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Welcome to the AllianceHealth Medical Group Patient Portal

Sign In to Your Portal

We use athenahealth to help you access your health information for different doctors' offices with just one email and password.

Welcome to the AllianceHealth Medical Group Patient Portal!


We are pleased you have chosen to use the Patient Portal to communicate in a secure and confidential manner with your care team.

For urgent medical matters, please contact us at 1-405-610-1149. In case of a medical emergency, call 911.

 

In order to share your clinical data with you as completely as possible, beginning October 11, 2021, patient lab results will now be sent directly to this patient portal at the same time they are sent to the ordering physician. Because we are sharing the results with you as soon as they are available, it is likely that you will see them before your healthcare provider does.

 

You can decide when to look at your results – as soon as they become available or when your healthcare provider follows up with you. Because some results may be hard to understand, please give your healthcare provider up to 48 hours to review the results before reaching out to their office.

 





Note: Patients are solely responsible for maintaining the privacy and security of all information printed from the Patient Portal.

AllianceHealth Medical Group

Please note: The below Terms of Use apply to your use of athenahealth's Services in your capacity as a patient. athenahealth offers such Services on behalf of our HIPAA regulated clients (i.e. your healthcare provider). For the Terms of use and Privacy Policy that apply to your use of our website, athenahealth.com, please visit athenahealth.com.

1. WHO WE ARE

We, athenahealth, Inc. and our subsidiaries and affiliates (collectively "athenahealth", "we", "us") power health care solutions on behalf of your healthcare provider (our "Services"). These Services which include applications, websites and mobile devices, may allow you to communicate, coordinate and manage your medical care with your healthcare provider and may include the create of accounts in connection with such use. When you use the Services, our collection and handling of your information is regulated by Health Insurance Portability and Accountability Act ("HIPAA") and our agreements with your healthcare provider.

THESE TERMS CONTAIN PROVISIONS THAT LIMIT OUR LIABILITY TO YOU AND REQUIRE YOU TO RESOLVE ANY DISPUTE WITH US THROUGH MEDIATION AND WITHOUT A JURY TRIAL, ON AN INDIVIDUAL BASIS, AND NOT AS PART OF ANY CLASS OR REPRESENTATIVE ACTION.

2. SCOPE AND PURPOSE

These Terms of Use relate to your use of the Services. Additional specific privacy policies, terms and agreements may also apply to any particular Services you use. If you use our Services to access or share data with any websites, applications, platforms, services, solutions or portals of any third parties (including any patient portals offered by any healthcare provider(s)) (each, a "Third Party Platform"), the privacy policies, terms and agreements of such Third Party Platforms will apply to your use of such Third Party Platform. We do not control and are not responsible for Third Party Platforms, whether you access such platforms using our Services or otherwise.

Our Services are not intended for use by anyone outside of the United States.

Any unauthorized registration for, access or use our Services or Third Party Platforms is strictly prohibited.

3. CONFIRMATION OF AGREEMENT

You agree that when you use our Services that display or link to these Terms of Use, you are agreeing:

These Terms of Use may change from time to time. Your use of the Services after we make changes is deemed to be acceptance of those changes. Please check periodically for updates.

4. YOUR OBLIGATIONS

You agree that:

In addition:

You acknowledge and agree that our Services are not intended for users under the age of thirteen (13) years old.

You acknowledge and agree that you will be held responsible for any losses incurred by athenahealth, our clients, any other user of our Services and any Third Party Platforms that are in any way related to your failure to maintain the security of your applicable account credentials.

You represent and warrant that all information you provide in the Services is current, complete and accurate to the best of your knowledge. If you change or deactivate any of your mailing addresses, email accounts, or telephone numbers connected to your account, you agree to update your account immediately to ensure that any communications or other information are not sent to an incorrect address or phone number.

You provide express consent and all rights necessary for us to use your addresses and phone numbers for verification purposes.

You acknowledge and agree that, when using our Services, information will be transmitted over a medium that may be beyond the control of athenahealth, our clients, or our or their licensors or suppliers. Accordingly, neither athenahealth, our clients, nor our or their licensors nor suppliers assume liability for or relating to the delay, failure, interruption or corruption of any data or other information transmitted in connection with your use of the Services.

5. OUR RESERVATION OF RIGHTS

You do not acquire any ownership interest in our Services. We reserve and shall retain the entire right, title, and interest in and to our Services, including all copyrights, trademarks, and other intellectual property rights. We reserve all rights not expressly granted herein. There are no implied rights or licenses granted to you under the Agreement.

We own all rights to our logos and trademarks used in connection with our Services. All other logos and trademarks used in connection with our Services, any client accounts or any Third Party Platforms are the property of their respective owners.

