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NOTICE OF PRIVACY POLICIES FOR Savannah Neurology Specialists, P.C.

This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Introduction

At Savannah Neurology Specialists, P.C., we are committed to treating and using protected health information about you responsibly. This Notice of Health Information Practice describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is effective April 14, 2003, and applies to all protected health information as defined by federal regulations.

Understanding Your Health Record/Information

Each time you visit Savannah Neurology Specialists, P.C. a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:

  • Basis for planning your care and treatment,

  • Means of communication among the many health professionals who contribute to your care,

  • Legal document describing the care you received,

  • Means by which you or a third-party payer can verify that services billed were actually provided,

  • A tool in educating health professionals,

  • A source of data for medical research,

  • A source of information for public health officials charged with improving the health of this state and the nation,

  • A source of data for our planning and marketing,

  • A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve.

Understanding what is in your record and how your health information is used helps you to: ensure its accuracy, better understand who, what, when, where and why others may access your health information, and make more informed decisions when authorizing disclosure to others

Your Health Information Rights

Although your health record is the physical property of Savannah Neurology Specialists, P.C., the information belongs to you. You have the right to:

  • Obtain a paper copy of this notice of information practices upon request,

  • Inspect and copy your health record.

  • Amend your health record.

  • Obtain an accounting of disclosures of your health information: To do this, please contact Savannah Neurology Specialists, P.C.’s Privacy Officer. This information will be provided to you within 30 days.

  • Request a restriction on certain uses and disclosures of your information.

  • Revoke your authorization to use or disclose your health information.

Our Responsibilities

Savannah Neurology Specialists, P.C. is required to:

  • Maintain the privacy of your health information,

  • Provide you with this notice about our privacy practices,

  • Abide by the terms of this notice,

  • Notify you if we are unable to agree to a requested restriction, and

  • Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.

We will not use or disclose your health information without your authorization, except as described in this notice. To revoke your authorization, please put your request in writing to Savannah Neurology Specialists, P.C.

For More Information or to Report a Problem

If you have questions and would like additional information, you may contact the practice’s Privacy Officer at (912) 353- 3333.

If you believe your privacy rights have been violated, you can file a complaint with the practice’s Privacy Officer, or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the Privacy Officer or the Office for Civil Rights. The address for the OCR is listed below:

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