本通知描述您的医疗信息将如何被使用和披露，以及您如何获得这些信息. Please review it carefully. 如对本公告有任何疑问，请与国外正规买球app官方版下载的“隐私国外正规买球app官方版下载人”国外正规买球app官方版下载。 .

We are required by law to maintain the privacy of protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, 目前或未来的身体或精神健康或状况以及相关的保健服务或保健服务的支付.

本通知于2019年1月1日发布生效. 国外正规买球app官方版下载必须遵守本通知中现行有效的条款. We may change the terms of this Notice at any time. 新通知将对国外正规买球app官方版下载当时保存的所有受保护的健康信息有效. 你可透过本署网站取得任何经修订的通知书副本, 打电话给国外正规买球app官方版下载的隐私国外正规买球app官方版下载人，并要求通过邮件发送一份修改后的副本给您, or asking for one at the time of your next appointment.

1. USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION. 在治疗、支付或操作方面使用和披露受保护的健康信息 国外正规买球app官方版下载可能会使用或披露您受保护的健康信息进行治疗, 未经您授权的支付和本节第1部分所述的保健操作. 您受保护的健康信息可能会被您的医生或供应商使用和披露, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of the doctor or provider’s practice.

Following are the types and examples of uses and disclosures of your protected health care information that the doctor or provider’s office is permitted to make without your specific authorization. These descriptions and examples are not meant to be exhaustive, 而是描述国外正规买球app官方版下载办公室可能进行的使用和披露的类型. 在一般情况下, 关于国外正规买球app官方版下载提供的医疗服务的信息可能会被使用和披露, 但一些州的患者可能会发现，其他类型的受保护健康信息受州法律的附加规则的约束, as described in the table at the end of this Notice.

治疗: 国外正规买球app官方版下载将使用和披露您受保护的健康信息来提供, 协调, or manage your health care and any related services. 这包括与第三方协调或管理您的医疗保健, consultations with another doctor or provider, 或者你转诊到其他医生或医生那里进行诊断和治疗. 例如, a doctor or provider treating you may need to know if you have other health problems that might complicate your treatment and therefore may request your medical record from another health care provider that has provided treatment to you.

付款: 您受保护的健康信息可能被用于获取或为您的医疗服务提供支付, including disclosures to other entities. This may include certain activities that your health insurance plan may undertake before it approves or pays for the services we recommend for you such as making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you, and undertaking utilization review activities. 例如, 国外正规买球app官方版下载可能需要向您的保险公司提供有关您收到的一个程序的信息，以便您的保险公司将支付护理费用.

操作: 国外正规买球app官方版下载可能会使用或披露您受保护的健康信息，以支持您的医生或供应商的业务活动. These activities include, but are not limited to: quality assessment and improvement activities; reviewing the competence or qualifications of professionals; securing stop-loss or excess of loss insurance; obtaining legal services or conducting compliance programs or auditing functions; business planning and development; business management and general administrative activities, such as compliance with the Health 保险 Portability and Accountability Act; resolution of internal grievances; due diligence in connection with the sale or transfer of assets of your doctor or provider’s practice; creating de-identified health information; and conducting or arranging for other business activities. 例如, 国外正规买球app官方版下载可能会使用您的信息来评估国外正规买球app官方版下载的医生或医护人员在为您提供护理方面的表现. 除了, 国外正规买球app官方版下载可能会向其他提供商披露您受保护的健康信息, 健康计划, 或用于接收者有限操作目的的卫生保健交换所, as long as the other entity has, 或有, a relationship with you. Such disclosures will be limited to certain purposes, including: quality assessment and improvement activities, 与改善健康或减少保健费用有关的基于人口的活动, 病例管理, conducting training programs, 认证, 认证, 许可, credentialing activities, 以及医疗欺诈和滥用检测和合规项目.

Business Associates: 国外正规买球app官方版下载可能会将您受保护的健康信息与执行各种活动的第三方“业务伙伴”共享(e.g.、开票、抄写服务、会计服务、法律服务)为实务. 当国外正规买球app官方版下载的办公室与业务伙伴之间的安排涉及使用或披露您受保护的健康信息时, 国外正规买球app官方版下载将签订书面合同，其中包含保护您受保护的健康信息隐私的条款.

Treatment Alternatives and Health-Related Products and 服务: We may use or disclose your protected health information, 必要时, to provide you with information about a product or service to encourage you to purchase or use the product or services for the following limited purposes: (1) to describe our participation in a doctor or provider network or 健康计划 network, 或者描述如果, and the extent to which, a product or service (or payment for such product or service) is provided by our practice or included in a plan of benefits; (2) for your treatment; or (3) for your 病例管理 or care coordination, or to direct or recommend alternative treatments, 治疗方法, 医生或供应商, 或护理环境.

