Consistent with Federal Regulations 45 C.F.R. Section 164.520 (c)(3)(i) our privacy policies are displayed on our  website

 

Notice of Privacy Practices – Integrative Medicine Consultants

Your comfort, safety, and privacy are of utmost importance to us and we take the responsibility of adhering to practices that assure your privacy very seriously.  We are required by law to follow the practices described in this pamphlet.  This pamphlet is a summary of our privacy practices.  This notice applies to personal medical, health, and financial information that we have collected about you, and which are kept in or by this facility in paper and or electronic form. With some exceptions, we must obtain your authorization to disclose (or release) your healthcare information.

There are some situations in which we do not have to obtain your authorization.  We can use your protected health information and share it with other community providers with which you have a professional relationship such as laboratory services or specialists.  Neither this pamphlet nor the full notice of privacy practices covers every possible use or disclosure.  If you have any questions, please feel free to contact us.

Who has access to your personal information?  Staff involved in your care within the practice, and billing services staff as well.

Medical, health, and financial information about you can be used to:

- Plan your treatment and services.  This includes releasing information to qualified professionals who work at Integrative Medicine Consultants and are involved in your care or treatment.  It may also include providers to whom you are referred.  We will only release information necessary or as authorized by you to do so.

Submit bills to your insurance, Medicaid, Medicare, or third party payer. 

Obtain approval in advance from your insurance company.

Measure our quality of services.

Decide if we should offer more or fewer services to customers.

Exchange information with agencies as required by law.

Without your permission, we may use your personal information to:

Treat you in an emergency.

Treat you when there is something that prevents us from communicating with you.

Send you appointment reminders.

Inform you about possible treatment options.

Coordinate with agencies involved in a disaster situation.

Certain types of research which do not personally identify you.

When there is a serious public health or safety threat to you or others.

As required by State, Federal, or local law.  This includes investigations, audits, inspections, and licensure.

When ordered to do so by a court.

To law enforcement if you are the victim of a crime, involved in a crime at our facility, or you have threatened to commit a crime.

To coroners, medical examiners, and funeral homes when necessary for them to do their jobs.

To Federal officials involved in security activities authorized by law.

To the correctional facility if you are an inmate.

What are your rights?

To see and get a copy of your record.

To ask for the record to be changed if you believe you see a mistake or something that is not complete.  You must make this request in writing.  We may be unable to honor your request if: We did not create the entry that is wrong (copy of a lab study, etc.), the information is not part of the file we keep, or we believe the record is accurate and complete.

To know to whom we have released information about you for up to the last six years; you will be informed of any disclosures you did not request other than insurance payment disclosures.

To limit how we use or disclose information about you.  This must be made in writing specifying what limitations you request.

To ask that we communicate with you about medical matters in a certain way, at a certain location, or including certain family or friends in communication.  Such requests can be made verbally or in writing.

To authorize other releases of your personal information not described above by verbal or written directive.

To have a paper copy of the notice of privacy practices.

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Any questions or concerns may be directed to our office at Integrative Medicine Consultants at the address listed below, or by telephone at:     641-357-4325

 

If you believe your rights have been violated and you wish to file a complaint, you must do so in writing.  You will not be penalized for exercising this right.  To file a complaint, please contact us at:

Integrative Medicine Consultants    507 Main Ave.  PO Box 506    Clear Lake, IA 50428

 

Or you may file a complaint directly with the Department of Health and Human Services at:

Office for Civil Rights, Region VII     601 E. 12th St. Room 353      Kansas City, MO 64106-2817