This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information. It describes your rights related to your protected health information. This Notice is effective 10/1/12, and applies to all protected health information as defined by federal regulations.

Understanding Your Health Record/Information
Each time you visit Page, Hudson & Taylor, a record of your visit is made. This record contains your symptoms, examinations, test results, diagnoses, treatment, and a plan for future care or treatment when indicated. This information is referred to as your health or medical record and serves as a:  
• Basis for planning your care and treatment
• Means of communication among the many health professionals who contribute to your care, 
• Legal document describing the care you received
• Means by which you or a third-party payer can verify that services billed were actually provided, 
• A tool in educating health professionals
• A source of information for public health officials charged with improving the health of this state and the nation, 
• A source of data for our planning and marketing, 
• A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve, 

Your Health Information Rights
Although your health record is the physical property of Page, Hudson & Taylor, the information belongs to you. You have the right to: 

• Obtain a paper copy of this notice of information practices upon request, 
•  Inspect and copy your health record as provided for in 45 CFR 164.524, 
• Amend your health record as provided in 45 CFR 164.528, 
• Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528, 
• Request communications of your health information by alternative means or at alternative locations, 
• Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522, and
• Revoke your authorization to use or disclose health information except to the extent that action has already been taken. 

Our Responsibilities
Page, Hudson & Taylor is required to: 

•  Maintain the privacy of your health information,
• Provide you with this notice as tour legal duties and privacy practices with respect to information we collect and maintain about you, 
• Abide by the terms of this notice, 
• Notify you if we are unable to agree to a requested restriction, and
• Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations. 

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will mail a revised notice to the address you’ve supplied us, or if you agree, we will email the revised notice to you. 

We will not use or disclose your health information without your authorizations, except as described in this notice. We will also discontinue to disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.

For More Information or to Report a Problem
If you believe your privacy rights have been violated, you can file a complaint with the practice’s Privacy Officer or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the Privacy Officer or the Office of Civil Rights. The address for the OCR is listed below: 

Office for Civil Rights/U.S. Department of Health and Human Services/200 Independence Avenue, S.W./Room 509F, HHH Building/Washington, D.C. 20201