家人和朋友: We may provide your protected health information to individuals, such as family and friends, who are involved in your care or who help pay for your care. We may do this if you tell us we can do so, 或者，如果您知道国外正规买球app官方版下载正在与这些人共享您受保护的健康信息，而您并不反对. There may also be circumstances when we can assume, based on our professional judgment, that you would not object. 例如, 如果您的配偶和您一起进入检查室，国外正规买球app官方版下载可能认为您同意国外正规买球app官方版下载向您的配偶透露您的信息. 也, if you are not able to approve or object to a disclosure, 国外正规买球app官方版下载可能会向特定的个人(如家庭成员或朋友)披露信息, 国外正规买球app官方版下载认为这符合你的最大利益，并且与你的护理或护理费用有关. 例如, 国外正规买球app官方版下载可能会对你的最大利益做出专业判断，允许另一个人拿起诸如处方之类的东西, medical supplies and X-rays.

2. 受保护健康信息的其他允许使用和披露. 在下列情况下，国外正规买球app官方版下载可能在未经您允许的情况下使用或披露您受保护的健康信息, subject to all applicable legal requirements and limitations:

法律规定: As required by federal, state, or local law.

Public Health Activities: 一公共卫生机关从事下列公共卫生活动:预防或控制疾病, injury or disability; or to report births, 死亡, suspected abuse or neglect, non-accidental physical injuries, reactions to medications or problems with products.

Health Oversight Activities: To a health oversight agency for audits, 调查, 检查, 授权的目的, 或者某些政府机构监测医疗保健系统的必要条件, 政府项目, and compliance with civil rights laws.

Lawsuits and Disputes: In response to a 传票 or a court or administrative order, if you are involved in a lawsuit or a dispute, or in response to a court order, 传票, 保证, summons or similar process, if asked to do so by law enforcement.

执法部门: 以执法为目的，只要符合适用的法律要求.

Coroners, Medical Examiners and Funeral Directors: To a coroner or medical examiner, (必要时, 例如, 确认死者身份或确定死因)或给葬礼承办人, 必要时 to allow him/her to carry out his/her activities.

Organ and Tissue Donation: If you are an organ or tissue donor, to organizations that handle organ procurement or organ, eye or tissue transplantation, or to an organ donation bank, 必要时 to facilitate a donation and transplantation.

研究: For research purposes under certain limited circumstances. Research projects are subject to a special approval process. 因此, we will not use or disclose your protected health information for research purposes until the particular research project has been approved through this special approval process.

Serious Threat to Health or Safety; Disaster Relief: To appropriate individual(s)/organization(s) when necessary (i) to prevent a serious threat to your health and safety or that of the public or another person, 或(ii)确认, 定位, 或者通知你的家人或负责救灾工作的人.

Military and Veterans: 根据军事指挥或其他政府当局的要求，了解有关国内或外国武装部队成员的信息, if you are a member of the armed forces.

National Security; Intelligence Activities; Protective Service: To federal officials for intelligence, 反间谍, and other national security activities authorized by law, including activities related to the protection of the President, other authorized persons or foreign heads of state, or related to the conduct of special 调查.

Workers' Compensation: 为工人补偿或类似的工伤计划，在法律要求的范围内.

犯人: To a correctional institution (if you are an inmate) or a law enforcement official (if you are in that official’s custody) 必要时 (i) for the institution to provide you with health care; (ii) to protect your or others’ health and safety; or (iii) for the safety and security of the correctional institution.

3. 根据您的书面授权使用和披露受保护的健康信息. 本“通知”未涵盖的您受保护的健康信息的所有其他使用和披露，仅在获得您的书面授权后才能进行. We would seek your authorization, 例如, 如果国外正规买球app官方版下载想使用或披露您的健康信息用于研究或营销目的. 在某些情况下, 联邦和州法律可能需要您的授权，国外正规买球app官方版下载才能披露特别保护的健康信息. 可能受到特殊保护的受保护健康信息的例子包括涉及精神健康的受保护健康信息, 艾滋病毒/艾滋病, 生殖健康, sexually transmitted or other communicable diseases, and alcohol or drug abuse. 国外正规买球app官方版下载可能会在法律允许的范围内披露受特别保护的健康信息，或在获得必要授权后与您国外正规买球app官方版下载.

您可以随时以书面形式通知国外正规买球app官方版下载的隐私国外正规买球app官方版下载人，撤销任何授权. If you revoke your authorization, 国外正规买球app官方版下载将不再使用或披露您受保护的健康信息用于您先前批准的目的, except to the extent that your doctor or provider or the provider’s practice has taken an action in reliance on the use or disclosure indicated in the authorization.

4. 你的权利. 以下是关于您在受保护的健康信息方面的权利的声明，并简要说明您可以如何行使这些权利.

您有权检查和复制受保护的健康信息. 这意味着您可以检查并获取图表中包含的有关您的受保护运行状况信息的副本, 包括医疗和账单记录，以及你的医生或提供者和执业机构用于对你做出决定的任何其他记录. 访问您受保护的健康信息的请求必须以书面形式提出，并提交给国外正规买球app官方版下载的隐私国外正规买球app官方版下载人. 国外正规买球app官方版下载可能会向您收取复印、邮寄或相关用品的费用.

根据联邦法律, 然而, you may not inspect or copy certain records, including: information compiled in reasonable anticipation of, 或使用, 民事, 刑事, or administrative action or proceeding; and protected health information that is subject to law that prohibits access to protected health information. 根据具体情况，拒绝访问的决定可能是可审查的. 在某些情况下，您可能有权要求复查此决定. 如果您对获取您的医疗记录有疑问，请国外正规买球app官方版下载的隐私国外正规买球app官方版下载人.

您有权要求限制您受保护的健康信息. 这意味着您可以要求国外正规买球app官方版下载不为治疗目的使用或披露您受保护的健康信息的任何部分, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice. You may make this request by submitting a written request to our Privacy 国外正规买球app官方版下载 that states the specific restriction requested and to whom you want the restriction to apply.

您的医生或提供者不需要同意您可能要求的限制, unless you request to restrict the disclosure of your protected health information to a 健康计划 for the purpose of carrying out payment or health care operations and the protected health information relates only to a health care item or service for which you have paid us in full out of your pocket (not through insurance), in which case we will accept such restriction request. 如果你的医生或提供者同意要求的限制, 除非需要提供紧急治疗，否则国外正规买球app官方版下载不会违反该限制使用或披露您受保护的健康信息. 考虑到这一点，请与国外正规买球app官方版下载的隐私国外正规买球app官方版下载人讨论您希望要求的任何限制.

您有权要求以其他方式或在其他地点接收国外正规买球app官方版下载的保密通信. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. 国外正规买球app官方版下载不会要求你解释这个要求的依据. Please make this request in writing to our Privacy 国外正规买球app官方版下载.

您可能有权要求修改您受保护的健康信息. This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. 如果您对修改您的医疗记录有任何疑问，请国外正规买球app官方版下载的隐私国外正规买球app官方版下载人. 您可以通过向国外正规买球app官方版下载的隐私国外正规买球app官方版下载人提交书面请求，要求修改您的医疗记录.

贵方有权收到我方所披露的某些信息, 如果有任何, of your protected health information. 这项权利适用于治疗以外的披露目的, payment or healthcare operations as described in this Notice. It also excludes disclosures we may have made to you, for a facility directory, to family members or friends involved in your care, or for notification purposes, 您已签署授权的披露和某些其他披露. You have the right to receive specific information regarding these disclosures that occurred after during the six years prior to the date of your request. You may request a shorter timeframe. 接收此信息的权利受到某些例外、限制和限制. 要要求对披露进行核算，请向国外正规买球app官方版下载的隐私国外正规买球app官方版下载人提交一份书面请求.

您有权获知任何未经授权披露您的无安全保护的健康信息的情况. 这意味着，如果国外正规买球app官方版下载或国外正规买球app官方版下载的服务提供商不恰当地允许访问您的不安全健康信息，从而损害该信息, we will provide you timely notice of that breach.

你有权向国外正规买球app官方版下载索取本通知的书面副本，即使您已同意以电子方式接受本通知.

5. 投诉. 如果您认为国外正规买球app官方版下载侵犯了您的隐私权，您可以向国外正规买球app官方版下载或卫生与公众服务部部长投诉. 您可以通过通知国外正规买球app官方版下载的“隐私国外正规买球app官方版下载人”您的投诉向国外正规买球app官方版下载提出投诉. We will not retaliate against you for filing a complaint. 你可以国外正规买球app官方版下载的私隐联络人以获得更多有关投诉过程的资料.

6. 进一步限制. 在某些情况下, 联邦和州法律可能需要您的授权，国外正规买球app官方版下载才能披露特别保护的健康信息. 可能受到特殊保护的受保护健康信息的例子包括涉及精神健康的受保护健康信息, 艾滋病毒/艾滋病, 生殖健康, sexually transmitted or other communicable diseases, and alcohol or drug abuse. 国外正规买球app官方版下载可能会在法律允许的范围内披露受特别保护的健康信息，或在获得必要授权后与您国外正规买球app官方版下载.

Unless we obtain your specific authorization, 国外正规买球app官方版下载只能在有限的情况下向特定的接受者披露以下类型的受保护健康信息:

您还可能有权要求国外正规买球app官方版下载限制披露下列类型的受保护健康信息: