Surgical Practice Privacy Policy

Introduction

At [Practice Name], we are committed to protecting and respecting your privacy. This policy outlines how we collect, use, disclose, and safeguard your protected health information (PHI).

Information We Collect

• Patient demographics
• Medical histories
• Surgical records
• Test results and diagnostics
• Insurance information
• Payment records
• Treatment plans

Use of Information

Medical Purposes

• Providing surgical care and treatment
• Coordinating with other healthcare providers
• Managing your healthcare services

Administrative Purposes

• Billing and payment processing
• Insurance claims management
• Quality assurance
• Appointment scheduling

Information Sharing

We may share your information with:

• Other healthcare providers involved in your care
• Insurance companies for claims processing
• Public health agencies as required by law
• Law enforcement when legally required

Your Rights

You have the right to:

1. Access your medical records
2. Request amendments to your information
3. Receive an accounting of disclosures
4. Request restrictions on information sharing
5. Receive confidential communications

Security Measures

• Electronic health records protection
• Staff training on privacy procedures
• Physical security measures
• Encryption of digital information

Contact Information

Privacy Officer: [Name] Phone: [Phone Number] Email: [Email Address]

Updates to This Policy

This policy was last updated on [Date]. We reserve the right to update this policy as needed to comply with regulatory changes.

Signature

Patient Name

Date