Notice of Privacy Practices for patient

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Effective Date: 05/2023

Dear Valued Patients,

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

OUR PLEDGE REGARDING YOUR MEDICAL INFORMATION:

At PMR Consulting Solutions, we understand that your medical information is personal. We are committed to protecting your medical information. We create a record of the care and services you receive at our clinic. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by PMR Consulting Solutions.

YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION:

You have the following rights regarding your medical information:

1. Right to Inspect and Copy: You have the right to inspect and copy your medical information. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, or other supplies associated with your request.
2. Right to Amend: If you feel that the medical information we have about you is incorrect or incomplete, you may ask us to amend the information. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request.
3. Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your medical information made by us. This accounting will not include disclosures made for treatment, payment, or healthcare operations purposes, or disclosures made with your authorization.
4. Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request.
5. Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. We will accommodate reasonable requests.
6. Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.

OUR USES AND DISCLOSURES:

We may use and disclose your medical information for treatment, payment, and healthcare operations. For example:

• Treatment: We may use your medical information to provide you with medical treatment or services.
• Payment: We may use and disclose your medical information to obtain payment for the services we provide you.
• Healthcare Operations: We may use and disclose your medical information for our healthcare operations, which include activities necessary to run our practice, including quality improvement activities and reviewing the competence or qualifications of healthcare professionals.

We may also use or disclose your medical information without your authorization for several other reasons, as allowed or required by law.

OUR RESPONSIBILITIES:

PMR Consulting Solutions is required by law to maintain the privacy of your medical information and to provide you with this notice of our legal duties and privacy practices with respect to your medical information.

QUESTIONS AND COMPLAINTS:

If you have any questions about this notice or if you believe your privacy rights have been violated, you may contact our office at 717-814-8014.

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.

CHANGES TO THIS NOTICE:

We reserve the right to change this notice and to make the revised or changed notice effective for medical information we already have about you, as well as any information we receive in the future. We will post a copy of the current notice in our facility with the effective date in the top right-hand corner.

CONTACT INFORMATION:

For further information about this notice or your rights regarding your medical information, please contact:

patienthelp@pmrconsultingsolutions.com. 

Thank you for choosing PMR Consulting Solutions for your physical medicine and rehabilitation needs. We are dedicated to protecting your privacy and providing you with the highest quality of care.