NOTICE OF PRIVACY PRACTICES
Effective January 2, 2021
Rev. August 1, 2023
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE READ IT CAREFULLY
2. Identifying Purposes: Why We Collect Information
We ask you for information to establish a relationship and serve your medical needs. We obtain most of our information about you directly from you, or from other health practitioners whom you have seen and authorized to disclose to us. You are entitled to know how we use your information, and this is described in the Privacy Statement posted at Harmony Healthcare Orlando, Inc. We will limit the information we collect to what we need for those purposes, and we will use it only for those purposes. We will obtain your consent if we wish to use your information for any other purpose.
Generally, we may not use or disclose your personal health information without your permission. Further, once your permission has been obtained, we must use or disclose your personal health information in accordance with the specific terms that permission.
You have the right to determine how your personal health information is used and disclosed. For most health care purposes, your consent is implied as a result of your consent to treatment, however, in all circumstances express consent must be written.
Without your consent, we may use or disclose your personal health information to provide you with services and the treatment you require or request, or to collect payment for those services, and to conduct other related health care operations otherwise permitted or required by law. Also, we are permitted to disclose your personal health information within and among our workforce to accomplish these same purposes. However, even with your permission, we are still required to limit such uses or disclosures to the minimal amount of personal health information that is reasonably required to provide those services or complete those activities.
4. Limiting Collection
We collect information by fair and lawful means and collect only that information which may be necessary for purposes related to the provision of your medical care.
5. Limiting Use, Disclosure and Retention
The information we request from you is used for the purposes defined. We will seek your consent before using the information for purposes beyond the scope of the posted Privacy Statement.
Patients may be required to sign and date a Consent to Disclose PHI Form and pay a fee based on current OMA rates prior to release of information.
We endeavor to ensure that all decisions involving your personal information are based upon accurate and timely information. While we will do our best to base our decisions on accurate information, we rely on you to disclose all material information and to inform us of any relevant changes.
7. Safeguards: Protecting Your Information
We protect your information with appropriate safeguards and security measures. The Practice maintains personal information in secure electronic files. Access to personal information will be authorized only for the healthcare practitioners and employees associated with the Practice, and other agents who require access in the performance of their duties, and to those otherwise authorized by law.
Our computer systems are password-secured and constructed in such a way that only authorized individuals can access secure systems and databases.
If you send us an e-mail message that includes personal information, such as your name included in the "address", we will use that information to respond to your inquiry. Please remember that e-mail is not necessarily secure against interception. If your communication is very sensitive, you should not send it electronically unless the e-mail is encrypted, or your browser indicates that the access is secure.
9. Access and Correction
With limited exceptions, we will give you access to the information we retain about you within a reasonable time, upon presentation of a written request and satisfactory identification. We may charge you a fee for this service and if so, we will give you notice in advance of processing your request.
If you find errors of fact in your personal health information, please notify us as soon as possible and we will make the appropriate corrections. We are not required to correct information relating to clinical observations or opinions made in good faith. You have a right to append a short statement of disagreement to your record if we refuse to make a requested change.
If we deny your request for access to your personal information, we will advise you in writing of the reason for the refusal and you may then challenge our decision.
10. Challenging Compliance
In most cases, an issue is resolved simply by telling us about it and discussing it. You can reach us at:
Harmony Healthcare Orlando, Inc.
189 S. Orange Ave Suite 1830
Orlando, FL 32801
Tel: (407) 777-2022
Fax: (407) 942-8996
If, after contacting us, you feel that your concerns have not been addressed to your satisfaction, you have the right to complain to the Office for Civil Rights (OCR). The OCR- Southeast Region can be reached at:
Office for Civil Rights
U.S. Department of Health & Human Services
Sam Nunn Atlanta Federal Center, Suite 16T70 61
Forsyth Street, S.W.
Atlanta, GA 30303-8909
Fax: (202) 619-3818
TDD: (800) 537-7697