This notice defines Erasers’ Privacy Policy. It describes how healthcare information about you may be used and disclosed and how you can get access to this information. Please review it carefully:

This office uses and discloses your protected healthcare information (PHI) for the following reasons:

• To submit to insurance companies, Workers’ Compensation, or other Third Party
• Administrators claim information to verify treatment has been rendered.
• To determine patient’s benefits in a healthcare plan.
• Releasing information required by State of Federal Public Health Law.
• To assist in overcoming a language barrier when caring for a patient.
• Business associates providing written assurances for your privacy have been attained.
• Emergency situations.
• Abuse, neglect, or domestic violence.
• Appointment reminders to household members or answering machines.
• Sign-in logs may be disclosed to verify office visits.
• Any other uses or disclosures will only be made with your specific written prior authorization.

You have the right to:

• Revoke authorization, in writing, at any time by specifying what you want restricted and to whom you want it restricted.
• Speak to our privacy officer, Maleta Dunne who can be reached at (941) 907-3400 regarding privacy issues.
• Inspect, copy, and amend your protected health information and amend it as allowed by law.
• Obtain an accounting of disclosures of your protected health information.
• To render a complaint to our privacy officer or the Secretary of Health & Human Services.
• This office reserves the right to change the terms of this notice and to make new notice provisions for all protected health information that it maintains.
• Patients may also get an updated copy of our policy, upon request, at any time simply by requesting it from a staff member.
  
  
  
  
  
  
  

Call today for more information: (877) 414 -VEIN or (941) 907-3400