6. LICENSING

You acknowledge and agree that our Services contain proprietary and confidential information and content that is protected under U.S. and international intellectual property laws and regulations, including trade secret, copyright, trademark, service mark, patent or other proprietary rights and laws. Other than a limited license as provided below, you agree not to sell, rewrite, modify, reproduce, distribute, redistribute, create derivative works of (including translating), rent or provide any confidential or proprietary information or content related to your use of our Services, in whole or in part.

Subject to your compliance with the Agreement and all applicable laws and regulations, athenahealth grants you a revocable, non-exclusive, non-transferable, non-sublicensable, limited personal license to access the Services for your lawful personal and noncommercial uses.

Subject to the license granted to you by athenahealth as described above, you may retain ownership of communications or other material that you post or transmit through the Services including, to the extent property interests exist, any data, questions, comments, suggestions, or the like ("User Data"). You grant athenahealth a non-exclusive, royalty-free, perpetual, worldwide, irrevocable license to reproduce, transmit, display, disclose, and otherwise use User Data.

7. THIRD PARTY PLATFORMS & SERVICES

If you use our Services to login, access or use any Third Party Platform or any Services, your access to and use of such Third Party Platform or Service will also be governed by the Third Party Platform's or Service's terms of use, privacy policy, and any other agreements or terms, which are solely between you and the Third Party Platform or Service provider. You acknowledge and agree that athenahealth is not responsible for any Third-Party Platforms, including their content, features, functionality, accuracy, completeness, timeliness, validity, legal compliance, performance, security, operations, decency, quality, or any other aspect thereof. athenahealth does not assume and will not have any liability or responsibility to you or any other person or entity related to any Third-Party Platforms. Your access and use of any Third Party Platforms is entirely at your own risk.

8. UPDATES; BUG FIXES

We may, from time to time in our sole discretion, develop and provide updates to our Services, which may include upgrades, bug fixes, patches, other error corrections, and/or new features (collectively, including related documentation, "Updates"). Updates may also modify (or delete in their entirety) certain features and functionality of our Services. You agree that athenahealth has no obligation to provide any Updates or to continue to provide or enable any particular features or functionality.

9. TERM AND TERMINATION

The term of this Agreement commences when you use our Services and will continue in effect until terminated. We may terminate or modify your use of our Services at any time without prior notice in our sole discretion.

Upon termination: (i) all rights granted to you under this Agreement will also terminate; and (ii) you must cease all use of our Services. You agree that neither athenahealth, our clients, nor our licensors shall be liable to you or any third party for any termination or modification of your use of the Services. Termination will not limit any of athenahealth's or our client's rights or remedies at law or in equity. Sections 4 through 8 and 10 through 16 of this Agreement shall also survive termination, as well as any other sections of other portions of this Agreement that by their own terms survive.

10. DISCLAIMER OF WARRANTIES

YOUR USE OF OUR SERVICES IS PROVIDED TO YOU "AS IS" AND WITH ALL FAULTS AND DEFECTS WITHOUT WARRANTY OF ANY KIND. TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW, ATHENAHEALTH, ON OUR OWN BEHALF AND ON BEHALF OF OUR CLIENTS AND OUR AND THEIR RESPECTIVE OFFICERS, DIRECTORS, AFFILIATES, EMPLOYEES, AGENTS, SUCCESSORS, ASSIGNS, LICENSORS AND SERVICE PROVIDERS, EXPRESSLY DISCLAIM ALL WARRANTIES, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHERWISE, WITH RESPECT TO OUR SERVICES, INCLUDING ALL IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT, AND WARRANTIES THAT MAY ARISE OUT OF COURSE OF DEALING, COURSE OF PERFORMANCE, USAGE, OR TRADE PRACTICE. WITHOUT LIMITATION TO THE FOREGOING, WE PROVIDE NO WARRANTY OR UNDERTAKING, AND MAKE NO REPRESENTATION OF ANY KIND THAT YOUR USE OF OUR SERVICES WILL MEET YOUR REQUIREMENTS, ACHIEVE ANY INTENDED RESULTS, BE COMPATIBLE, OR WORK WITH ANY OTHER SOFTWARE, APPLICATIONS, SYSTEMS, OR SERVICES, OPERATE WITHOUT INTERRUPTION, MEET ANY PERFORMANCE OR RELIABILITY STANDARDS OR BE ERROR-FREE, OR THAT ANY ERRORS OR DEFECTS CAN OR WILL BE CORRECTED.

