NOTICE OF PRIVACY PRIACTICES FOR RICHARD C. ANGRIST, M.D.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION
PLEASE REVIEW IT CAREFULLY

WHO WILL FOLLOW THIS NOTICE:

This notice describes our office’s practice and that of any health care professional authorized to enter information into your office or surgical chart.

All departments of the office.

All employees, staff and other personnel.


OUR PLEDGE REGARDING MEDICAL INFORMATION:

We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive in the office. 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 the office, made by your doctor. Your primary doctor may have different policies or notices regarding the use of and disclosure of your medical information created in his or her office or clinic. This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.

We are required by law to:

• Make sure that medical information that identifies you is kept private
• Give you this notice of our legal duties and privacy practices with respect to medical information about you.
• Follow the terms of the notice that is currently in effect.

HOW MAY WE USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU:

The following categories describe different ways that we use and disclose medical information. For each category of uses or disclosure we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

FOR TREATMENT: We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, or other office and/or surgery center personnel who are involved in taking care of you at the office and/or surgery center. For example, a doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. Different departments within the office and/or surgery center may share medical information about you in order to coordinate the different things you may need, such as prescription and lab work. We also may disclose medical information about you to people outside the office and/or surgery center who may be involved with your medical care after you leave the office and/or surgery center, such as family members, clergy, or others we to provide services that are part of your care.

FOR PAYMENT: We may use and disclose medical information about you so that the treatment and services you receive at the office and/or surgery center may be billed to and payment may be collected from you, an insurance company, or third party. For example, we may need to give your health plan information about surgery you received at the surgery center so your health plan will pay us or reimburse us you for the surgery. We may also tell you your health plan about a treatment you are going to receive to obtain approval or determine whether you plan will cover the treatment.