EMANA MEDICAL NOTICE OF PRIVACY PRACTICES
WHO WILL FOLLOW THIS NOTICE?
OUR PLEDGE REGARDING YOUR PROTECTED HEALTH INFORMATION
- Make sure that medical and other information that identifies you (protected health information) is kept private.
- Give your this notice of our legal duties and privacy practices with respect to protected health information about you.
- Follow the terms of the notice that is currently in effect.
USES AND DISCLOSURES FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS
OTHER USES AND DISCLOSURES OF YOUR PROTECTED HEALTH INFORMATION
USES AND DISCLOSURES FOR APPOINTMENT REMINDERS
USES AND DISCLOSURES TO OTHERS INVOLVED IN YOUR HEALTHCARE
USES AND DISCLOSURES IN EMERGENCY SITUATIONS
USES AND DISCLOSURES FOR HEALTH-RELATED BENEFITS OR SERVICES
USES AND DISCLOSURES REQUIRED BY LAW
USES AND DISCLOSURES RELATED TO COMMUNICABLE DISEASES
DISCLOSURES FOR HEALTH OVERSIGHT ACTIVITIES
DISCLOSURES OF ABUSE OR NEGLECT
DISCLOSURES TO THE FOOD AND DRUG ADMINISTRATION
DISCLOSURES FOR LAWSUITS AND DISPUTES
DISCLOSURES TO LAW ENFORCEMENT
DISCLOSURES TO CORONERS, FUNERAL DIRECTORS, AND ORGAN DONATION
DISCLOSURES FOR RESEARCH
DISCLOSURES RELATED TO CRIMINAL ACTIVITY
DISCLOSURES FOR WORKERS’ COMPENSATION
RIGHT TO INSPECT AND COPY
RIGHT TO REQUEST RESTRICTIONS
- What information you want to limit.
- Whether you want to limit our use, disclosure, or both.
- To whom you want the limits to apply.
RIGHT TO CONFIDENTIAL COMMUNICATIONS
RIGHT TO AMEND
RIGHT TO AN ACCOUNTING OF DISCLOSURES
You have a right to an accounting of disclosures of your protected health information, for purposes other than treatment, payment or health care operations by Emana Medical or any of the people or companies who perform treatment, payment or health care operations on our behalf. To request this list of disclosures we made of protected health information about you, you must submit a request in writing to 436 N Bedford Dr. Suite 304, Beverly Hills, CA 90210. Your request must state a time period which may not be longer than six (6) years prior to the date of your request and may not include dates before August 1, 2005. Your request should indicate the form in which you want the list (for example, on paper or electronically). You will be charged for photocopying.