In 1996, the Federal Government established uniform privacy and security standards to protect patients’ medical information. The standard is known as the Health Insurance Portability and Accountability Act (HIPAA). The deadline for compliance is April 14, 2003.
The purpose of this notice is to ensure that you (the health-care recipient) or your designated representatives are aware of your rights to ensure the privacy of your healthcare information. RS Goldring Inc. retains the right to update this notice at any time. To obtain the most recent notice, please submit a request in writing to the Privacy Officer of RS Goldring Inc.
1. Privacy of the Patient Information
We have created a record of the services and treatment that you receive through RS Goldring Inc. The privacy of your medical information is important to us and we are committed to protect it. We are required by law to keep your medical information private and notify you of your legal rights and privacy practices.
2. Uses and Disclosure of Patient Information
Your medical information will be used for treatment, payment, and operations to maintain the highest quality of care possible. HIPAA allows disclosure of this information to your designated/authorized next of kin, licensed healthcare providers involved in your care, and other healthcare entities including insurance companies, state, and federal regulation agencies, as well as law enforcement agencies in the interest of public safety. If you are involved in a lawsuit or dispute, we may disclose medical information about you in response to a court or administrative order, subpoena, discovery request, or other lawful process. Any other uses and disclosures of your personal health information will be made only with your written authorization. You may revoke such authorization in writing, and we ate required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization. You, the patient, however, reserve the right in writing restrictions on certain uses and disclosures.
In addition to the above entities, RS Goldring Inc. may communicate with the following persons on my behalf for treatment and my health conditions: for example: Treating Physicians, Therapists, Billing Service Provider, School System.
3. Your rights regarding Medical Information About You
You have the right to inspect and copy your personal health information kept on file with RS Goldring Inc. You have the right to amend information we have about you that is incorrect or incomplete. You have a right to request restrictions on the medical information we use or disclose about you for treatment and payment. You have a right to an accounting of disclosures we made of medical information about you. All of the above request may be submitted in writing to the Privacy Officer of RS Goldring Inc. at the address listed above.
4. Patient's (or Designee's) Personal Communication
You may communicate confidential information, including services, to me by the following means: