Patient Information    page1 / page2 / page3 / page4

Summary of Notice of Privacy Practices
Complaints and Privacy Official, Dee Kneeland, O.M.

The following is a brief summary of your rights and our responsibilities as detailed in the Notice of Privacy Practices (the “Notice”). This summary is for your convenience and is not a substitute for reading the entire Notice and does not modify the terms of the Notice.

1. Uses and disclosures of Your Health Information. We may use the information we develop and collect for treatment by our practice or disclose the information to others to whom we refer you for treatment, for payment of these services and for certain health care “operations” such as improving the competence and quality of our staff and business planning and management. We may disclose your information to our business associates such as medical transcriptionists, billing services and others who assist us in the operations of our practice. We may call you to remind you of appointments and may leave a message on your answering machine if you have one. We may also disclose information to your family about your location, general condition or death. If you are available and able, we will ask your consent first. We may also use your information to recommend products or services related to your care but will not use or disclose your medical information for marketing purposes without your written authorization. Your medical information may be disclosed without your authorization as required by law, for public health purposes, healthcare oversight, including audits and investigations, judicial and administrative proceedings, subject to the limits by state and federal law, and certain other purposes.

2. Other Uses and Disclosures. Except as described in the Notice, we will not use or disclose your medical information without your written authorization. You can revoke an authorization at any time, except to the extent that we have already taken action in reliance on the authorization.

3. Your Health Information Rights. You have a number of rights under the state and/or federal law which are subject to the terms and conditions specified in the Notice:
    a) You may request restrictions on certain uses and disclosures of your information
    b) You may request that you receive your information from us in a certain way
    c) You may inspect and copy your medical records
    d) You may request an amendment to any record you believe is inaccurate
    e) You may request an accounting of disclosures made to your records
4. Changes to the Notice. We reserve the right to change the Notice. If we do so, we will post it in our office, and provide a copy upon request.

5. Complaints. You may file a complaint to our Complaints Official whose name is above or with the
federal government as detailed in the Notice. You will not be penalized for filing any complaint.

The Physician Assistant
Today you may be seeing a physician assistant. Physician assistants provide high quality health care services to patients and the community. A Physician Assistant, or P.A., is a licensed and highly skilled health care professional, trained to provide patient evaluations, education, and health care services. A P.A. works with the physician to provide care and guidance to patients.

P.A.’s attend specialized medical training programs associated with a medical school that includes classroom studies and clinical experience. An academic degree is awarded upon graduation. Many P.A.’s have two or four year academic degrees before entering a P.A. training program. Most P.A. training programs require prior health care experience.

P.A.’s perform several duties in the office including taking health histories, performing physical exams, ordering and interpreting x-rays and other diagnostic tests etc. The P.A. will also be involved closely with any surgical procedures you may need, assisting in surgery and supervising your postoperative rehabilitation course.

Physician Assistants practice medicine under the supervision of a licensed physician.

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