It is your right as a patient to inspect and obtain a copy of the medical information that may be used to make decisions about your care.
If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information.
You have the right to request an “accounting of disclosures” report. This is a list of the disclosures we have made of your medical information other than for our own uses for treatment, payment, and healthcare operations.
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or healthcare operations.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
You have the right to a paper copy of the complete privacy notification policy. You may ask for a copy of that policy at any time.
We may make changes, revisions or amendments to this policy at any time. Copies of the current notice are available at any time. The notice will be effective for medical information we already have about you in addition to any information we receive in the future. If you believe your rights have been violated, you may file a complaint with the medical practice by contacting Scott Johnson, Privacy Officer at 352-331-8902. If you are not satisfied with the way our practice has handled your complaint, you may submit a formal complaint to:
Department of Health and Human Services
Office of Civil Rights
Hubert H. Humphrey Building
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, D.C. 20201
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
For additional information: See the U.S. Dept. of Health and Human Services/AMA website for more answers to your HIPPA privacy questions: www.ama-assn.org