Privacy Notice
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
REVIEW IT CAREFULLY.
THIS NOTICE IS EFFECTIVE 12/12/02 UNTIL
FURTHER NOTICE.
Right to Notice
As a patient, you have the right to adequate
notice of the uses and disclosures of your
protected health information. Under the Health
Insurance Portability and Accessibility Act
(HIPAA), Stephen L Glasser OD, PC can use your
protected health information for treatment,
payment and health care operations.
a) Treatment - We may use or disclose your
health information to a physician or other
healthcare provider providing treatment to you.
b) Payment - We may use and disclose your
health information to obtain payment for
services we provide you.
c) Health care operations - We may use and
disclose your health information in connection
with our healthcare operations. Healthcare
operations include quality assessment and
improvement activities, reviewing the
competency or qualifications of healthcare
professionals, evaluating provider
performance, conducting training programs,
accreditation, certification, licensing or
credentialing activities.
Your Authorization
Most uses and disclosures that do not fall
under treatment, payment, health care
operations will require your written
authorization. Upon signing, you may revoke
your authorization (in writing) through our
practice at any time.
Emergency Situations
In the event of your incapacity or an
emergency situation, we will disclose health
information to a family member, or another
person responsible for your care, using our
professional judgment. We will only disclose
health information that is directly relevant
to the person's involvement in your healthcare.
Marketing
We will not use your health information for
marketing communications without your written
authorization.
Required by Law
We may also use or disclose your health
information when we are required to do so by law.
Abuse or Neglect
We may disclose your health information to
appropriate authorities if we reasonably
believe that you are a possible victim of
abuse, neglect, or domestic violence or the
victim of other crimes. We may disclose your
health information to the extent necessary to
avert a serious threat to your or other
people's health or safety.
National Security
We may disclose the health information of
Armed Forces personnel to military authorities
under certain circumstances. We may disclose
health information to authorized federal
officials required for lawful intelligence,
counterintelligence and other national
security activities. We may disclose health
information of inmates or patients to the
appropriate authorities under certain
circumstances.
Appointment Reminders
We may use or disclose your health information
to provide you with appointment reminders via
phone, e-mail or letter.
Your Rights as a Patient
You have the right to restrict the disclosure
of your protected health information (in
writing). The request for restriction may be
denied if the information is required for
treatment, payment or health care operations.
-You have the right to receive confidential
communications regarding your protected health
information.
-You have the right to inspect and copy your
protected health information.
-You have the right to amend your protected
health information.
-You have the right to receive an account of
disclosures of your protected health information.
-You have the right to a paper copy of this
notice of privacy practices.
Legal Requirements
Stephen L Glasser OD, PC is required by law to
maintain the privacy of your protected health
information. We are required to abide by the
terms of this notice as it is currently
stated, and reserve the right to change this
notice. The policies in any new notice will
not be in effect until they are posted to this
site, or are available within our office.
Complaints
If you have complaints regarding the way your
protected health information was handled, you
may submit a complaint in writing to our
office. You will not be retaliated against in
any manner for a complaint.
Contact Information
For further information about Stephen L
Glasser OD, PC's privacy policies, please
contact Dr. Stephen Glasser at the following
address or phone number:
Stephen L Glasser OD, PC
1050 17th Steet NW Suite 200
Washington, DC 20036
202-223-3530
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
REVIEW IT CAREFULLY.
THIS NOTICE IS EFFECTIVE 12/12/02 UNTIL
FURTHER NOTICE.
Right to Notice
As a patient, you have the right to adequate
notice of the uses and disclosures of your
protected health information. Under the Health
Insurance Portability and Accessibility Act
(HIPAA), Stephen L Glasser OD, PC can use your
protected health information for treatment,
payment and health care operations.
a) Treatment - We may use or disclose your
health information to a physician or other
healthcare provider providing treatment to you.
b) Payment - We may use and disclose your
health information to obtain payment for
services we provide you.
c) Health care operations - We may use and
disclose your health information in connection
with our healthcare operations. Healthcare
operations include quality assessment and
improvement activities, reviewing the
competency or qualifications of healthcare
professionals, evaluating provider
performance, conducting training programs,
accreditation, certification, licensing or
credentialing activities.
Your Authorization
Most uses and disclosures that do not fall
under treatment, payment, health care
operations will require your written
authorization. Upon signing, you may revoke
your authorization (in writing) through our
practice at any time.
Emergency Situations
In the event of your incapacity or an
emergency situation, we will disclose health
information to a family member, or another
person responsible for your care, using our
professional judgment. We will only disclose
health information that is directly relevant
to the person's involvement in your healthcare.
Marketing
We will not use your health information for
marketing communications without your written
authorization.
Required by Law
We may also use or disclose your health
information when we are required to do so by law.
Abuse or Neglect
We may disclose your health information to
appropriate authorities if we reasonably
believe that you are a possible victim of
abuse, neglect, or domestic violence or the
victim of other crimes. We may disclose your
health information to the extent necessary to
avert a serious threat to your or other
people's health or safety.
National Security
We may disclose the health information of
Armed Forces personnel to military authorities
under certain circumstances. We may disclose
health information to authorized federal
officials required for lawful intelligence,
counterintelligence and other national
security activities. We may disclose health
information of inmates or patients to the
appropriate authorities under certain
circumstances.
Appointment Reminders
We may use or disclose your health information
to provide you with appointment reminders via
phone, e-mail or letter.
Your Rights as a Patient
You have the right to restrict the disclosure
of your protected health information (in
writing). The request for restriction may be
denied if the information is required for
treatment, payment or health care operations.
-You have the right to receive confidential
communications regarding your protected health
information.
-You have the right to inspect and copy your
protected health information.
-You have the right to amend your protected
health information.
-You have the right to receive an account of
disclosures of your protected health information.
-You have the right to a paper copy of this
notice of privacy practices.
Legal Requirements
Stephen L Glasser OD, PC is required by law to
maintain the privacy of your protected health
information. We are required to abide by the
terms of this notice as it is currently
stated, and reserve the right to change this
notice. The policies in any new notice will
not be in effect until they are posted to this
site, or are available within our office.
Complaints
If you have complaints regarding the way your
protected health information was handled, you
may submit a complaint in writing to our
office. You will not be retaliated against in
any manner for a complaint.
Contact Information
For further information about Stephen L
Glasser OD, PC's privacy policies, please
contact Dr. Stephen Glasser at the following
address or phone number:
Stephen L Glasser OD, PC
1050 17th Steet NW Suite 200
Washington, DC 20036
202-223-3530