Our Privacy Policies
Privacy Policies
PedIM Healthcare, Notice of Privacy Practices
Pediatric & Internal Medicine Specialists, Inc.
1990 N. Prospect Avenue Lecanto, FL 34461
352-527-6888 P
352-527-8818 F
Dr. Dacelin St. Martin, MD & FAAP
Dr. Lilia Shammas, MD, FAAP
Dr. Francisco Carreras, MD
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU MAY GET ACCESS TO THIS INFORMATION. PLEASE READ IT
CAREFULLY.
PedIM Healthcare is dedicated to protecting your
medical information. 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. PedIM Healthcare
is required by law to abide by the terms of this Notice.
HOW
YOUR MEDICAL INFORMATION WILL BE USED AND DISCLOSED:
The following
describes how PedIM Healthcare may use your protected health information for
treatment, payment or health care operations.
Treatment:
PedIM Healthcare may use health information about you to provide you with health
care treatment or services. PedIM Healthcare may disclose health information
about you to doctors, nurses, or other essential personnel who are involved in
your care. For example, our office may disclose health information about you to
a specialist who has been asked to provide a consultation regarding your care.
Payment:
PedIM Healthcare may use and disclose
health information about you to receive payment for services provided to you.
For example, our office may disclose certain information to our health insurance
provider in order to receive payment for services provided to you. Under Florida
law we must obtain your written consent in order to submit claims for services
provided to you. While we do not condition treatment on your signing of our
general consent form, failure to sign may force us to decline you as a new
patient or discontinue you as an active patient.
Health Care
Operations:
PedIM Healthcare may use and disclose health
information about you for operational purposes related to our office. These uses
and disclosures are necessary to run our office and make sure that all of our
patients receive quality care. For example, PedIM Healthcare may use your
protected health information in our peer review activities. Such activities are
confidential and are designed to assist our office in maintaining a high stand
of medical care.
We may also and/or disclose your information in
accordance with federal and state laws for the following purposes:
Appointments Reminders:
We may contact you to provide
appointment reminders.
Treatment Information:
We may contact you with
information about treatment alternatives or other health related benefits and
services that may be of interests to you.
Disclosure to
Department of Health and Human Services:
We may disclose medical
information when required by the United States Department of Health and Human
Services as part of an investigation or determination of our compliance with
relevant laws.
Family and Friends:
Unless you
object, we may disclose your medical information to immediate family members or
other relatives or close personal friends as authorized by you, when the medical
information is directly relevant to that person’s involvement with your care.
Notification:
Unless you object, we may use or
disclose your medical information to notify a family member, a personal
representative, or another person responsible for your care of your location,
general condition, or death.
Disaster Relief:
We may
disclose your medical information to a public entity, such as the American Red
Cross, for the purpose or coordinating with that entity to assist in disaster
relief efforts.
Health Oversight Activities:
We may
disclose your medical information to a health oversight agency for oversight
activities authorized by law, including audits, investigations, inspections,
licensure, or disciplinary actions, administrative and/or legal proceedings.
Abuse or Neglect:
We may disclose your medical
information when it concerns abuse, neglect, or violence to you in accordance
with federal and state law.
Judicial and Administrative
Proceedings:
We may disclose your medical information in the course
of certain judicial or administrative proceedings and as required by law.
Law Enforcement:
We may disclose your medical
information for certain law enforcement purposes as required by law.
Specialized Government Functions:
We may disclose medical
information as required by law for certain specialized government functions
including: certain military and veterans activities, national security and
intelligence activities, protective services for the President and others, and
correctional institution and law enforcement custodial situations.
Coroners, Medical Examiner’s, and Funerals Directors:
We
may disclose your medical information to a coroner, medical examiner, or a
funeral director.
Organ Donation:
If you are an organ
donor, we may disclose your medical information to an organ donation and
procurement organization.
Research:
We may use or
disclose your medical information for certain research purposes if an
Institutional authorization, the review is preparatory to research or the
research is on only decedent’s information.
Public Health
Activities:
We may use or disclose your medical information for
public health activities, including the reporting of disease, injury, vital
events and the conduct of public health surveillance, investigation and/or
intervention.
Public Safety:
We may use or disclose
your medical information to prevent or lessen a serious threat to the health or
safety or another person or to the public.
Worker’s
Compensation:
We may disclose your medical information as authorized
by laws relating to workers compensation or similar programs.
Business Associates:
We may disclose your health information to a
business with whom we contact to provide services on our behalf. To protect your
health information, we require our business associates with whom we contact to
provide services on our behalf. To protect your health information, we require
our business associates to appropriately safeguard the health information of our
patients.
