DALLAS DIETITIAN NUTRITIONIST Fatima Tai, MS, RDN, LD
NOTICE OF PRIVACY PRACTICES
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Effective Date: March 1, 2021
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 PRIVATE HEALTH INFORMATION (PHI)
Each time you have contact with a healthcare provider for delivery of healthcare, a record of your contact/visit is prepared. This record, maintained in written, oral or electronic format, contains presenting signs/symptoms, results of examination and tests, diagnoses, treatment, and future care.
Your medical record is the physical property of Dallas Dietitian Nutritionist, but you have certain rights to restrict some of the uses or disclosures of the information in your medical record. The provider, however, has the right to use and disclose the information contained in your medical record in the process of providing treatment, receiving payment and performing other regular health operations such as:
Protecting your privacy and maintaining the security of your health information is one of the most important responsibilities of Dallas Dietitian Nutritionist. The Provider is required by law to maintain privacy and confidentiality of your health information, provide you with this Notice of Privacy Practices, notify you of your rights to restrict the use of this information, notify you if the provider is unable to agree to a requested restriction, and allow you to review the Notice of Privacy Practices prior to granting consent and notifying you of changes/revisions to this Notice.
EXAMPLES OF DISCLOSURE OF YOUR PHI
Healthcare Delivery and Treatment. Information obtained from you by a physician, nurse or other healthcare professional is documented in your record and used for the assessment, evaluation, diagnosis, and treatment of your medical condition(s). This information is provided to other healthcare professionals, such as other physicians, specialists, physical therapists, hospital-based providers and/or other healthcare providers following your treatment by the provider.
Billing and Payment. Your PHI is utilized to justify the level of care delivered to you and the charges incurred for the services. This information generally accompanies the bill and is sent to our payers.
Other Healthcare Operations. The provider may disclose your PHI to other individuals and businesses in order for the provider to perform its day-to-day operations. These other individuals and businesses include business associates such as vendors and/or contractors used for billing and claims management, medical research, disease management, and quality improvement initiatives, as well as management services organizations, laboratories, other freestanding diagnostic facilities, and legal counsel. The provider requires all its business associates to agree to appropriately protect the confidentiality of your PHI.
Reminders and Treatment. The provider may contact you to provide you with information that we feel is useful or helpful to you, based on your PHI. For example, the provider may contact you (or instruct a specialist physician to whom you have been referred to contact you) to schedule an appointment or as an appointment reminder, to suggest alternative treatments, or to provide you with information on treatments you are already receiving.
Other Uses and Disclosures. The provider may also utilize or disclose your PHI in order to communicate with or notify family members, relatives and others responsible for your health, and funeral directors. In addition, the provider may disclose your PHI through other communications and reports required to be made by healthcare professionals such as the public health department, law enforcement, the Food and Drug Administration, organ procurement organizations, correctional institutions, and workers’ compensation, where applicable.
Other uses and disclosures of PHI not permitted or required by law will be made only with your written authorization. You may revoke your authorization at any time provided that the revocation is in writing, except to the extent that the provider has already taken action in reliance on your prior authorization.
YOUR RIGHTS CONCERNING PHI
Except as otherwise provided by law, you have the right to:
The provider is required by law to abide by the terms of this Notice of Privacy Practices, allow you to review this Notice prior to granting consent, and notify you of changes/revisions to this Notice. If you believe your privacy rights have been violated, you may submit a written complaint to the provider or the Secretary of Health and Human Services describing in detail the manner in which you feel your privacy rights have been violated. The provider will not retaliate against you in any way for filing a complaint with the provider, or with the Secretary.
This Notice of Privacy Practices is effective as of March 1, 2021. For further information regarding PHI, please contact Dallas Dietitian Nutritionist, at (469) 333-2378.