Notice of Privacy Practices
Pledge Regarding Your Medical Information: The privacy of your medical information is important to us. We understand that your medical information is personal and we are committed to protecting it.
Health Record and Medical Information: We create a record of the care and services you receive at Michele M. Cushner, LAc. This is required to provide you with quality care and to comply with certain legal requirements. This notice will tell you about the ways we may use and share medical information about you. We also describe your rights and certain duties we have regarding the use and disclosure of medical information. This notice will remain in effect until it is replaced or amended by changes in law.
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Use and Disclosure of Your Medical Information: We gather personal health information in several ways. This information comes from you, other healthcare providers, and third-party payers. We will only disclose your medical information for the purposes listed below with your specific written authorization. Any specific written authorization you provide may be revoked at any time by writing to us. We may use and disclose your medical information in the following ways:
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For treatment
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For communication with other healthcare providers who contribute to your care
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For payment
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For healthcare operations
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When required or permitted by law
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We will not use your health information for marketing communications without your written authorization. We may, however, send birthday cards, holiday greetings, newsletters, clinic letters and updates, and appointment reminders by telephone, text/SMS, mail, or e-mail. You may opt-out of these correspondences at any time by sending an email to hello@michelecushner.com.
Patient Rights: Upon written request you have the right to:
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Access, review, or receive copies of your healthcare records within 10 working days for a printing fee of $15
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Receive a list of items this office disclosed about your health care information
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Request that this office place additional restrictions on disclosure of your protected health information
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Request that we amend your protected health information
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Receive all notices in writing
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If you have questions or want more information please contact us at hello@michelecushner.com or 510-474-1004.