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  1. This notice describes how your health information may be used and disclosed and how you can access this information. At OUTREACH COMMUNITY CARE NETWORK, we will always keep your health information secure and confidential.

  2. The law requires us to maintain your privacy, give you this notice and to follow the terms of this notice.

  3. The law permits us to use or disclose your health information to those involved in your treatment. For example, a review of your file by a specialist doctor and/or treatment facility, whom we may involve in your care.

  4. We may disclose your health information for payment of your services. For example, we may send a report of your progress to your insurance company.

  5. We may use or disclose your health information for our normal healthcare operations. For example, one of our staff will enter your information into the computer,

  6. We may share your medical information with one of our business associates, such as billing service. We have a written contract with each business associate that requires them to protect your privacy.

  7. We may use your information to contact you. We may also want to call, text or email to remind you about your appointments.

  8. In an emergency, we may disclose your health information to a family member or another person responsible for your care.

  9. We may release some or all of your health information when required by law.

  10. If the practice is sold, your information will become property of the new owner.

  11. Except as described above, this practice will not use or disclose your health information without your prior written authorization.

  12. You may request in writing that we not use or disclose your health information as described as above. We will let you know if we can fulfill your request.

  13. You have the right to know of any uses or disclosures we make with your health information beyond normal uses.

  14. As we will need to contact you from time to time, we will use whatever address or telephone number you prefer.

  15. You have the right to transfer copies of your health information to another practice. We will mail your files for you.

  16. You have a right to see and receive copy of your health information, with a few exceptions. You must submit a written request regarding the information you want to see. If you also want a copy of your records, we may also charge you a fee of $50.00.

  17. You have the right to request an amendment or change to your health information. Give us your request to make changes in writing. If you wish to include a statement in your file, please give it to us in writing. We may or may not make the changes you request, but will be happy to include your statement in your file.
    If we agree to an amendment or change, we will not remove or alter earlier documents, but will add new information. You have the right to receive a copy of this notice. If we change any of the details of this notice, we will notify you of the change at your next appointment after the effective date of the change. You may file a complaint with the Department of Health and Human Services, 200 Independence Avenue, SW, Room 509-F, Washington, D.C. 20201, You will not be retaliated against for filing a complaint: However, before filing a complaint; or for more information, or assistance regarding your health information privacy, please contact our office at: (386) 338-8103. Acknowledgement: may request a copy of the OUTREACH COMMUNITY CARE NETWORK Notice of Privacy Practices.

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