 Treatment may require that your information be disclosed to other health professionals that are involved in your care such as
specialists to whom you have been referred.
Payment includes such activities as submitting claims to your insurance company for reimbursement, confirming eligibility or
utilization review.
Health Care Operations include the business aspects of running our practice such as internal quality review, auditing functions or cost management analysis.
We may also contact you by phone, voicemail or mail to provide you with appointment reminders or information regarding your treatment.
Any other use and disclosure of your health information will be made only with your written authorization unless already authorized by law.
You have the following rights with respect to your protected health information. ( PHI )
The right to reasonable
requests to receive confidential communications of your PHI.
The right to inspect and
copy your PHI.
The right to receive an
accounting of disclosures of your PHI.
The right to request an
amendment of your PHI.
This NOTICE OF PRIVACY PRACTICES is effective April 1, 2003 and will remain in effect unless changed by law. We are required to abide by its terms. If you feel your privacy protections have been violated, you have the right
to file a formal, written complaint and forward it to the attention of the Privacy Officer at any of our clinic locations.
Thank you for taking the time to read over the NOTICE OF PRIVACY PRACTICES of Pace Pediatrics..
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