Effective Date: 4/15/2003
Due to new Federal health information privacy rules, this notice is provided to describe how information about you be disclosed and how you can get access to this information.
PLEASE REVIEW IT CAREFULLY
Understanding your health record
A record is made each time you visit our office. Information about your examination and test results are recorded. These records provide information about your treatment as well as research data.
Understanding what information is retained in your record and how that information may be used will help you to ensure its accuracy, and enable you to know who, when, where, and why others may be allowed access to your health information. This effort is being made to assist you in making informed decisions before authorizing the disclosure of your medical information to others. Use or disclosure of your health information will follow the stringent State or Federal laws.
Understanding your privacy rights
Your health record is the physical property of the health care practitioner or facility that compiled it but the content is about you, and therefore belongs to you.
Our Institutions’ Privacy Practices
We understand that health information about you is personal, and we are committed to protecting that information. In meeting legal requirements and honoring our promise to protect your health information we:
Understanding our office policy for specific disclosures
If we have a change in policy
This office reserves the right to change its practices, and affect new policy to enhance the privacy standards of research participant records. You will be informed of changes at your research visits. This office will also post changes to this notice on our websites.
For additional information or to report a problem
For further explanation of this notice you may contact our Privacy Officer at
(203) 401-4300. If you believe your privacy rights have been violated, you have the right to file a complaint with this office by contacting the individual above, or by contacting the Secretary of the U.S. Department of Health and Human Services, with no fear of retaliation by this office.
NOTICE OF PRIVACY PRACTICES: