Cardiovascular
Diagnostic Institute –Privacy Practices |
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| 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.
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| 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.
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| 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.
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| 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
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If
our privacy policy should change at any time, we will change
and post the new privacy practice.
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| 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.
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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.
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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.
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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.
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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
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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)
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