My Psychiatrist, Notice of Privacy Practices
Your Information. Your Rights. Our Responsibilities.
Get an electronic or paper copy of your medical records.
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this. We will provide a copy of the summary of your health information, usually within 30 days of your request. We may change a reasonable, cost-based fee.
Ask us to correct your medical record.
You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
You can ask us to contact you in a specific way (for example, by home or office phone) or to send mail to a different address.
We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
You can ask us not to use or share certain health information for treatment, payment, or our operations.
We are not required to agree to your request, and we may say “no” if it would affect your care.
If you pay for a service or health care item out-of-pocket in full, you can ask not to share that information for the purpose of payment or our operations with your health information.
Get a list of those with whom we’ve shared information
We will include all the disclosures except for those about treatment, payment, health care operations, and certain other disclosures (such as any you asked us to make).We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of these privacy notes
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
You can complain if you feel we have violated your rights by contacting us
You can file a complaint to the U.S Department of Health and Human visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
We will not retaliate against you for filing a complaint
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you
We can use your health information and share it with other professionals who are treating you.Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization.
We can use and share health information to run our practice, improve your care, and contact you when necessary
Example: We use health information about you to manage your treatment and services.
Bill for your services
We can use and share health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
How else can we use or share your health information?
We are allowed or required to share your information in other ways-usually in ways that contribute to the public good, such as public health and research. We must meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Privacy Officer
Ventre Medical Associates, LLC D/B/A My Psychiatrist
1400 E Oakland Park Boulevard,
Suite 209
Oakland Park, FL 33334
info@mypsychiatrist.com
