“NOTICES OF PRIVACY PRACTICES”
If you have any questions about this notice, please contact (Mark Haddad privacy official contact) of our office at (714-229-9178), or our web site at (http://suncoasthearingaids.com).Written request to Suncoast Hearing Aids & Repair Services, P.O. Box 6539, Buena Park, CA 90622.
This notice describes the information privacy practices followed by our employees, staff and other office personnel. The practices described in this notice will also be followed by hearing health care providers you consult with by telephone (when your regular health care provider is not available) who provide “call coverage” for your hearing health care provider.
YOUR HEALTH INFORMATION
This notice applies to the information and records we have about your hearing health care information, and hearing aid services you receive at this office.
We are required by law to give you this notice. It will tell you about the ways in which we may use and disclose hearing health care information about you and describes your rights and our obligations regarding the use and disclosure of that information.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU
For Treatment: We may use your hearing health information about you to provide you with hearing aid related services. We may disclose hearing health information about you to doctors, nurses, technicians, office staff or other personnel who are involved in taking care of you and your hearing health care.
For Payment: We may use and disclose health information about you so that the treatment and services you receive from this office may be billed to and payment may be collected from you, an insurance company or third party.
For Hearing Health Care Operations: We may use and disclose hearing health information about you in order to run the office and make sure that you and our other clients receive quality care.
Appointment Reminders: We may contact you as a reminder that you have an appointment for hearing aid related services in our office.
Treatment Alternatives: We may tell you about or recommend possible hearing aid solutions.
Health- Related Products and Services: i.e. Hearing Aids, Batteries, and other Hearing aid related products.
We may use or disclose hearing health care information about you without your permission for the following purposes, subject to all applicable legal requirements and limitations :
To avert a serious threat to health or safety.
Required by law.
Military, Veterans, National Security and Intelligence.
Public Health Risks.
Health Oversight Activities.
Lawsuits and Disputes
Family and Friends: We may disclose hearing health care information about you to your family or friends if we obtain a verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection.
OTHER USES AND DISCLOSER OF HEALTH INFORMATION
We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific, written Authorization.
YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU
Right to inspect and Copy: You have the right to inspect and copy your hearing health information, such as hearing health care and billing records, that we you to make decisions about your care. You must submit a written request to ( Mark Haddad designated privacy official contact) in order to inspect and / or copy you hearing health care information. We may charge you for copies.
Right to Amend: If you believe the hearing health care information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment as long as the information is kept by this office. If there is no valid reason we may deny or refuse your request for changes. All requests must be issued in writing to our privacy officer Mark Haddad.
RIGHT TO AN ACCOUNTING OF DISCLOSURE:
This is a list of the disclosures we made of hearing health care information about you for purposes other than treatment, payment and health care operations. To obtain this list, you must submit your request in writing to ( Mark Haddad designated privacy official contact).
Right to Request Restrictions: You have the right to request restriction or limitation on the hearing health care information we use or disclose about you for treatment, payment or hearing health care operations. To request restrictions, you may complete and submit the Request For Restriction On use/Disclosure of Hearing Health Care information to (Mark Haddad designated privacy official contact).
Right to Request Confidential Communications: You have the right to request that we communicate with you about hearing health care matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice: You may request one at the time that services are rendered,
Or down load it from our web site (www.suncoasthearingaids.com)
WE ARE NOT REQUIRED TO AGREE TO YOU REQUEST
If we do not agree with your need for information, we will not comply with you request unless the information is needed to provide you emergency treatment.
CHANGES TO THIS NOTICE.
We reserve the rights to change this notice. You are entitled to a copy of the notice currently in effect.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health Services. To file a complaint with our office, contact (Mark Haddad (Hearing Aid Dispenser) in writing at the address in the beginning of this notice. You will not be penalized for filing a complaint.