STARKVILLE PREGNANCY CARE CENTER
Notice of Privacy Practices
Effective Date: April 11, 2016
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
OUR COMMITMENT TO PROTECTING HEALTH INFORMATION ABOUT YOU
We are committed to protecting your health information. Health information is information that identifies a patient, or where there is a reasonable basis to believe the information can be used to identify a patient. This information is called Protected Health Information (PHI). This Notice describes your rights as our patient and our obligations regarding the use and disclosure of PHI. We will:
We reserve the right to make changes to this Notice and to make such changes effective for all PHI we may already have about you. If and when this Notice is changed, we will post a copy in our office in a prominent location. We will also provide you with a copy of the revised Notice upon your request made to our Privacy Officer.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to:
HOW WE USE AND DISCLOSE YOUR HEALTH INFORMATION
We only use or disclose your PHI as outlined in this Notice. In some cases you must authorize the disclosure. In other cases, we can disclose your health information without your consent or authorization.
USE AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION
TREATMENT: We may use your PHI for our treatment activities, such as disclosing it to other healthcare providers as helpful to treat you.
HEALTHCARE OPERATIONS: We may use and disclose your PHI to manage our program operations, such as reviewing the quality of services you receive or to promote internal training and certification of our personnel
BUSINESS ASSOCIATES: We may disclose your PHI to organizations that help us with our work. We have a written agreement that requires these organizations to use your PHI for only the reasons necessary to do the work, and protect it from other uses or disclosures, just like we do.
TO CONTACT YOU: We may use the information in your health records to contact you concerning appointments or if we have information about treatment or other health-related benefits and services that may be of interest to you.
OTHER PERMITTED USES AND DISCLOSURES
We are allowed to use or disclose your health information for other purposes without your consent or authorization. In our experience such disclosures are rare, and the limited information we maintain is generally not applicable. However, when authorized by law, and to the extent we may have the information, we may disclose it to:
USE AND DISCLOSURES WITH YOUR AUTHORIZATION
Other uses and disclosures of your personal information require your written authorization. You may revoke your authorization at any time by doing so in writing. All written requests can be submitted or sent to our Privacy Officer at the address listed below.
HOW YOU CAN REACH US
If you would like additional information about our privacy practices, or if you believe your privacy rights have been violated, you may file a complaint by contacting the Starkville Pregnancy Care Center Privacy Officer at 662-324-7011. A written notice or request can be sent to P.O.Box 487, Starkville MS, 39760.
Starkville Pregnancy Care Center does not retaliate against people who file a complaint.