Jacksonville Hearing & Balance Institute (JHBI)
NOTICE OF PATIENT INFORMATION PRACTICES
JHBI’s LEGAL DUTY
JHBI is required by law to protect the privacy of your personal
health information, provide this notice about our information
practices and follow the information practices that are
described herein.
USES AND DISCLOSURES OF HEALTH INFORMATION
JHBI uses your personal health information primarily for
treatment; obtaining payment for treatment; conducting
internal administrative activities and evaluating the quality
of care that we provide. For example, JHBI may use your
personal health information to contact you to provide appointment
reminders, or information about treatment alternatives
or other health related benefits that could be of interest
to you.
JHBI may also use or disclose your personal health information
without prior authorization for public health purposes, for
auditing purposes, for research studies and for emergencies.
We also provide information when required by law.
In any other situation, JHBI’s policy is to obtain
your written authorization before disclosing your personal
health information. If you provide us with a written authorization
to release your information for any reason, you may later
revoke that authorization to stop future disclosures at
any time.
JHBI may change its policy at any time. When changes are
made, a new Notice of Information Practices will be posted
in the waiting room or patient exam areas and will be provided
to you on your next visit. You may also request an updated
copy of our Notice of Information Practices at any time.
PATIENT’S INDIVIDUAL RIGHTS
You have the right to review or obtain a copy of your personal
health information at any time. You have the right to request
that we correct any inaccurate or incomplete information
in your records. You also have the right to request a list
of instances where we have disclosed your personal health
information for reasons other than treatment, payment or
other related administrative purposes.
You may also request in writing that we not use or disclose
your personal health information for treatment, payment and
administrative purposes except when specifically authorized
by you, when required by law or in emergency circumstances.
JHBI will consider all such requests on a case by case basis,
but the practice is not legally required to accept them.
CONCERNS AND COMPLAINTS
If you are concerned that JHBI may have violated your privacy
rights or if you disagree with any decisions, we have made
regarding access or disclosure of your personal health
information, please contact the Practice Manager. You may
also send a written complaint to the US Department of Health
and Human Services.
NOTICE OF PATIENT INFORMATION PRACTICES
