This notice describes how your health information may be used and disclosed and how you can access this information. Please review carefully. We are required by law to provide you with this notice that explains our privacy practices with regard to your medical information and how we may use and disclose your protected health information or treatment, payment and for health care operations, as well as for other purposes that are permitted or required by law. You have certain rights regarding the privacy of our health information an we also describe them in this notice.
The law permits us to use or disclose your health information to those involved in your treatment.
We may use or disclose your protected health information for payment to obtain payment for the health care services we provide you. We may include information with a bill to a third-party payer that identifies you, your diagnosis, procedures performed and supplies used in rendering services.
We may use or disclose your protected health information to support the business activities of our normal healthcare operations.
We may share your medical information with our business associates such as a billing service. We have a written contract with each business associate that requires them to protect your privacy.
We will use and disclose your protected health information to contact you as a reminder about scheduled appointments or treatments.
We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. We will also disclose your health information to other physicians who may be treating you.
We will use and disclose your protected health information to a family member, a relative, or a close friend, or any other person you identify that is involved in your medical care of payment for care.
We will use and disclose your protected health information when required to by federal, state, or local law. You will be notified of any such disclosures.
We will use and disclose your protected health information to a public health authority that is permitted to collect or receive the information for the purpose of controlling diseases, injury, or disability. If directed by that health authority, we will also disclose your health information to a foreign government agency that is collaborating with the public health authority.
We will use and disclose your protected health information for worker’s compensation or similar programs that provide benefits for work-related injuries or illness.
You have the right to receive a paper copy of this notice upon your request.
You have the right to inspect and copy the protected health information that we maintain about your in our designated record set for as long as we maintain that information. This designated record set includes your medical and billing records, as well as any other records we use for making decisions about you. Any psychotherapy notes that may have been included in records we received about you are not available for your inspection or copying by law. We may charge you a fee for the costs of copying, mailing, or other supplies used in fulfilling your request.
If you wish to inspect or copy your medical records information you must submit your request in writing to our Privacy Manager, c/o Westlake Gyn, 1220 La Venta, #205, Westlake Village CA 91361. Upon your request, we will have 30 days to respond to your request for information that we maintain at our practice. For any other questions or additional information, please call (805) 371-0770. Effective date: 4/14/03