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.
Uses and Disclosures
Treatment. Your health
information may be used by staff members or disclosed to other health care
professionals for the purpose of evaluating your health, diagnosing medical
conditions, and providing treatment. For
example, results of laboratory tests and procedures will be available in your
medical record to all health professionals who may provide treatment or who may
be consulted by staff members.
Payment. Your health
information may be used to seek payment from your health plan, from other
sources of coverage such as an automobile insurer, or from credit card
companies that you may use to pay for services.
For example, your health plan may request and receive information on
dates of service, the services provided, and the medical condition being treated.
Health care
operations. Your health information may be used as
necessary to support the day-to-day activities and management of Kyle D.
Parish, MD, PSC. For example,
information on the services you received may be used to support budgeting and
financial reporting, and activities to evaluate and promote quality.
Law enforcement. Your health
information may be disclosed to law enforcement agencies to support government
audits and inspections, to facilitate law-enforcement investigations, and to
comply with government mandated reporting.
Public health
reporting. Your health information may be disclosed to
public health agencies as required by law.
For example, we are required to report certain communicable diseases to
the state’s public health department.
Other uses and
disclosures require your authorization. Disclosure of your
health information or its use for any purpose other than those listed above
requires your specific written authorization.
If you change your mind after authorizing a use or disclosure of your
information you may submit a written revocation of the authorization. However, your decision to revoke the
authorization will not affect or undo any use or disclosure of information that
occurred before you notified us of your decision to revoke your authorization.
Additional Uses of
Information
Appointment
reminders. Your health information will be used by our
staff to send you appointment reminders.
Information about
treatments. Your health information may be used to send
you information that you may find interesting on the treatment and management
of your medical condition. We may also
send you information describing other health-related products and services that
we believe may interest you.
Fund raising. Unless you request us
not to, we will use your name and address to support our fund-raising
efforts. If you do not want to
participate in fund-raising efforts, please check off the following box
Please do not use
my information for fund raising purposes
Individual Rights
You
have certain rights under the federal privacy standards. These include:
Ø The right to request
restrictions on the use and disclosure of your protected health information
Ø The right to receive
confidential communications concerning your medical condition and treatment
Ø The right to inspect
and copy your protected health information
Ø The right to amend or
submit corrections to your protected health information
Ø The right to receive
an accounting of how and to whom your protected health information has been
disclosed
Ø The right to receive
a printed copy of this notice
Kyle D.
Parish, MD, PSC Duties
We are required by law to maintain the
privacy of your protected health information and to provide you with this
notice of privacy practices. We also are
required to abide by the privacy policies and practices that are outlined in
this notice.
Right
to Revise Privacy Practices
As permitted by law, we reserve the right to
amend or modify our privacy policies and practices. These changes in our policies and practices
may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the
most recently revised notice on any office visit. The revised policies and practices will be
applied to all protected health information we maintain.
Request
to Inspect Protected Health Information
You may generally inspect or copy the
protected health information that we maintain.
As permitted by federal regulation, we require that requests to inspect
or copy protected health information be submitted in writing. You may obtain a form to request access to
your records by contacting our receptionist or office manager. Your request will be reviewed and will generally
be approved unless there are legal or medical reasons to deny the request.
Complaints
If you would like to submit a comment or
complaint about our privacy practices, you can do so by sending a letter
outlining your concerns to:
Paula Medley, Office Manager
Kyle D. Parish, MD, PSC
1532 Lone Oak Road, Suite 305
Paducah, KY 42003
If you believe that your privacy rights have
been violated, you should call the matter to our attention by sending a letter
describing the cause of your concern to the same address. You will not be penalized or otherwise
retaliated against for filing a complaint.
Contact
Person
The name and address of the person you can
contact for further information concerning our privacy practices is:
Paula Medley, Office Manager
Kyle D. Parish, MD, PSC
1532 Lone Oak Road, Suite 305
Paducah, KY 42003
(270) 443-0010 ext. 103
Effective
Date: This notice is effective on or after January 7, 2008