THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS CAREFULLY.
Uses and Disclosures:
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.
Payment. Your health information may be used to seek payment from your insurance company(s) (health, dental, auto or other) and from any other source that you may use to pay for services such as credit card, cashier check, personal check and or banking company(s). For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.
Health care operations. Your health information may be used as necessary to support the day-to-day activities and management of Level Up Lake Worth. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.
Law enforcement. Your health information may be disclosed to law enforcement agencies, without your permission, to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government mandated reporting.
Public health reporting. Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department.
Other uses and disclosures require your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision.
Additional Uses of Information
Payment reminders: Our staff will use your health information to send you payment reminders.
Information about treatments: Your health information may be used to send you information on the treatment and management of your medical condition that you may find to be of interest. We may also send you information describing other health-related goods and service that we believe may interest you.
You have certain rights under the federal privacy standards. These include:
• The right to request restrictions on the use and disclosure of your protected health
• The right to receive confidential communications concerning your medical condition and
• The right to inspect and copy your protected health information
• The right to amend or submit corrections to your protected health information
• The right to receive an accounting of how and to whom your protected health information has been disclosed
• The right to receive a printed copy of this notice
Level Up Lake Worth Duties
We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. We also are required to abide by the privacy policies and practices that are outlined in this notice.
Right to Revise Privacy Practices
As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Whatever the reason for these revisions, we will provide you with a revised notice on your next office visit. The revised policies and practices will be applied to all protected health information that we maintain.
Requests to Inspect
Protected Health Information
As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting Medical Records or The Privacy Officer. If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address. You will not be penalized or otherwise retaliated against for filing a complaint.
Contact the Privacy Officer for further information concerning our privacy practices. (If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to):
Level Up Lake Worth
6261 West Atlantic Blvd
Margate, FL 33063
Effective Date: This Notice is effective on or after 01/01/2009
SOCIAL MEDIA ENGAGEMENT DISCLAIMER
You expressly acknowledge that you assume all responsibility related to the security, privacy, and confidentiality risks inherent in sending any content over the internet. By its very nature, a website and the internet cannot be absolutely protected against intentional or malicious intrusion attempts. Level Up Lake Worth does not control the third party sites and the internet over which you may choose to send confidential personal or health information or other content and, therefore, Level Up Lake Worth does not warrant safeguard against any such interceptions or compromises to your information. When posting any content on an internet site, you should think carefully about your own privacy in disclosing detailed or private information about yourself and your family. Furthermore, Level Up Lake Worth does not endorse any product, services, views or content displayed by others on Level Up Lake Worth social media sites.
By posting any comments, posts or other material on Level Up Lake Worth blogs or social media sites, you give Level Up Lake Worth the irrevocable right to reproduce, distribute, publish, display, edit, modify, create derivative works from, and otherwise use your submission for any purpose in any form and on any media.
You agree that you will indemnify Level Up Lake Worth against any damages, losses, liabilities, judgments, costs or expenses (including attorney’s fees and costs) arising out of a claim by a third party relating to any material you have posted.
When you post a comment to a social media site, including but not limited to: Twitter, Facebook, blogs, multimedia or other user-generated content, it is published for the world to see. For your own privacy and that of your family, you should consider how much detailed personal and medical information is linked to your name.
Information gathered by third party applications may be used for marketing purposes within Level Up Lake Worth. Information will not be sold or shared.
This policy may be updated at any time without notice, and each time a user accesses a Treatment Center social networking site, the new policy will govern, usage, effective upon posting.