NOTICE OF PRIVACY PRACTICES
Our offi ce is committed to protecting the privacy rights of our patients and the
confi dential information entrusted to us. The dedication of each employee to ensure
that your health information is never compromised is of paramount importance
in our practice. We amend our privacy practices, but will always inform you of any
changes that might affect your rights.
PROTECTING YOUR PERSONAL HEALTHCARE INFORMATION
We use and disclose information we collect from you only as allowed by the Health
Insurance Portability and Accountability Act and the State of Nevada. This includes
issues relating to your treatment, payment and our health care procedures. Unless you
object, we may share relevant information about you with family members or friends
who are helping you with your perinatal care. Your personal health information will
never be otherwise given to anyone without your written consent. You, of course, may
give written authorization for us to disclose your information to anyone you choose,
for any purpose.
Our offi ce and electronic system are secure from unauthorized access and our
employees are trained to make certain that the confi dentiality of your records is always
protected. Our privacy policy and practices apply to all former, current and future
patients, so you can be confi dent that your protected health information will never be
improperly disclosed or released.
COLLECTING PROTECTED HEALTH INFORMATION
We will only request personal information need to provide our standard of quality
perinatal care, implement payment activities, conduct normal health practice
procedures and comply with the law. This may include your name, address, telephone
number(s), social security number, employment date, medical history, health records,
etc. While most of the information will be collected from you, we may obtain
information from third parties if it is deemed necessary. Regardless of the source, your
personal information will always be protected to the full extent of the law.
DISCLOSURE OF YOUR PROTECTED HEALTH INFORMATION
As stated above, we may disclose information as required by law. We are obligated to
provide information to la fi cials under certain circumstances. We will
information for marketing purposes without your written consent.
We may use and/or disclose your health information to communicate reminders about
your appointments including voicemail messages, answering machines, and postcards.
PATIENT RIGHTS
You have a right to request copies of your healthcare information and to request a
list of instances in which we or our business associates have disclosed your protected
information. All such requests must be in writing. We may charge for copies in an
amount allowed by law. If you believe your rights have been violated, we urge you to
notify us immediately. You can also contact the U.S. Department of Health and Human
Services. We thank you for being a patient in our offi ce. Please let us know if you
have any questions concerning your privacy rights and the protection of your health
information.
Southwest Location: 5761 S. Ft. Apache • Las Vegas, Nevada 89148
Summerlin Location: 10105 Banburry Cross, #430 • Las Vegas, Nevada 89144
Green Valley Location: 3001 Horizon Ridge Parkway • Henderson, Nevada 89052
Phone: (702) 341-6610 • Fax: (702) 341-6961 • www.DesertPerinatalAssociates.com
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