This office is required to notify you in writing, that by law, we must maintain the privacy and confidentiality of your Personal Health Information. In addition we must provide you with written notice concerning your rights to gain access to your health information, and the potential circumstances under which, by law, or as dictated by our office policy, we are permitted to disclose information about you to a third party without your authorization. Below is a brief summary of these circumstances. If you would like a more detailed explanation, one will be provided to you. Information such as your name, phone number, email, and address may be collected at the choice of the client. This information is used for scheduling purposes, appointment reminders, billing inquiries, and promotions, but is never shared with third parties without direct, written permission of the client. All information is stored on secured systems. SMS opt-in or phone numbers for the SMS are not shared with any third party or affiliate company for marketing purposes.

PERMITTED DISCLOSURES:

1. Treatment purposes- discussion with other health care providers involved in your care, a basis for planning my care and treatment, a means of communication among the many health professionals who contribute to my care, a source of information for applying my diagnosis and surgical information to my bill, a means by which a third-party payer can verify that services billed were actually provided, and a tool for routine healthcare operations such as assessing quality and reviewing the competence of healthcare professionals.
2. Inadvertent disclosures- We have a semi-open treatment area that means open discussion. If you need to speak privately to the doctor please let our staff know so we can make arrangements for a private consultation. Your name may be mentioned in front of other patient’s unless you specifically request us not to do so.
3. For payment purposes - to obtain payment from your insurance company or other source such as a bank or credit card company.
4. For workers compensation or personal injury purposes- to process a claim or aid in investigation
5. Emergency- in the event of a medical emergency we may notify a family member 
6. For public health and safety - in order to prevent or lessen a serious or eminent threat to the health or safety of a person or general public
7. To government agencies or law enforcement – to identify or locate a suspect, fugitive, material witness or missing person
8. For military, national security, prisoner and government benefits purposes
9. Deceased persons –discussion with coroners and medical examiners in the event of a patient’s death
10. Telephone calls, text messages or emails and appointment reminders-We may call your home and leave messages regarding a missed appointment or inform you of changes in practice hours or upcoming events. Greeting cards, letters, appointment and hours notices may be mailed or emailed to you.
11. Change of ownership in the event the practice was ever sold the new owners would have access to your personal health information.

YOUR RIGHTS:

1. To receive an accounting of disclosures
2. To receive a paper copy of a more comprehensive privacy notice
3. To request mailings to an address different than residence
4. To request restrictions on certain uses and disclosures and with whom we release information to although we are not required to comply. If, however, we agree, the restriction will be in place until written notice of your intent to remove the restriction.  
5. To inspect your records and receive one copy of your records at no charge, with notice in advance
6. To request amendments to information, however,r like restrictions we are not required to agree to them.   
7. To obtain one copy of your records at no charge, when timely notice is provided (72 hours).

COMPLAINTS:

If you wish to make a formal complaint about how we handle your health information please contact our office directly and ask to speak with Stephanie Coxon, Office Manager (717) 961-6724 or email us at info@GetYourOxygenOn.com  or in writing at 2106 Aspen Drive Mechanicsburg, PA 17055. If you are still not satisfied with the manner in which this office handles your complaint you can submit a formal complaint to: DHHS, Office of Civil Rights, 200 Independence Ave. SW, Room 509F HHH Building, Washington DC 20201.