Privacy Policy & H.I.P.P.A. Statement
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 IT CAREFULLY.
THIS NOTICE IS EFFECTIVE 1/14/04 UNTIL FURTHER NOTICE.
Right to Notice As a patient, you have the right to adequate notice of the uses
and disclosures of your protected health information. Under the Health Insurance
Portability and Accessibility Act (HIPAA), Seaman Chiropractic Center can use your
protected health information for treatment, payment and health care operations.
a) Treatment - We may use or disclose your health information to a physician or
other healthcare provider providing treatment to you.
b) Payment - We may use and disclose your health information to obtain payment
for services we provide you.
c) Health care operations - We may use and disclose your health information in
connection with our healthcare operations. Healthcare operations include quality
assessment and improvement activities, reviewing the competency or qualifications
of healthcare professionals, evaluating provider performance, conducting training
programs, accreditation, certification, licensing or credentialing activities.
Your Authorization
Most uses and disclosures that do not fall under treatment,
payment, health care operations will require your written authorization. Upon
signing, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations In the event of your incapacity or an emergency situation,
we will disclose health information to a family member, or another person responsible
for your care, using our professional judgment. We will only disclose health
information that is directly relevant to the person's involvement in your healthcare.
Marketing
We will not use your health information for marketing communications without
your written authorization.
Required by Law
We may also use or disclose your health information when we are required
to do so by law.Abuse or Neglect We may disclose your health information to appropriate
authorities if we reasonably believe that you are a possible victim of abuse, neglect,
or domestic violence or the victim of other crimes. We may disclose your health
information to the extent necessary to avert a serious threat to your or other
people's health or safety.
National Security
We may disclose the health information of Armed Forces personnel
to military authorities under certain circumstances. We may disclose health information
to authorized federal officials required for lawful intelligence, counterintelligence
and other national security activities. We may disclose health information of inmates
or patients to the appropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provide
you with appointment reminders via phone, e-mail or letter.
Your Rights as a Patient
You have the right to restrict the disclosure
of your protected health information (in writing). The request for restriction
may be denied if the information is required for treatment, payment or health
care operations.
You have the right to receive confidential communications
regarding your protected health information.
You have the right to inspect and copy your protected health information.
You have the right to amend your protected health information.
You have the right to receive an account of disclosures of your
protected health information.
You have the right to a paper copy of this notice
of privacy practices.
Legal Requirements
Seaman Chiropractic Center is required by law to maintain the privacy
of your protected health information. We are required to abide by the terms of this
notice as it is currently stated, and reserve the right to change this notice. The
policies in any new notice will not be in effect until they are posted to this site,
or are available within our office.
Complaints
If you have complaints regarding the way your protected health information
was handled, you may submit a complaint in writing to our office. You will not be
retaliated against in any manner for a complaint.
Contact Information
For further information about Seaman Chiropractic Center's privacy
policies, please contact Dr. Cynthia Seaman at the following address or phone number:
Seaman Chiropractic Center
4941 W. Foster Ave.
Chicago, IL, 60630
773-545-2233
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Seaman Chiropractic
4941 W. Foster Ave.
Chicago, IL 60630
Phone: 773-545-2233
Fax: 773-545-8383
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Privacy Policy & HIPPA
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