Kandallu R. Ramesh, M.D., P.C.
NOTICE OF PRIVACY
This notice describes how information about you may be used and disclosed and
how you can get access to this information. Please review carefully.
Patient health information
Under federal law, your patient health information is protected and
confidential. Patient health information includes information about your
symptoms, test results, diagnosis, treatment and related medical information.
Your health information also includes payment, billing and insurance
How we use your Patient Health Information
We use health information about you for treatment, to obtain payment and for
health care operations, including administrative purposes and evaluation
regarding the quality of care that you received.
This Notice gives examples of how we will use or disclose your health
information for treatment, payment and health care operations. This Notice also
describes circumstances when we may have to use or disclose the information even
without your consent.
Examples of Treatment, Payment and Health Care
Treatment: We will use and disclose your health
information to provide you with medical treatment or services. For
example, nurses, physicians and other members of your treatment team will
:record information in your record and use it to determine the most appropriate
course of care. We may also disclose the information to other health care
providers who are participating in your treatment, or pharmacists who are
filling your prescriptions.
Payment: We will use and disclose your health
information for payment purposes. For example, we may need to obtain
authorization from your insurance company before providing certain types of
treatment. We will submit bills and maintain records of payments from your
Health Care Operations: We will use and disclose your
health information to conduct our standard internal operations, including proper
our standard internal operations, including proper administration of records,
evaluation of the quality of treatment and to assess the care and outcomes of
your case and others tike it.
Other Uses and Disclosures: We may use or
disclose identifiable health information about you for other reasons, even
without your consent. Subject to certain requirements, we are permitted to give
out health information without your consent for the following purposes:
- Required by law: We may disclose your health information
in the course of any judicial or administrative proceeding as allowed by law,
with your consent or as directed by a proper court order or administrative
tribunal, provided that only the protected health information released is
expressly authorized by such order, or in response to a subpoena, discovery
request or other lawful process.
- Law Enforcement: We may be required by law to
report certain types of wounds or other physical injury.
- Public Health: As required by law, we may disclose
vital statistics, diseases, or information related to recalls of dangerous
products to public health authorities and similar information.
- Health Oversight: We may be required to disclose
information to assist in investigations and audits, eligibility for government
programs, and similar activities.
- Coroners, Medical Examiners and Funeral Directors:
We may disclose your information to funeral directors or coroners consistent
with applicable law to allow them to carry out their duties.
- Threat to Health and Safety: To avert a
serious threat to health and safety we may
disclose information consistent with applicable law to prevent or
lessen a serious, imminent threat to the health or safety of a person or
- Specialized Governmental Functions: We may disclose
your information to specialized government functions as authorized by law such
as to Armed Forces personnel, for national security purposes, or to public
assistance program personnel.
- Research: We may disclose information for approved
- Organ Procurement Organizations: Consistent with
applicable law, we may disclose information to organ procurement organizations
or other entities engaged in the procurement, banking or transplantation of
organs, eyes or tissue for the purpose of donation and transplant.
- Abuse and Neglect: We can disclose information to
governmental or public authorities to the extent of the law and in the
exercise of professional judgment the doctor believes the disclosure is
necessary to prevent harm to the individual or other potential victim.
- Workers Compensation: We may release information about
you for workers compensation or similar programs providing benefits for
- Correctional Institutions: If you are an inmate of
a correctional institution, we may disclose your information to the
institution or it's agents necessary for your health and the health/safety of
- Food and Drug Administration: We may disclose information
to the FDA relating to adverse events with respect to food, supplements,
products and product defects, or post-marketing surveillance information to
enable product recalls, repair or replacements.
In any other situation,
we will ask for your written authorization before using or disclosing any
identifiable health information about you. If you choose to sign an
authorization to disclose information, you can later revoke that authorization
to stop any future uses and disclosures.
You have the following rights with regard to your health information. Please
contact the person listed to obtain the appropriate form for exercising these
Request restrictions: You may request restrictions on
certain uses and disclosures of your health information. We are not required to
agree to such restrictions, but if we do agree, we must abide by those
Confidential Communications: You may ask us to communicate with you
confidentially by, for example, sending notices to a special address or not
using postcards to remind you of appointments.
Confidential Communications: You may ask us to communicate
with you confidentially by, for example, sending notices to a special address or
not using postcards to remind you of appointments.
Inspect and Obtain Copies: In most cases, you have the
right to look at or obtain a copy of your health information. There may be a
small change for the copies.
Amend Information: If you believe that information in
your record is incorrect, or if important information is missing, you have the
right to request that we correct the existing information or add the
Our Legal Duty
We are required by law to maintain
the privacy of your health information, to provide this Notice about our legal
duties and privacy practices regarding protected health information and to abide
by the terms of the Notice currently in effect.
Changes in Privacy Practices
We may change our
Notice at any time. Before we make a significant change in our policies, we will
change our Notice and post the new Notice. You can also request a copy of our
Notice at any time. For more information about our privacy practices, contact
the person listed below.
If you are concerned that we have
violated your privacy rights, or if you disagree with a decision we made about
your records, you may contact the person below. You may also send a written
complaint to the U.S. Department of Health and Human Services. The person listed
below will provide you with the appropriate address upon request. You will not
be penalized in any way for filing a complaint.
If you have any questions, requests
or complaints, please contact:
Kandallu R. Ramesh, M.D., P.C.