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Introduction
We maintain protocols to ensure the security and confidentiality
of your personal information. We have physical security
in our building, passwords to protect databases, compliance audits,
and visas/intrusion detection software. Within our practice, access
to your information is limited to those who need to perform their
jobs.
At Longs Peak Family Practice,
we are committed to treating and using protected health information
about you responsibly. This Notice of Privacy Polices describes
the personal information we collect, and how and when we use or
disclose that information. It also describes your rights as they
relate to your protected health information This Notice is effective
April 14 2003, and applies to all protected health information as
defined by federal regulations.
Your health information rights
Although your health record is the physical property of Longs Peak
Family Practice, the information belongs to you. You have the right
to:
- Obtain a paper copy of this
notice of privacy policies upon request,
- Inspect and obtain a copy
of your health record as provided by 45 CFR 164.524 (reasonable
copy fees apply in accordance with state law),
- Amend your health record
as provided by 45 CFR 164.526,
- Obtain an accounting of disclosures
of your health information as provided by 45 CFR 164.528,
- Request confidential communications
of your health information as provided by 45 CFR 164.522(b), and
- Request a restriction on
certain uses and disclosures of your information as provided by
45 CFR 164.522(a) (however, we are not required by law to agree
to a requested restriction).
For More Information Or To
Report A Problem
If you have questions and would like additional information you
may contact our practice's Privacy Officer:
Karen Zuniga, at 303 772 5578
If you believe your privacy
rights have been violated, you can either file a complain with Karen
Zuniga, or with the Office for Civil Rights, U.S. Department of
Health and Human Services (OCR), There will be no retaliation for
filing a complain with either our practice or the OCR. The address
for the OCR is as follows:
Office for Civil Rights
U.S. Department of Health and Human Rights
200 Independence Avenue, S.W.
Room 509F, HHH building
Washington, D.C. 20201
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