EVEXIAS MEDICAL DENVER/DENVER VEIN CENTER
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
If you have questions about this notice or want more information, please contact: Kristin Davis, HIPAA Compliance Officer, Evexias Medical Denver/Denver Vein Center.
To appropriately treat you, we need to obtain information from you including your full name and address, insurance company, family medical history, current medical history, and current medical condition. We will use and disclose this information and other information we collect in the ways described below. To help you understand how we will use and disclose your information we have put the different uses and disclosures into categories and give examples of each. All of the ways we use or disclose your information will fit into one of the categories listed below, but we cannot list all of the uses and discloses in each category.
We may use and disclose your health information for treatment, payment, and health care operations.
We may disclose and use your health information and you authorize EVEXIAS MEDICAL DENVER/DENVER VEIN CENTER to use and disclose your information for:
We may also disclose your health information to outside entities without your consent or authorization in the following circumstances:
We will give you the opportunity to object to the following uses and disclosure of your information:
Except as provided above, we will obtain your written authorization prior to disclosure of your information for any other purpose. Specifically, written authorization is required prior to the disclosure of your information:
Where a disclosure is made under your written authorization, you have the right to revoke the authorization at any time. Revocation of an authorization must be in writing. The revocation is effective as of the date you provide it to EVEXIAS MEDICAL DENVER/ DENVER VEIN CENTER and does not affect any prior disclosures made under the authorization.
If a state or federal law provides additional restrictions or protections to your information, we will comply with the most stringent requirement.
If you believe your privacy rights have been violated you may contact:
Kristin Davis, Privacy Officer at (720)625-8043 or the Office of Civil Rights. You will not be penalized for filing a complaint.