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NOTICE OF PRIVACY PRACTICESTHIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.

Original Effective Date: April 14, 2003
Last Updated: April 14, 2003

A federal regulation, known as the "HIPAA Privacy Rule," requires that we provide detailed notice in writing of our privacy practices. This Notice is long. The HIPAA Privacy Rule requires us to provide you with information on many things.

I. OUR COMMITMENT TO PROTECTING HEALTH INFORMATION ABOUT YOU
In this Notice, we describe the ways that we may use and disclose health information about our patients. The HIPAA Privacy Rule requires that we protect the privacy of health information about you and that can be used to identify you. This information is called "protected health information" or "PHI." In addition to the protections under HIPAA, North Carolina Law and other Federal law may also provide additional protections of health information about you in some circumstances. This Notice describes your rights as our patient and our obligations regarding the use and disclosure of PHI under HIPAA and other applicable laws.

We are required by law to:

  • Maintain the privacy of PHI about you;
  • Give you this Notice of our legal duties and privacy practices with respect to PHI; and
  • Comply with the terms of our Notice of Privacy Practices that is currently in effect.

As permitted by the HIPAA Privacy Rule, we reserve the right to make changes to this Notice and to make such changes effective for all PHI we may already have about you. If and when this Notice is changed, we will post a copy in our facility in a prominent location. We will also provide you with a copy of the revised Notice upon your request made to our Privacy Office.
You will be asked to sign a form that you received this Notice. Even if you do not sign this form, we will still provide you treatment.

II. HOW WE MAY USE AND DISCLOSE PROTECTED HEALTH INFORMATION ABOUT YOU

A. Uses and Disclosures to You, to Your Personal Representative, and for Treatment, Payment, and Health Care Operations
Subject to other laws that we discuss later in this Notice, the following categories describe the different ways we may use and disclose PHI to you, to your personal representative, and for treatment, payment, or health care operations without your authorization. The examples included in each category do not list every type of use or disclosure that may fall within that category.

Disclosures to You: We may disclose PHI about you to you.

Disclosures to Your Personal Representative: We may make disclosures to your personal representative. Your personal representative is someone who has the authority under state law to act on your behalf in making decisions related to your health care. For example, if you are deceased, your personal representative would be the person who has the authority under state law to act on your behalf or on behalf of your estate.

If you are a minor, your personal representative will be a parent, guardian, or person acting in the place of a parent who has the authority under state law to make decisions related to your healthcare. However, we may only disclose to your parent, guardian, or person acting in the place of a parent where disclosure is permitted or required by state law. For example, under North Carolina law, we generally cannot disclose to the parent of a minor information related to the treatment of the minor that was provided on the minor’s own consent.

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