THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
Our commitment to your privacy:
Our practice is dedicated to maintaining the privacy of your personal health information as part of providing professional care. We also are required by law to keep your information private. These laws are complicated, but we must give you this important information. This pamphlet is a shorter of the version of the full, legally required NPP and you may have a copy of this to read and refer to it for more information; however, we can’t cover all possible situations so please talk either Dr. Paul or Dr. Kerri about any questions or concerns.
We will use the information about your health, which we get from you or from others, mainly to provide you with treatment, to arrange payment for our services, and for some other business activities that are called, in the law, health care operations. After you have read this NPP we will ask you to sign a Consent Form to let us use and share your information. If you do not consent and sign this form, we cannot treat you.
If we, or you, want to use or disclose (send, share, release) your information for any other purpose we will discuss this with you and ask you to sign an Authorization Form to allow this.
Of course we will keep your health information private, but there are some times when the laws require us to use or share it. For example:
1-When there is a serious threat to your health and safety or the health and safety of another individual or the public. We will only share this information with a person or organization that is able to help prevent or reduce the threat.
2-Some lawsuits and legal or court proceedings.
3-If a law enforcement official requires us to do so.
4-For Worker’s Compensation and similar benefit programs.
There are some other situations like these but which don’t happen very often.
They are described in the longer version of the NPP.
Your Rights Regarding Your Health Information
If you have any questions regarding this notice or the health information privacy policies at Heart Light, please contact your
provider by calling Heart Light at (847) 374-1234. You can also speak with Dr. Paul or Dr. Kerri about your other rights that are granted to you by the laws of our state, which may be the same or different from the rights described above, now or as they arise. The effective date of this notice is March 31, 2023.