Vascular Surgery Practice Privacy Policy

Introduction

This Notice of Privacy Practices describes how [PRACTICE NAME] may use and disclose your protected health information to carry out treatment, payment, or healthcare operations, and for other purposes permitted or required by law.

Protected Health Information

Protected health information (PHI) includes:

• Demographics and contact information
• Medical history and examination findings
• Vascular imaging results and reports
• Treatment plans and surgical procedures
• Billing and insurance information

Your Rights

You have the right to:

1. Request restrictions on certain uses of your PHI
2. Receive confidential communications
3. Inspect and obtain copies of your health records
4. Request amendments to your health information
5. Receive an accounting of PHI disclosures

Our Responsibilities

We are required to:

• Maintain the privacy of your health information
• Provide you with notice of our legal duties and privacy practices
• Abide by the terms of this notice
• Notify you of breaches of unsecured PHI

Uses and Disclosures

For Treatment

• Sharing information with other healthcare providers
• Coordinating surgical procedures
• Managing post-operative care

For Payment

• Submitting claims to insurance companies
• Verifying coverage and benefits
• Collections activities when necessary

For Healthcare Operations

• Quality assessment activities
• Employee performance evaluation
• Training of medical students and residents

Special Circumstances

We may disclose PHI without authorization for:

• Public health activities
• Health oversight activities
• Law enforcement purposes
• Research (with proper approval)
• Emergency situations

Contact Information

Privacy Officer: [NAME] Phone: [PHONE] Email: [EMAIL]

Effective Date and Revisions

Effective Date: [DATE] Last Revised: [DATE]