Privacy Policy

Your information. Your rights. Our responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review carefully.

Your rights.
You have the right to:

• Ask to see or get a copy of your electronic medical record
• Request your electronic medical record be corrected
• Ask us not to share certain information for treatment and/or payment
• Get a list of those with whom we’ve share your information in the past 6 years
• Get a copy of this privacy notice
• Choose someone to act for you such as with a medical power of attorney
• File a complaint if you believe your privacy rights have been violated

Your choices
You have choices in the way we use and share information as we:

• Share information with your family, close friends or others involved in your care
• Share information in a disaster relief situation
• Provide mental health care

Our uses and disclosure
We may use and share your information as we:

• Treat you
• Run our organization
• Bill for our services
• Help with public health and safety issues
• Comply with the law
• Work with a medical examiner or funeral director
• Address worker’s compensation, law enforcement and government requests
• Respond to lawsuits and legal action
• Provide health information in such situations as preventing disease; helping with product recalls; reporting adverse reactions to medication: reporting suspected abuse, neglect, or domestic violence; preventing or reducing a serious threat to anyone’s health or safety
• Provide appointment reminders
• At your request, disclose your health information to a family member or other person if necessary to assist with your treatment and/or payment of services
• Use business associates who are required to safeguard your information under HIPAA to provide services in the operation of our organization

The privacy practices described here are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and are currently in effect. We reserve the right to change our privacy practices, and the terms of this Notice at any time, provided such changes are permitted by law. If changes are made, a new Notice will be displayed in our office and provided to patients. You may request a copy of our Notice at any time.

We will notify you any time your information may have been compromised through unauthorized acquisition, use or disclosure.

Questions and Complaints
If you want more information about our Notice of Privacy Practices or have questions or concerns, please contact us. If you have concerns relating to a perceived violation of your privacy rights, access to your health information, amending or restricting the use or disclosure of your health information or requesting alternative means of communication, please contact us.

Privacy Officer
Julie Rogers, PO Box 836, Rome, GA 30162
706.252.8117

If concerns have not been addressed by our office, you may contact:
Office of Civil Rights–SE Regional Office
US Department of Health and Human Services
800.368.1019
Email: ocrmail@hhs.gov