Privacy Policy

Tucson Gastroenterology Specialists

Notice of Privacy Practices for Protected Health Information

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 office is required by a federal regulation, known as the HIPAA Privacy Rule, to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices.  This office will not use or disclose your health information except as described in this Notice.

The office is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment, and health care operations.  Protected health information is the information we create and obtain in providing our services to you.  The health information about you is documented in a medical record and on a computer.  Such information may include documenting your symptoms, medical history, examination and test results, diagnoses, treatment, and applying for future care or treatment.  It also includes billing documents of those services.

Examples of uses of your health information for treatment purposes are:

  A nurse or medical assistant obtains treatment information about you and records it in a health record.

  During the course of your treatment, the physician determines he/she will need to consult with another specialist in the area or refer you for further testing, procedures etc., your information will be shared.

Example of use of your health information for payment purposes:

  We submit requests for payment to your health insurance company.  The health insurance company (or other business associate helping us obtain payment) requests health information from us regarding medical care given.  We will provide information to them about you and the care given, which may include copies or excerpts of your medical record which are necessary for payment of your account.  For example, a bill sent to your health insurance company may include information that identifies your diagnosis, and the procedures and supplies used. 

Example of use of your health information for health care operations:

  We obtain services from our insurers or other business associates (an individual or entity under contract with us to perform or assist us in a function or activity that necessitates the use or disclosure of health information) such as quality assessment, quality improvement, outcome evaluation, protocol and clinical guidelines development, training programs, credentialing, medical transcription, medical review, legal services and insurance.  We will share health information about you with our insurers or other business associates as necessary to obtain these services.  We require our insurers and other business associates to protect the confidentiality of your health information. 

Your Health Information Rights

The health and billing records we maintain are the physical property of the doctor’s office.  The information in it, however, belongs to you.  You have the right to:

  Request a restriction on certain uses and disclosures of your health information by delivering the request in writing to our office using the form we provide upon request -we are not required to grant the request but we will comply with any request granted;

  Obtain a paper copy of the Notice of Privacy Practices for Protected Health Information (“Notice”) by making a request at our office;

  Request that you be allowed to inspect and obtain a copy of your medical and billing record-you may exercise this right by delivering the request in writing to our office using the form we provide to you upon request;

  Appeal a denial of access to your protected health information except in certain circumstances;

  Request that your medical record be amended to correct incomplete or incorrect information by delivering a written request, including a reason to support it to our office using the form we provide to you upon request.  (We are not required to make such amendments);

  File a statement of disagreement if your amendment is denied, and require that the request for amendment and any denial be attached in all future disclosures of your protected health information;

  Obtain an accounting of disclosures of your health information as required to be maintained by law by delivering a written request to our office using the form we provide to you upon request.  An accounting will not include uses and disclosures of information for treatment, payment, or health care operations; disclosures or uses made to you or made at your request; uses or disclosures made pursuant to an authorization signed by you; or to family members or friends or uses relevant to that persons involvement in your care or in payment for such care; or uses or disclosures to notify family or others responsible for your care of your location, condition, or your death; we may charge a cost-based fee for more than one accounting in a 12 month period.

  Request that confidential communication of your health information be made by alternative means or at an alternative location by delivering the request in writing to our office using the form we provide to you upon request; and,

  Revoke authorizations that you made previously to use or disclose information except to the extent information or action has already been taken by delivering a written revocation to our office.

If you want to exercise any of the above rights, please contact the Privacy Officer, 520-327-3454,

3040 N. Swan Rd, Ste B Tucson AZ 85712 in person or in writing during our normal business hours.  Our Privacy Officer will provide you with assistance on the steps to take to exercise your rights.

You have the right to review this Notice before signing the acknowledgment authorizing use and disclosure of your protected health information for treatment, payment, and health care operations purposes.

Our Responsibilities

This office is required to:

  Maintain the privacy of your health information as required by law;

  Provide you with a notice as to our duties and privacy practices as to the information we collect and maintain about you;

  Abide by the terms of this Notice;

  Notify you if we cannot accommodate a requested restriction or request; and 

  Accommodate your reasonable requests regarding methods to communicate health information with you.

