Patient Information

Patient Privacy Policy

Bay Oral & Maxillofacial Surgery, Ltd.

SUMMARY OF PRIVACY PRACTICES

 

            This summary of our privacy practices contains a condensed version of our Notice of Privacy Practices.  Our full-length Notice is available at the front desk or by contacting the office manager.

 

Date of Last Revision:  02/06/03                                                              Effective Date: Immediately

 

This information is made available on request by a patient

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. REVIEW IT CAREFULLY.

 

            We understand that your medical information is personal to you, and we are committed to protecting the information about you.  As our patient, we create medical records about your health, our care for you, and the services and/or items we provide to you as our patient. By law, we are required to make sure that your protected health information is kept private.

 

            How will we use or disclose your information?  Here are a few examples (for more detail please refer to the Notice of Privacy Practices):

 

§    For medical treatment

§     For workers' compensation programs

§    To obtain payment for our services

§    To avert a serious threat to health or safety

§    In emergency situations

§     For appointment and patient recall reminders

§    To run our Practice more efficiently and

       ensure all our patients receive quality care

§    In response to certain requests arising

       out of lawsuits or other disputes

 

If you believe your privacy rights have been violated, you may file a complaint with the Practice or with the Secretary of the Department of Health and Human Services.  To file a complaint with the Practice, contact our office manager.  All complaints must be submitted in writing.  You will not be penalized for filing a complaint.

 

You have certain rights regarding the information we maintain about you.  These rights include:

 

§    The right to inspect and copy

§    The right to request restrictions

§    The right to amend

§    The right to a paper copy of this notice

§    The right to an accounting of disclosures

§    The right to request confidential    

        communications

           

For more information about these right please see the detailed Notice of Privacy Practices which may be obtained from the Front Desk or from our Office Manager.