Effective Date: January 2008
This Notice explains how medical information about you may be used and disclosed, and how you can obtain access to that information. Please review it carefully.
If you have any questions regarding this Notice of Privacy Practices, please contact our Privacy Officer at (949) 642-0042.
Advanced Orthopedic Pain Management & Wellness Center understands that information about your health and medical care is private and sensitive. We are committed to protecting your medical information in a reasonable and lawful manner.
In the course of providing care and services, we create and maintain medical records to ensure high-quality treatment and to comply with federal and California legal requirements, including the Health Insurance Portability and Accountability Act (HIPAA) and the California Confidentiality of Medical Information Act (CMIA).
This Notice applies to all records of your care maintained by our practice. It describes how we may use and disclose your health information, your rights related to that information, and our legal obligations regarding privacy.
Under federal and California law, we are required to:
Protect the privacy of medical information that identifies you
Provide you with this Notice explaining our legal duties and privacy practices
Comply with the terms of the Notice currently in effect
We may use or disclose your protected health information for the purposes described below. Any use or disclosure not described in this Notice will be made only with your written authorization, which you may revoke at any time by submitting a written request to our Privacy Officer.
We may use and share your health information with physicians, staff, and other healthcare professionals involved in your care.
We may use and disclose your health information to bill and collect payment from health plans, insurance carriers, or other responsible parties.
We may use and disclose health information to operate our practice, improve quality of care, conduct administrative activities, and contact you when necessary.
We may contact you to remind you of scheduled appointments or to provide information about treatment options, alternatives, or health-related services that may be relevant to your care.
When appropriate, we may share health information with family members, close friends, or others involved in your care or payment for care.
Health information may be used or disclosed for approved research activities in accordance with applicable laws. In limited cases, researchers may review records to identify potential participants, provided no identifiable information is removed or copied without authorization.
We may disclose health information when required by federal, California, or local law.
We may disclose health information when necessary to prevent or reduce a serious threat to your health or safety or the safety of others.
We may share health information with organ procurement organizations as permitted by law.
We may disclose health information for workers’ compensation claims, law enforcement purposes, healthcare oversight activities, or other government functions authorized by law.
We may disclose health information to:
Prevent or control disease
Report births or deaths
Report suspected abuse or neglect
Monitor medication or product safety
Notify individuals of recalls
Notify persons who may have been exposed to a communicable disease
We may disclose health information in response to a court order, subpoena, or other lawful request.
We may disclose information to the U.S. Department of Health and Human Services or California regulatory agencies to demonstrate compliance with privacy laws.
Health information may be disclosed following death, as permitted by law.
You may choose to object to certain disclosures, including:
Sharing information with family or others involved in your care
Disaster relief coordination
Inclusion in facility directories
Fundraising communications (you may opt out at any time)
We will not use or disclose your health information without your written authorization for:
Marketing purposes
Sale of health information
Disclosure of psychotherapy notes
You may revoke an authorization at any time in writing. Revocation will not affect disclosures already made based on your authorization.
You have the right to:
Request to inspect or receive copies of your medical records in paper or electronic format. Requests are typically fulfilled within 30 days and may be subject to a reasonable, cost-based fee.
Request amendments to health information you believe is inaccurate or incomplete. Requests must be submitted in writing, and responses will be provided within 60 days.
Request a list of certain disclosures made within the past six years. One accounting per year is provided at no cost.
Request limits on how your health information is used or disclosed. If you pay in full out-of-pocket for a specific service, you may request that related information not be shared with your health insurer, unless required by law.
Request communication by alternative means or at an alternative location. Reasonable requests will be honored.
Request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
We reserve the right to revise this Notice of Privacy Practices. Any revised Notice will apply to both existing and future health information. Updated Notices will be posted in our office and will include the effective date.
If you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer at (949) 642-0042, or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.
351 Hospital Road, Ste 411
Newport Beach, CA 92663
949.642.0042
949.642.0043
Dr. Gluzman offers telemedicine appointments to provide flexible, physician-led care for patients with busy schedules. He understands the challenges of balancing health, work, and family, and offers secure virtual visits when an in-person appointment is not required.
Morning, afternoon, and evening appointments
info@newportpainmd.com
