Privacy Policy of Family Care Services @ FamilyDoc UrgentCare Center

Purpose: Form is used to confirm that an individual has received Family Doctor Medical Center/FamilyDoc Urgent Care. Notice of Privacy Practice.

The department of Health and Human Services has established a “Privacy Rule” to help ensure that personal information is protected for privacy. The Privacy Rule was also created in order to provide a standard for certain health care providers to obtain their patients consent for use and disclosures of health information about the patient to carry out treatment, payment, or health care operations.

As our patient, we want you to know that we respect the privacy of your personal medical information and will do all we can to secure and protect that privacy.
We strive to always take reasonable precautions to protect your privacy.
When it’s appropriate and necessary, we provide the minimum necessary information to only those we feel are in need of your health care information and information about treatment, payment or healthcare operations, in order to provide health care that is in your best interest.

We also want you to know that we support your full access to your personal medical records.
We may have in-direct treatment relationships with you (such as laboratories that interact with physician and not patients), and may have to disclose personal health information for purpose of treatment, payment or healthcare operations.
These entities are most often required to obtain patient consent.

You may refuse to consent to the use or disclosure of your personal health information, but this must be in writing. Under this law, we have the right to refuse to treat you, if you choose to refuse to disclose your personal health information (PHI). If you choose to give consent in this document, at some future time you may request to refuse all or part of your (PHI). You may not revoke actions that have already been taken which relied on this or a previously signed consent.

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If you have any objections, please ask to speak with your HIPPA Compliance Officer. You have the right to review our privacy notice, to request restrictions and revoke consent in writing after you reviewed our privacy notice.

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Purpose: Form is used to confirm that an individual has received Family Doctor Medical Center/FamilyDoc Urgent Care. Notice of Privacy Practice.

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