Campus Physical Therapy Center - Privacy Practice
This Notice is mandated by the Federal Government
This notice takes effect on April 14, 2003 and remains in effect until
we replace it. The privacy of your medical information is important to
us. We understand that your medical information is personal and we are
committed to protecting it. We create a record of the care and services
you receive at our organization. We need this record to provide you with
quality care and to comply with certain legal requirements. This notice
will tell you about the ways we may use and share medical information
about you. We also describe your rights and certain duties we have
regarding the use and disclosure of medical information. Law Requires Us
to: 1. Keep your medical information private. 2. Give you this notice
describing our legal duties, privacy practices, and your rights
regarding your medical information. 3. Follow the terms of the notice
that is now in effect. We Have the Right to: 1. Change our privacy
practices and the terms of this notice at any time, provided that the
changes are permitted by law. 2. Make the changes in our privacy
practices and the new terms of our notice effective for all medical
information that we keep, including information previously created or
received before the changes. Notice of Change to Privacy Practices: 1.
Before we make an important change in our privacy practices, we will
change this notice and make the new notice available upon request.The
following section describes different ways that we use and disclose
medical information. Not every use or disclosure will be listed.
However, we have listed all of the different ways we are permitted to
use and disclose medical information. We will not use or disclose your
medical information for any purpose not listed below without your
specific written authorization. Any specific written authorization you
provide may be revoked at any time by writing to us. FOR TREATMENT: We
may use medical information about you to provide you with medical
treatment or services. We may disclose medical information about you to
doctors, nurses, technicians, medical students, or other people who are
taking care of you. We may also share medical information about you to
your other health care providers to assist them in treating you. FOR
PAYMENT: We may use and disclose your medical information for payment
purposes. FOR HEALTH CARE OPERATIONS: We may use and disclose your
medical information for our health care operations. This might include
measuring and improving quality, evaluating the performance of
employees, conducting training programs, and getting the accreditation,
certificates, licenses and credentials we need to
serve you.
1. OUR PLEDGE REGARDING MEDICAL INFORMATION
2. OUR LEGAL DUTY
3. USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION
In addition to using and disclosing your medical information for
treatment, payment, and health care operations, we may use and disclose
medical information for the following purposes.
Facility Directory: Unless you notify us that you object, the following
medical information about you will be placed in our facilities'
directories: your name; your location in our facility; your condition
described in general terms; your religious affiliation, if any. We may
disclose this information to members of the clergy or, except for your
religious affiliation, to others who contact us and ask for information
about you by name. Notification: Medical information to notify or help
notify: a family member, your personal representative or
another person responsible for your care. We will share information
about your location, general condition, or death. If you are present, we
will get your permission if possible before we share, or give you the
opportunity to refuse permission. In case of emergency, and if you are
not able to give or refuse permission, we will share only the health
information that is directly necessary for your health care, according
to our professional judgment. We will also use our professional judgment
to make decisions in your best interest about allowing
someone to pick up medicine, medical supplies, x-ray or medical
information for you. Disaster Relief: Medical information with a public
or private organization or person who can legally assist in
disaster relief efforts. Fundraising: We may provide medical information
to one of our affiliated fundraising foundations to contact you for
fundraising purposes. We will limit our use and sharing to information
that describes you in general, not personal, terms and the dates of your
health care. In any fund raising materials, we will provide you a
description of how you may choose not to receive future fund raising
communications.