Privacy Policy Attleboro in at AFC Urgent Care
Notice of Privacy Practices
THIS 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.
AFC Attleboro are required by law to maintain the
privacy of your Protected Health Information (PHI). AFC Attleboro
provide clinically integrated services and consist of an organized health care arrangement
(OCHA).This Notice describes how we will treat your PHI and how we may use and disclose your PHI to carry out
treatment, payment or health care operations and for other purposes that are permitted or required by law. We
may share your health information for treatment, payment and health operations as described in this Notice. This
Notice also describes your rights to access and control your PHI. PHI is information about you, including
demographic information, that may identify you and that relates to your past, present or future physical or
mental health or condition and related health care services.
Uses and Disclosures of Protected Health Information: Your PHI may be used and disclosed by the
physician, our office staff and others outside of our offices that are involved in your care and treatment for
the purpose of providing health care services to you, to pay your health care bills, to support the operation of
the business, and any other use required by law. We may disclose PHI to family members, close friends or others
concerned with your care and treatment.
Treatment: We will use and disclose your PHI to provide, coordinate, or manage your health care
and any related services. This includes the coordination or management of your health care with a third party.
For example, your PHI may be provided to a physician to whom you have been referred or are receiving treatment
from to ensure that the physician has the necessary information to diagnose or treat you.
Payment: Your PHI will be used to obtain payment for your health care services. For example, we
may provide PHI to your insurance company to obtain authorization and payment for services rendered. We may
contact the Guarantor for your visit in order to obtain payment.
Healthcare Operations: We may use or disclose your PHI in order to support our business
activities. These activities include, but are not limited to business associates, quality assessment activities,
internal investigations, performance reviews, and training employees. In addition, we will use a sign-in sheet
at the registration desk where you will be asked to provide your name and insurance company. We may also call
you by name in the waiting room when the physician is ready to see you. We may use or disclose your PHI to
contact you to remind you of an appointment, to notify you of test results, to inform you of health-related
services that may be of interest to you, and to check on your treatment, progress, and satisfaction with our
services.
We may use or disclose your PHI in the following situations without your authorization: As required by Law, for
Public Health issues, Communicable Diseases, Health Oversight, Abuse Administration or Neglect, Food and Drug
requirements, Legal proceedings, Law Enforcement, Coroners, Funeral Directors, Organ Donation, Preliminary
Research Identification, Research with an IRB waiver, Criminal Activity, Military Activity, to avert a serious
and imminent threat to a person or the public, National Security, to comply with Worker’s Compensation laws,
Inmates, Disaster Relief and other Required Uses and Disclosures. Under the law, we must make disclosures to you
and when required by the Secretary of the Department of Health and Human Services.
Other permitted and required uses and disclosures, such as for marketing or sale of your PHI to third parties,
will be made only with your authorization. Once given, you may withdraw authorization at any time in writing
delivered to the address given below.
You have the right to inspect and copy your protected health information. Under federal law, you may not inspect
or copy psychotherapy notes, information compiled in anticipation of, or use in, a legal proceeding, and PHI
that is otherwise prohibited.
You have the right to request a restriction of your protected health information. This means you may ask us not
to use or disclose any part of your PHI for the purposes of treatment, payment or health care operations. Your
request must be in writing, delivered to the address given below, and state the specific restriction requested
and to whom you want the restriction to apply. If you have paid for your services in full and ask us not to
disclose your visit to your insurance company, we will honor that request. We are not required to agree to any
other restriction that you may request and if we believe it is in your best interest to permit use and
disclosure of your PHI, it will not be restricted. You then have the right to use another health care
professional.
You have the right to receive confidential communications from us by alternative means or at an alternative
location by notifying us in writing, delivered to the address given below.
You have the right to obtain a paper copy of this notice from us, upon request to the Clinic Manager or our
Privacy Officer.
You may have the right to ask us to amend your protected health information. If we deny your written request for
amendment, you have the right to deliver a statement of disagreement with us at the address given below and we
may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health
information. Your request must be in writing, delivered to the address given below. We are required to notify
you if your unsecured PHI is involved in a reportable breach.
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have
been violated. Or, you may file a complaint with us by mail or by contacting our Privacy Officer, at the following address or
phone number: 774-254-9500 We will not retaliate against you
for filing a complaint.
Management Company reserves the right to change the terms of this notice. Any change will apply to all PHI that
we maintain. We post our current policy at each location and on our website. All written requests must be
delivered to the Clinic Manager or mailed to HIPAA Privacy Officer.