NOTICE OF PRIVACY PRACTICES

This Notice Describes How Medical Information About You May Be Used And Disclosed And How You Can Get Access To This Information.

(Please Review This Document Completely)

 Uses and Disclosures of Your Protected Health Information

Protected Health information (PHI) includes demographic and medical information that concerns the past, present, or future physical or mental health of an individual. Demographic information could include your name, address, telephone number, and any other means of identifying you as that specific person. Protected health information contains specific information that identifies a person or can be used to identify a person.

PHI is health information created or received by a health care provider, health plan, employer, or health care clearinghouse. Alabama Dermatology and Skin Specialists (ADSS) falls under the health care provider category. This medical information is used by ADSS in many ways while performing normal business activities related to health care services provided to you. Your PHI may be used or disclosed by ADSS for purposes of treatment, payment, healthcare operations, and any other use required or permitted by law.

ADSS may disclose your PHI without your authorization in the following situations as required by law: public health issues, communicable diseases, abuse or neglect, legal proceedings, worker’s compensation, and to the Alabama Secretary of the Department of Health and Human Services. This list is not exhaustive but provides examples of certain situations that require our legal compliance.

Any disclosure not required by law will be made only with your consent, authorization, or opportunity to object. You may revoke any previously given authorization at any time in writing.

Your Rights

You have the right to inspect and copy your PHI (fees may apply). There are certain exceptions, and should these be applicable to your individual situation, the matter will be fully discussed.

You have the right to request a restriction of your PHI, but the restriction must state the specific restriction requested and to whom you want the restriction to apply.

You have the right to request an amendment to your PHI. If this request is denied at our end, you have the right to file a statement of disagreement. ADSS may prepare a rebuttal to your statement, and you will be provided with any such rebuttal.

You have the right to receive a paper copy of this notice upon request.

You have the right to complain to ADSS or the Alabama Secretary of Health and Human Services if you believe your privacy rights have been violated or compromised. You may file a complaint with our Compliance Officer.

We are required by law to maintain the privacy of and provide individuals with this notice of our legal duties and obligations with respect to protected health information. If you have any questions in reference to this notice, please ask to speak with our HIPAA Compliance Officer in person or by phone.