Cardiovascular Diagnostic Institute –Privacy Practices
 
Cardiovascular Diagnostic Institute is required by law to protect your Health Information
Effective Date: March 17th, 2003
The following are the ways we may use and disclose your Health Information
A. For Medical Treatment

We may give out health information about you to physicians, nurses and other health care providers, who are involved in your personnel care.

B. For Payment of Health Care or treatment

We may give what is minimally necessary Health Information to our billing services, collection agencies and others that process our health care claims. We may also give your information to another health care provider that has treated you for their payment purposes.

C. For Compliance with governing agencies to monitor health care operations

We may disclose health information to operate this business. This information may be given to attorneys, consultants, and others to make sure we are in compliance with the laws that affect us. Also, we may give information to federal state or local law enforcement agency’s for health oversight activities.

You have the opportunity to object to Disclosures

Disclosures to family, friends, or others. We may provide your information to a family member, friend, or other person that you indicate is involved in your care, unless you object and put in writing

If our privacy policy should change at any time, we will change
and post the new privacy practice.

Your Protected Health Information Rights

The Right to Request Limits on How we use and disclose your Health Information.
You can request to limit how we use your health information. We will take into consideration your request, however we may not be able to abide by this request, especially in emergency situations.

You have the Right to See and Copy your Health Information
In writing you can request to get copies or see your health information. In certain situations, we may deny your request. If it is denied, we will tell you in writing the reasons. If denied, you can request in writing to have the denial reviewed.

You have the Right to choose How We Send Your Informaiton To You
An alternate address, or fax can also be used to send you health information. You will need to supply this to us in writing on alternate means to send you your health information.

The Right to Correct or Update Your Health Information
If there is a mistake or an update needed on your Health Information, which is missing, you have the right to request that we correct this information. Your request must be made in writing. If we approve your request, we will make the change and notify you that we have done it.

COMPLAINTS
If you think that your privacy rights have been violated, please contact:
Nancy Zink, Privacy Officer- 419-251-5900
Cardiovascular Diagnostic Institute
2409 Cherry St., Toledo, Ohio 43608

If you have any requests to any of your privacy rights, please forward your request via e-mail to privacyofficer@CDItoledo.com
(Manager will respond to your request in writing the same day)