{"id":32,"date":"2022-01-06T00:11:20","date_gmt":"2022-01-06T00:11:20","guid":{"rendered":"https:\/\/northtxhearing.fm1.dev\/hipaa-statement\/"},"modified":"2023-05-19T16:42:42","modified_gmt":"2023-05-19T21:42:42","slug":"hipaa-statement","status":"publish","type":"page","link":"https:\/\/kdaud.com\/policies\/hipaa-statement\/","title":{"rendered":"HIPAA Statement"},"content":{"rendered":"\n
As Required by the Privacy Regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and as revised in the 2013 HIPAA Omnibus Rule Our practice is dedicated to maintaining the privacy of your protected health information. Protected Health Information (PHI) is information about you that may identify you and that relates to your past, present, or future physical or mental health\/condition and related audiological\/healthcare services. We are required by law to maintain the confidentiality of health information that identifies you. We also are required by law to provide you with this notice of our legal duties and the privacy practices that we maintain in our practice concerning your PHI. By federal and state law, we must follow the terms of this notice of privacy practices while it is in effect. The terms of this notice apply to all records containing your PHI that are created or retained by our practice.<\/strong><\/p>\n\n\n\n Melissa Danchak The following categories describe the different ways in which we may use and disclose your PHI. These examples are not meant to be exhaustive, but to illustrate the types of uses and disclosures that may be made.<\/p>\n\n\n\n The following categories describe unique scenarios in which we may use or disclose your PHI:<\/p>\n\n\n\n Certain federal and state laws may require privacy protections that restrict the use and disclosure of certain health information, including HIV-\u00ad\u2010related information, alcohol and substance abuse information, mental health information, and genetic information. Some parts of this Notice may not apply to these types of information.<\/p>\n\n\n\n The following uses and disclosures will be made only with your written authorization:<\/p>\n\n\n\n Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke this authorization, at any time, in writing, except to the extent Kos\/Danchak Audiology & Hearing Aids has taken an action in reliance on the use or disclosure indicated in the authorization. Additionally, if a use or disclosure of PHI described above in this Notice is prohibited or materially limited by other laws that apply to use, it is our intent to meet the requirements of the more stringent law.<\/p>\n\n\n\n The following is a statement of your rights with respect to your PHI and a brief description of how you may exercise these rights.<\/p>\n\n\n\n As Required by the Privacy Regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and as revised in the 2013 HIPAA Omnibus RuleTHIS\u00a0 NOTICE\u00a0 DESCRIBES\u00a0 HOW\u00a0 HEALTH\u00a0 INFORMATION\u00a0 ABOUT\u00a0 YOU\u00a0 (AS\u00a0 A\u00a0 PATIENT OF THIS PRACTICE) MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1325,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"service_tags":[],"class_list":["post-32","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages\/32","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":0,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/pages\/1325"}],"wp:attachment":[{"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/media?parent=32"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/kdaud.com\/wp-json\/wp\/v2\/service_tags?post=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
THIS\u00a0 NOTICE\u00a0 DESCRIBES\u00a0 HOW\u00a0 HEALTH\u00a0 INFORMATION\u00a0 ABOUT\u00a0 YOU\u00a0 (AS\u00a0 A\u00a0 PATIENT OF THIS PRACTICE) MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO YOUR PROTECTED HEALTH INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY<\/strong><\/p>\n\n\n\nA. OUR\u00a0COMMITMENT\u00a0TO\u00a0YOUR\u00a0PRIVACY<\/h2>\n\n\n\n
We realize that these laws are complicated, but we must provide you with the following important information:
<\/p>\n\n\n\n\n
B. IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE CONTACT:<\/h2>\n\n\n\n
101 W. Randol Mill Rd., #100
Arlington, TX 76011
817-\u00ad277-\u00ad7039
mdanchak@kosdanchakaudiology.com<\/strong><\/p>\n\n\n\nC. WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION (PHI) IN THE FOLLOWING WAYS<\/h2>\n\n\n\n
\n
D. USE AND DISCLOSURE OF YOUR PHI IN CERTAIN SPECIALS CIRCUMSTANCES<\/h2>\n\n\n\n
\n
\u2022 Maintaining vital records, such as births and deaths
\u2022 Reporting child abuse or neglect
