Privacy Policy

PEAK HEALTH, PA
NOTICE OF PRIVACY

This notice describes how health information about you may be used and disclosed and how you can get access to this information.

OUR PLEDGE

We are committed to protecting the privacy of your health information. We create a record of the care and services you receive from our organization. We need this information to provide you with quality care and to comply with certain legal requirements. This notice will tell you how we share your health information. We also describe your rights and certain duties we have regarding protecting your health information.

OUR RESPONSIBILITY

We have a legal obligation to keep your health information private. We will provide you with a notice as to our legal duties, privacy practices, and your rights regarding your health information. We will abide by the terms of this notice and notify you if we are unable to agree to a restricted request or to accommodate a request you may have made in regards to your health information. We reserve the right to change our practices and to make new provisions effective for all protected health information we maintain. Should our information practices change, we will make the new notice available upon request. We will not use or disclose your health information without your authorization, except as described in this notice.

OUR SECURITY PROCEDURES

We maintain safeguards to protect your health information. Our employees are bound by our organizational policies to access your information only for legitimate purposes and to maintain the privacy of your health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

HOW WE DISCLOSE YOUR INFORMATION

We may use and disclose your health information for treatment. Information obtained by members of your healthcare team will be recorded in your health record and will be used to provide care and services to you. We may disclose health information about you to other health care providers that may assist us in providing care to you. For example: You have diabetes. We may communicate with a dietitian to plan your diet.
We may use and disclose your health information for payment purposes. For example: A bill may be sent to you or a third-party payer.
We may use and disclose your health information for our health care operations. This might include measuring and improving quality, evaluating employee performance, conducting training programs, documenting outcomes, and meeting licensure requirements. For example, your health information may be reviewed in an effort to improve health outcomes. Appointment Notification, Treatment Alternatives and Health Related Benefits and Services: We may notify you that you have an appointment with us. We may communicate your appointment notice via email, mail, company interoffice mail, voice mail, personal representative, or work colleague. We also may use and disclose Health Information to tell you about treatment alternatives or health related benefits and services that may be of interest to you.

Business associates: We may disclose Health Information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. For example: We may contract with a computer resource company to provide computer support. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our contract.

Research: Under certain circumstances, we may use and disclose Health Information for research. For example, a research project may involve comparing the health of patients who received one treatment to those who received another, for the same condition. Before we use or disclose Health Information for research, the project will go through a special approval process. Even without special approval, we may permit researchers to look at records to help them identify patients who may be included in their research project or for other similar purposes, as long as they do not remove or take a copy of any Health Information.

Additional Uses and disclosures. In addition to using and disclosing your health information for the above purposes, we may use and disclose health information for the following purposes. We may disclose to the FDA health information relative to adverse events. As required by law, we may disclose your health information to public health, legal authorities, law enforcement, workers compensation or other similar programs, health oversight agencies, or other government agencies. In addition, we may make other uses and disclosures, which occur as a byproduct of the permitted uses and disclosures described in this notice. All other uses and disclosures will be made only with your written authorization. You have the right to revoke such authorization in writing.

YOUR RIGHTS

Although your health record is our physical property, the information belongs to you. You have the right to:

FOR MORE INFORMATION OR TO REPORT A PROBLEM

If you have questions and would like additional information, you may contact our Privacy Officer at 252-237-5090. If you believe your rights have been violated, you can file a complaint with our privacy officer or contact the Secretary of Health and Human Services. There will be no retaliation for filing a complaint.

Orig: 02/17/03

Revised: 09/08/16

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