NOTICE OF PRIVACY PRACTICES
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.
Protected health information, about you, is
maintained as a record of your contacts or visits for healthcare
services with Mid-Michigan Physicians, P.C.. Specifically, "protected health
information" is information about you, including demographic information
(i.e.,
name, address, phone, etc.), that may identify you and relates to your past,
present or future physical or mental health condition and related health care
services.
Mid-Michigan Physicians, P.C. is required to follow specific
rules on maintaining the confidentiality of your protected health
information, using your information, and disclosing or sharing this
information
with other healthcare professionals involved in your care and treatment. This
Notice describes your rights to access and control your protected health
information. It also describes how we follow applicable rules and use and
disclose your protected health information to provide your treatment, obtain
payment for services you receive, manage our health care operations and for
other purposes that are permitted or required by law. If you have any
questions
about this Notice, please contact our Privacy Manager.
|
- 7.30 Patient Autorization for Personal
Representative | View
- 7.31 Patient Authorization for Disclosure
of Protected Health Information | View
- 7.32 Patient Authorization for Disclosure
to Designated Provider | View
- 7.40 Patient Privacy Complaint Form | View
- 7.60 Request for Access to Protected Health
Information
|
View
- 7.70 Patient Request for Restriction of
Protected Health Information | View
- 7.80 Patient Request for Amendment of
Protected Health
Information
| View
- 7.90 Disclosure Accountability Request | View
Notice of Privacy Practices (NPP)
|
