our privacy practices or to report a concern or conflict, call the number listed below:
New Path Medical Center
Privacy Officer
(270) 384-0233
If you prefer to report an anonymous concern you may call 1-877-508-LIFE(5433). You may also send a written notice to the United States Department of Health and Human Services if you feel we have not properly handled your complaint. You can use the contact above to provide you with the appropriate DHHS address. Under no circumstance will you be retaliated against for reporting a concern or filing a complaint.
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