We reserve the right to amend, change, or eliminate provisions in our privacy practices and access practices and to enact new provisions regarding the protected health information we maintain.  If our information practices change, we will amend our Notice.  You are entitled to receive a revised copy of the Notice by calling and requesting a copy of our “Notice” or by visiting our office and picking up a copy.

To Request Information or File a Complaint

If you have questions, would like additional information, want to report a problem regarding the handling of your information, or if you believe your privacy rights have been violated and wish to file a written complaint with our office, please contact Misty Strout, Privacy Officer, 520-327-3454.  You may also file a complaint by mailing it or e-mailing it to the Secretary of Health and Human Services.

  We cannot, and will not, require you to waive your rights under the Privacy Rule including the right to file a complaint with the Secretary of Health and Human Services (HHS) as a condition of receiving treatment from the office.

  We cannot, and will not, retaliate against you for filing a complaint with the Secretary of Health and Human Services.

Other Disclosures and Uses We Can Make Without Your Written Authorization

Notification of Family/Friends

  Unless you object we may use or disclose your protected health information to notify, or assist in notifying, a family member, personal representative, or other person responsible for your care, about your location, and about your general condition, or your death. 

Communication with Family/Friends

  Using our best judgment, we may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or in payment for such care if you do not object or in an emergency.

Disaster Relief

  We may use and disclose your health information to assist in disaster relief efforts.

Employers 

  We may release health information about you to your employer if we provide health services to you at the request of your employer, and the health care services are provided either to conduct an evaluation relating to medical surveillance of the workplace or to evaluate whether you have a work-related illness or injury.  In such circumstances, we will give you written notice of such release of information to your employer.  Any other disclosures to your employer will be made only if you execute an authorization for the release of that information to your employer.

Deceased Persons

  We may disclose your health information to funeral directors, medical examiners, or coroners consistent with applicable law to allow them to carry out their duties.  This may be necessary, for example, to identify a deceased person or determine the cause of death.  We may also release health information about patients to funeral directors as necessary for them to carry out their duties.

Appointment Reminders, Marketing and Treatment Alternatives

  We may contact you to provide you with appointment reminders, with information about treatment alternatives, or with information about other health-related benefits and services that may be of interest to you.  

Food and Drug Administrations (FDA)

  We may disclose to the FDA your health information relating to adverse events with respect to food, supplements, products, and product defects, or post-marketing surveillance information to enable product recalls, repairs, or replacements.

Workers’ Compensation

  If you are seeking compensation through Workers’ Compensation, we may disclose your health information to the extent necessary to comply with laws relating to Workers’ Compensation.

Public Health

  As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability; to report reactions to medications or problems with products; to notify people or recalls; to notify a person who may have been exposed to a disease or who is at risk for contracting or spreading a disease or condition.  

Abuse, Neglect & Domestic Violence

  We may disclose your health information to public authorities as allowed by law to report abuse, neglect or domestic violence.

Sign in Sheet

  We may use and disclose your health information by having you sign in when you arrive at our office.  We may also call out your name when we are ready to see you.

Inmates

  If you are an inmate of a correctional institution or under the custody or a law enforcement officer, we may disclose to the institution or law enforcement  official health information necessary for your health and the health and safety of other individuals.

Law Enforcement

  We may disclose your health information for law enforcement purposes as required by law, such as when required by a court order; for identification of a victim of a crime if certain protective requirements are met; to report a crime on out premises; to report crime in emergencies; and other appropriate situations permitted by law.

Health Oversight

  We may disclose your health information to appropriate health oversight agencies or for health oversight activities.

Judicial/Administrative Proceedings

  We may disclose your health information in the course of any judicial or administrative proceedings as allowed or required by law or as directed by a proper court order or in response to a subpoena, with your authorization, discovery request or other lawful process if certain specific requirements are met.

Serious Threat

  To avert a serious threat to health or safety, we may disclose your health information consistent with applicable law to prevent or lessen a serious, imminent threat to the health or safety of a person or the public.

For Specialized Governmental Functions

  We may disclose your health information for specialized government functions as authorized by law such as to Armed Forces personnel, for national security purposes, or to public assistance program personnel.

Other Uses

  Other uses and disclosures of your health information besides those identified in this Notice will be made only as otherwise authorized by law or with your written authorization and you may revoke the authorization as previously provided in this Notice.

Research

  We may disclose your health information to our in-house research staff when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.  

EFFECTIVE DATE:  April 14, 2003

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