Cardiology Practice Privacy Policy Template

Introduction

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.

Our Commitment to Your Privacy

Our cardiology practice is dedicated to maintaining the privacy of your individually identifiable health information (also called protected health information, or PHI).

Information We Collect

• Cardiovascular health history and examination records
• ECG, stress test, and cardiac imaging results
• Heart monitoring data and device readings
• Laboratory test results
• Medication records and prescriptions
• Insurance and payment information

Use and Disclosure of Health Information

We may use your health information for:

1. Treatment

   • Coordinating care with other cardiac specialists
   • Managing your cardiac medications
   • Scheduling procedures and follow-up care

2. Payment

   • Submitting claims to your insurance provider
   • Collecting payments for services rendered

3. Healthcare Operations

   • Quality assessment and improvement activities
   • Staff performance evaluation
   • Compliance monitoring

Your Rights Regarding Health Information

You have the right to:

• Request restrictions on certain uses
• Receive confidential communications
• Inspect and copy your health records
• Amend your health information
• Receive an accounting of disclosures
• Obtain a paper copy of this notice

Changes to This Notice

We reserve the right to change this notice and make the new notice apply to health information we already have as well as any information we receive in the future.

Contact Information

[Practice Name] Address: [Address] Phone: [Phone] Email: [Email]