\u2022 Preventing or controlling disease, injury, or disability
\u2022 Notifying a person regarding potential exposure to a communicable disease
\u2022 Notifying a person regarding potential risk for spreading or contracting a disease or condition
\u2022 Reporting to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products to enable product recalls, to make repairs or replacements, or to conduct post marketing surveillance, as required by law
\u2022 Notifying appropriate government agency(ies) and authority(ies) regarding potential abuse or neglect of an adult patient (including domestic violence); however, we will only disclose this information if the patient agrees or we are required or authorized by law to disclose this information. The disclosure will be made consistent with the requirements of applicable federal and state laws
\u2022 Notifying your employer under limited circumstances related primarily to workplace injury or illness or medical surveillance
\u2022 When directed by the public health authority to disclose your PHI to a foreign governmental agency that is collaborating with the public health authority<\/li>\n\n\n\n
\u2022 Regarding a crime victim in certain situations, if we are unable to obtain the person\u2019s agreement
\u2022 Concerning a death we believe has resulted from criminal conduct
\u2022 Regarding criminal conduct at our offices
\u2022 In response to a warrant, summons, court order, subpoena, or similar legal process
\u2022 To identify\/locate a suspect, material witness, fugitive or missing person
\u2022 In an emergency, to report a crime (including the location or victim(s) of the crime, or the description, identity, or location of the perpetrator)<\/li>\n\n\n\n
(C) adequate written assurances that the PHI will not be re-\u00ad\u2010used or disclosed to any other person or entity (except as required by law) for authorized oversight of the research study, or for other research for which the use or disclosure would otherwise be permitted; (ii) the research could not practicably be conducted without the waiver; and (iii) the research could not practicable be conducted without access to and use of the PHI.<\/li>\n\n\n\nSPECIAL PROTECTIONS FOR HIV, ALOCHOL, AND SUBSTANCE ABUSE, MENTAL HEATLH AND GENETIC INFORMATION<\/h2>\n\n\n\n
USES AND DISCLOSURE OF PHI BASED UPON YOUR WRITTEN AUTHORIZATION<\/h2>\n\n\n\n
\n
YOUR RIGHTS REGARDING YOUR PHI<\/h2>\n\n\n\n
\n
\n
Kos\/Danchak Audiology & Hearing Aids, 101 W. Randol Mill Rd., Ste. 100, Arlington, TX 76011. You must provide us with a reason that supports your request for amendment. Our practice will deny your request if you fail to submit your request (and the reason supporting your request) in writing. Also, we may deny your request if you ask us to amend information that is in our opinion: (a) accurate and complete; (b) not part of the PHI kept by and for the practice; (c) not part of the PHI which you would be permitted to inspect and copy; or (d) not created by our practice, unless the individual or entity that created the information is not available to amend the information. If we deny your request for an amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.<\/li>\n\n\n\n
(817) 277-\u00ad\u20107039 or kosdanchak@sbcglobal.net. You may also obtain a copy of this Notice at www.kosdanchakaudiology.com.<\/li>\n\n\n\n
COMPLAINTS OR QUESTIONS
<\/strong>If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice or if you have a question about this Notice, please contact our Privacy Office, Melissa Danchak, at (817) 277-\u00ad\u20107039 or kosdanchak@sbcglobal.net or the Corporate Privacy Officer at the address listed below. All complaints must be submitted in writing. Kos\/Danchak Audiology & Hearing Aids will not retaliate against you for filing a complaint.
CHANGES TO THIS NOTICE
<\/strong>We reserve the right to change this Notice at any time. The new Notice will be effective for all health information our practice has created or maintained in the past, and for any of your records that we may create or maintain in the future. Our practice will post a copy of our current Notice in our office in a visible location at all times, and you may request a copy of our most current Notice at any time. You can also obtain a revised Notice at www.kosdanchakaudiology.com or by contacting our Privacy Office, Melissa Danchak, Kos\/Danchak Audiology & Hearing Aids, 101 W. Randol Mill Rd., Ste. 100, Arlington, TX 76011.
Kos\/Danchak Audiology & Hearing Aids
Attn: Corporate Privacy Officer
This Notice is effective as of September, 2013.<\/strong><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"