Notice of Privacy Practices International Institute of Sleep, Inc., and American CPAP Specialists
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.
This notice is effective as of MAY 1, 2006. International Institute of Sleep is required by the law to maintain the privacy of protected health information, and must inform you of our privacy practices and legal duties. You have the right to obtain a full version paper copy of this Notice upon request.
We are required to abide by the terms of the Notice of Privacy Practices that is most current. We reserve the right to change the terms of the Notice at any time. Any changes will be effective for all protected health information that we maintain. The revised Notice will be posted in the waiting room. You may request a copy of the revised Notice at any time.
We have designated a Privacy Officer to answer your questions about our privacy practices and to ensure that we comply with applicable laws and regulation. The Privacy Officer will also take your complaints and can give you information about how to file a complaint. Our Privacy Officer is Glenn Becker. You can contact the Privacy Officer by phone at 954-481-8467 during regular business hours.
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION
- We may use information in your record to provide treatment to you. We may disclose information in your record to help you get health care services from another provider, a hospital, etc. For example, if we want an opinion about your condition from a specialist, we may disclose information to the specialist to obtain that consultation.
- We may use or disclose information from your record to allow “health care operations.” These operations include activities like reviewing records to see how care can be improved, contacting you with information about treatment alternatives, and coordinating with other providers. For example, we may use information in your record to train our staff about your condition and its treatment.
- You may ask us to restrict the use and disclosure of certain information in your record that would otherwise be allowed for treatment, payment, or health care operation. However, we do not have to agree to these restrictions.
- You have the right to receive confidential communications from us. For example, if you want to receive bills and other information at an alternate address, please notify us.
- You have the right to inspect the information in your record, and may obtain a copy of it. This may be subject to certain limitations and fees. Your request must be in writing. If you believe information in your record is inaccurate or incomplete, you may request for amendment. Your request must be in writing.
- You have the right to request an accounting of certain disclosures made by us.
- You have the right to complain to us about our privacy practices (including the actions of our staff with respect to the privacy of your health information).
- You have the right to complain to the Secretary of the Department of Health and Human Services about our privacy practices. You will not face retaliation from us for making complaints.