Privacy Policy
Enfield Health and Wellness Center Notice
of Privacy Practices
143 Hazard Ave., Enfield, CT 06082
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.
Enfield Health and Wellness Center is required,
by law, to maintain the privacy and confidentiality
of your protected health information and to provide
our patients with notice of our legal duties and
privacy practices with respect to your protected
health information.
Disclosure of Your Health Care Information
Treatment
We may disclose your health care information
to other healthcare professionals within our practice
for the purpose of treatment, payment or healthcare
operations. (example)
“On occasion, it may be necessary to seek consultation
regarding your condition from other health care
providers associated with Enfield Health and Wellness
Center.”
“It is our policy to provide a substitute health
care provider, authorized by Enfield Health and
Wellness Center to provide assessment and/or treatment
to our patients, without advanced notice, in the
event of your primary health care provider’s absence
due to vacation, sickness, or other emergency situation.”
Payment
We may disclose your health information to your
insurance provider for the purpose of payment or
health care operations.
Workers’ Compensation
We may disclose your health information as necessary
to comply with State Workers’ Compensation Laws.
Emergencies
We may disclose your health information to notify
or assist in notifying a family member, or another
person responsible for your care about your medical
condition or in the event of an emergency or of
your death.
Public Health
As required by law, we may disclose your health
information to public health authorities for purposes
related to: preventing or controlling disease, injury
or disability, reporting child abuse or neglect,
reporting domestic violence, reporting to the Food
and Drug Administration problems with products and
reactions to medications, and reporting disease
or infection exposure.
Judicial and Administrative Proceedings.
We may disclose your health information in the
course of any administrative or judicial proceeding.
Law Enforcement.
We may disclose your health information to a
law enforcement official for purposes such as identifying
or locating a suspect, fugitive, material witness
or missing person, complying with a court order
or subpoena, and other law enforcement purposes.
Deceased Persons.
We may disclose your health information to coroners
or medical examiners.
Organ Donation.
We may disclose your health information to organizations
involved in procuring, banking, or transplanting
organs and tissues.
Research.
We may disclose your health information to researchers
conducting research that has been approved by an
Institutional Review Board.
Public Safety.
It may be necessary to disclose your health information
to appropriate persons in order to prevent or lessen
a serious and imminent threat to the health or safety
of a particular person or to the general public.
Specialized Government Agencies.
We may disclose your health information for military,
national security, prisoner and government benefits
purposes.
Change of Ownership.
In the event that Enfield Health and Wellness
Center is sold or merged with another organization,
your health information/record will become the property
of the new owner.
Your Health Information Rights
- You have the right to request
restrictions on certain uses and disclosures
of your health information. Please be advised,
however, that Enfield Health and Wellness Center
is not required to agree to the restriction
that you requested.
- You have the right to have
your health information received or communicated
through an alternative method or sent to an
alternative location other than the usual method
of communication or delivery, upon your request.
- You have the right to inspect
and copy your health information.
- You have a right to request
that Enfield Health and Wellness Center amend
your protected health information. Please be
advised, however, that Enfield Health and Wellness
Center is not required to agree to amend your
protected health information. If your request
to amend your health information has been denied,
you will be provided with an explanation of
our denial reason(s)and information about how
you can disagree with the denial.
- You have a right to receive
an accounting of disclosures of your protected
health information made by Enfield Health and
Wellness Center.
- You have a right to a paper
copy of this Notice of Privacy Practices at
any time upon request.
Changes to this Notice of Privacy Practices
Enfield Health and Wellness Center reserves the
right to amend this Notice of Privacy Practices
at any time in the future, and will make the new
provisions effective for all information that it
maintains. Until such amendment is made, Enfield
Health and Wellness Center is required by law to
comply with this Notice.
Enfield Health and Wellness Center is required
by law to maintain the privacy of your health information
and to provide you with notice of its legal duties
and privacy practices with respect to your health
information. If you have questions about any part
of this notice or if you want more information about
your privacy rights, please contact: Dr. Kevin Sadowski
by calling this office at 860.763.2225. If Dr. Kevin
Sadowski is not available, you may make an appointment
for a personal conference in person or by telephone
within 2 working days.
Complaints
Complaints about your Privacy rights, or how
Enfield Health and Wellness Center has handled your
health information should be directed to Dr. Kevin
Sadowski, by calling this office at 860.763.2225
If Dr. Kevin Sadowski is not available, you may
make an appointment for a personal conference in
person or by telephone within 2 working days.
If you are not satisfied with the manner in which
this office handles your complaint, you may submit
a formal complaint to:
DHHS, Office of Civil Rights
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
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