Office Information: Privacy Policy
New Hope Orthopaedics and Sports Medicine Notice
Effective April 14, 2003
This notice describes how medical information about you may be used and
disclosed and how you can get access to this information. Please read
it carefully. We understand that the privacy of your personal information
is important to you. As your physicians, we believe your right to privacy
is a fundamental part of your treatment; as such, we want you to understand
our privacy practices and procedures. Should you have any questions or
complaints regarding these policies please do not hesitate to ask our
privacy officer, who can be reached at (317) 770-1700.
Information We Collect
We collect personal information about you and your family as part of our registration process, during
the course of your care, and from other health care entities you utilize
such as hospitals, laboratories, other physicians, imaging facilities
and your insurance company. This personal information includes items such
as your name, address, phone number, birthdate, social security number,
employer, health history, insurance policy and coverage information. During
the course of your treatment we will collect health information regarding
diagnosis, treatment plans, progress and any test results or films.
How Your Information Is Used
The personal and
health information gathered may be used and disclosed with your general
consent for purposes of treatment, payment, or routine healthcare operations.
This means we may send your information to other physicians or facilities
involved in your treatment as well as to your insurance company , our
billing service or a collection agency to obtain payment. Any other uses
of your information require a signed authorization by you, the patient
or guardian. New Hope Orthopaedics and Sports Medicine does not sell patient
information to marketing or pharmaceutical companies. In certain cases
of public health interest we may be required to disclose certain information
to local, state or national health organizations or government agencies.
Safeguarding Your Personal and Health Information
We are required by law to (1) make sure that medical information that
identifies you is kept private (2) provide you with our privacy policy
(3) follow the terms laid out in the privacy policy. As a means of protecting
your privacy, we restrict access to your personal and health information
to only those employees who require the information to complete their
jobs and provide quality service to you. New Hope Orthopaedics and Sports
Medicine maintains physical, electronic and procedural safeguards to comply
with state and federal regulations that guard your personal and health
information. If you feel your privacy has been violated you have the right
to file a complaint with the Department of Health and Human Services.
The complaint in no way influences your course of treatment with New Hope
Orthopaedics and Sports Medicine.
Changes to Our Privacy Policy
All new patients will receive a copy of our privacy policy. New Hope Orthopaedics and Sports
Medicine occasionally reviews its privacy policy and reserves the right
to amend it. Notification of changes will be posted on our website and
copies available at the front desk prior to the effective date of any
changes.
Disclosures of Medical Information of Minors:
Under Indiana law, we cannot disclose the medical information of minors
to non-custodial parents if a court order or decree is in place that prohibits
the non-custodial parent from receiving such information. However, we
must have documentation of the court order prior to denying the non-custodial
parent such access.
Your Right to Restrict Use of Information
You have the right to request restrictions to our uses or disclosures of your
personal or health information, although we are not required to agree
to those restrictions. Once your request has been processed it will remain in effect until you request a change.
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