Printable View

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.

We understand that medical information about you is personal and we are committed to protecting that information. We create a medical record of the care and services you receive at our practice in order to provide you with quality care and to comply with certain legal obligations.

This Notice of Privacy Practices describes how we may use and disclose your medical information, including demographic information that might identify you and your related health care services. This notice also describes your rights to access and control your medical information. We are required by law to abide by the terms of this Notice of Privacy Practices.

Uses and Disclosures

Treatment: Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who might provide treatment or who might be consulted by staff members.

Payment: Your health information may be used to seek payment from your health plan or from other sources of coverage (such as an automobile insurer). For example, your health plan may request and receive information on dates of service, the services provided and the medical condition being treated.

Health Care Operations: Your health information may be used as necessary to support the day-to-day activities and management of Sleep Disorders Center of Virginia. For example, information on the services you received may be used to support budgeting and financial reporting and activities to evaluate and promote quality.

Law Enforcement: Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law enforcement investigations and to comply with government mandated reporting.

Public Health Reporting: Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department.

Other Uses and Disclosures Require Your Authorization: Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization.

Additional Uses of Information

Appointment Reminders: Your information may be used by our staff to remind you of your appointments.

Information about Treatments: Your information may be used to send you information that you may find interesting on the treatment and management of your medical condition. These mailings are from Sleep Disorders Center of Virginia. We do not disclose or sell your information to other companies for this purpose.

Individual Rights

You have certain rights under the federal privacy standards. These include:
  • The right to request restrictions on the use/disclosure of your protected health information.
  • The right to request confidential communications concerning your medical condition and treatment.
  • The right to inspect and copy your protected health information.
  • The right to request amendments or corrections to your protected health information.
  • The right to receive an accounting of how and to whom your protected health information has been disclosed.
  • The right to received a printed copy of this notice.

Sleep Disorders Center of Virginia's Duties

We are required by law to maintain the privacy of your protected health information and provide you with this notice of privacy practices.

We are also required to abide by the privacy policies and practices that are outlined in this notice.

Right to Revise Privacy Practices

As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the most recently revised notice. The revised policies and practices will be applied to all protected health information we maintain.

Requests to Inspect Protected Health Information

You may generally inspect or obtain a copy of the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your medical records by contacting Sleep Disorders Center of Virginia at any of the telephone numbers below. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request.

Complaints

If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to:

Jennifer Chenault-Walker, Privacy Officer
Sleep Disorders Center of Virginia
1800 Glenside Drive, Suite 103
Richmond, Virginia 23226


If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address.

You will not be penalized or otherwise retaliated against for filing a complaint.

Effective Date

This notice is effective on or after April 1, 2003