MINIMUM NECESSARY INCIDENTAL DISCLOSURES AND SUPER
CONFIDENTIAL INFORMATION
Our staff will not use or disclose your
medical information unless it is necessary to perform their jobs. In other
words, access to your medical information will be based on a need to know. When
your medical or payment information is disclosed, only the necessary amount of
medical or other information needed to accomplish the recipients lawful purpose
will be disclosed. Additionally, while using or disclosing your confidential
information we will take every reasonable step to prevent such information from
being inadvertently disclosed. Finally, we will follow both state and federal
laws related to the use and disclosure of super-confidential information such as
HIV/AIDS, alcohol/substance abuse and mental health records.
AUTHORIZATIONS AND CONSENTS:
We will not use or disclose your medical information
for any other purpose other than treatment, payment,
or health care operations without your written
authorization. Once given, you may revoke your
authorization in writing at any time. To request a
Revocation of Authorization form you may contact the
office’s Privacy Contact, or office manager.
Additionally, the time of your first office visit
you will be asked to sign a general consent/records
release. This consent is required under Florida law
in order for our office to submit claims and other
information needed to receive for services rendered
to you or your family.
YOUR RIGHTS
REGARDING YOUR MEDICAL INFORMATION:
You have the following rights with respect to your
medial information:
- You may
ask us to restrict certain uses and disclosures for
your medical information. We are not required to
agree to your request, but if we do we will honor
it.
- You have the right
to receive communications from us in a confidential
manner.
- Generally, you
may inspect and copy your medical information. This
right is subject to certain specific exceptions, and
you may be charged a reasonable fee for any copies
of your records.
- You
may ask us to amend your medical information. We may
deny your request for certain specific reasons. If
we deny request, we will provide you with a written
explanation for the denial and information regarding
further rights you may have at that point.
- You have the right to receive an accounting of the
disclosures of your medical information made by
PedIM Healthcare during the last 6 yrs. Except for
disclosures for treatment, payment or healthcare
operations, disclosures which you authorized and
certain other specific disclosure types.
- You have the right to complain to us and/or to the
United States Department of Health and Human
Services if you believe that we have violated your
privacy rights. If you choose to file a complaint,
you will not be retaliated against in any way. To
complain to us, please require at the Registration
desk (you will be directed to our Privacy Officer).
To file a complaint with the U.S. Department
of Health and Human Services you must submit your
complaint in writing, within 180 of the alleged
violation to
Region I.V, Office for Civil Rights
U.S.
Department of Health and Human Services
Atlanta
Federal Center, Suite 3B70
61 Forsyth Street, S.W
Atlanta, GA 30303-8909
Voice phone 404-562-7886
Fax 404-562-7881
PedIM Healthcare Website Privacy
Thank you for visiting the PedIM Healthcare website. Your privacy is important to us. To better protect your privacy, we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used on this website.
The Information We Collect - You may express an opinion; contact us online to ask for information on our services or to sign up for the newsletter. The types of personally identifiable information that may be collected at these pages include: name, email address and telephone number.
How We Use the Information - We may use the information you provide about yourself to respond to your inquiries. We may use the non-personally identifiable information that we collect to improve the design and content of our site and to enable us to enhance your internet experience. We also may use this information in the aggregate to analyze site usage. Although we take appropriate measures to safeguard against unauthorized disclosures of information, we cannot assure you that personally identifiable information that we collect will never be disclosed in a manner that is inconsistent with this Privacy Notice. Inadvertent disclosures may result, for example, when third parties misrepresent their identities in asking the site for access to personally identifiable information about themselves for purposes of correcting possible factual errors in the data.
Privacy Options - PedIM Healthcare may, on occasion, combine information we receive Online with outside records to enhance our ability to market to you those products that may be of interest to you. If you prefer not to receive online marketing information from this web site, please contact us via the email or phone number provided below. Finally, PedIM Healthcare™ will not use or transfer personally identifiable information provided to us in ways unrelated to the ones described above without also providing you with an opportunity to opt out of these unrelated uses.
Collection of Information by Third-Party Sites and Sponsors - The Web site may contain links to other sites whose information practices may be different than ours. Visitors should consult the other sites’ privacy notices, as we have no control over information that is submitted to, or collected by, these third parties.
Cookies - Although we don’t use "cookies" to personally identify you, we may use cookies to understand site usage and to improve the content and offerings on our sites. Cookies are text files that may be placed in your computer’s browser to store your preferences. Cookies, by themselves, do not tell us your email address or other personally identifiable information.
Our Commitment to Security - We have put in place appropriate physical, electronic, and managerial procedures to safeguard and help prevent unauthorized access, maintain data security, and correctly use the information we collect online.
How to Contact Us - If you have any questions or concerns about PedIM Healthcare Online Policy for this site, please contact us via email, phone, fax or at the following address:
1990 N Prospect Avenue
Lecanto, FL 34461
Phone (352) 527-6888
Fax (352) 527-8818
info@pedimhealthcare.com