11. LIMITATION OF LIABILITY

TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT WILL ATHENAHEALTH OR OUR CLIENTS, OR ANY OF OUR OR THEIR RESPECTIVE OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, AFFILIATES, SUCCESSORS, ASSIGNS, LICENSORS OR SERVICE PROVIDERS (COLLECTIVELY, "ATHENAHEALTH AND RELATED PARTIES"), HAVE ANY LIABILITY ARISING FROM OR RELATED TO YOUR USE OF OR INABILITY TO USE OUR SERVICES FOR: (a) PERSONAL INJURY, PROPERTY DAMAGE, LOST PROFITS, COST OF SUBSTITUTE GOODS OR SERVICES, LOSS OF DATA, LOSS OF GOODWILL, BUSINESS INTERRUPTION, COMPUTER FAILURE OR MALFUNCTION, OR ANY OTHER CONSEQUENTIAL, INCIDENTAL, INDIRECT, EXEMPLARY, SPECIAL, OR PUNITIVE DAMAGES; NOR (b) DIRECT DAMAGES IN AMOUNTS THAT IN THE AGGREGATE EXCEED THE AMOUNT ACTUALLY AND DIRECTLY PAID BY YOU PERSONALLY TO ATHENAHEALTH FOR YOUR USE OF AND ACCESS TO THE SERVICES.

THE FOREGOING LIMITATIONS WILL APPLY WHETHER SUCH DAMAGES ARISE OUT OF BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), OR OTHERWISE AND REGARDLESS OF WHETHER SUCH DAMAGES WERE FORESEEABLE OR WE OR ANY OF OUR CLIENTS WERE ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

ATHENAHEALTH CANNOT AND DOES NOT ASSUME ANY RESPONSIBILITY OR LIABILITY FOR ANY INFORMATION YOU SUBMIT IN CONNECTION WITH YOUR USE OF OUR SERVICES, OR FOR YOUR OR THIRD PARTIES' USE OR MISUSE OF ANY CONTENT, DATA OR OTHER INFORMATION TRANSMITTED OR RECEIVED USING OUR SERVICES. ATHENAHEALTH IS NOT YOUR HEALTHCARE PROVIDER AND DOES NOT PROVIDE HEALTHCARE TREATMENT OR OTHERWISE ASSUME ANY RESPONSIBILITY OR LIABILITY FOR ANY TREATMENT YOU MAY RECEIVE FROM YOUR HEALTHCARE PROVIDER IN CONNECTION WITH YOUR USE OF THE SERVICES.

STATE LIMITATIONS: SOME U.S. STATES DO NOT ALLOW THE DISCLAIMER OR EXCLUSION OF CERTAIN WARRANTIES OR THE LIMITATION OR EXCLUSION OF LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES. ACCORDINGLY, IN SUCH STATES, SOME OF THE ABOVE LIMITATIONS OR EXCLUSIONS MAY NOT APPLY TO YOU OR BE ENFORCEABLE WITH RESPECT TO YOU. IN SUCH STATES, THE LIABILITY OF THE ATHENAHEALTH AND RELATED PARTIES SHALL BE LIMITED TO THE GREATEST EXTENT PERMITTED BY LAW.

12. INDEMNIFICATION

You agree to indemnify, defend, and hold harmless athenahealth from and against any and all losses, damages, liabilities, arising from third party claims arising from or relating to your improper use of your use of our Services or your breach of this Agreement.

13. MEDIATION

You agree to submit any and all disputes, claims, or controversies arising out of or relating to your use of Services or this Agreement to JAMS, or its successor, for mediation in Boston, Massachusetts. Either party may commence mediation by providing to JAMS and the other party a written request for mediation, which must set forth the subject of the dispute, the relief requested, and the factual and legal bases for such relief. You agree to cooperate with JAMS and with athenahealth in selecting a mediator from the JAMS panel of neutrals and in scheduling the mediation proceedings. The parties shall participate in the mediation in good faith and equally share the costs of the mediation. If the dispute is not resolved by mediation, the party seeking relief may pursue all remedies available at law, subject to the terms of this Agreement. Notwithstanding this Section 13, we may (i) terminate, modify or freeze your use of Services or this Agreement according to its terms and/or (ii) seek injunctive relief.

14. CHOICE OF LAW; FORUM; SERVICE OF PROCESS

You agree that any dispute arising out of or relating to your use of the Services or this Agreement, including any conduct related to this Agreement following termination hereof (each, a "Dispute") will be governed exclusively by the laws of the Commonwealth of Massachusetts, without regard to its conflicts of laws principles. The Federal District Court for the District of Massachusetts or the business litigation section of the state superior court of Massachusetts will be the exclusive venue for any resolution of any Dispute. You hereby submit to and consent irrevocably to the jurisdiction of such courts for these purposes.

You hereby irrevocably waive any and all right to trial by jury in any legal proceeding arising out of or related to your use of our Services.

You agree not to join or consolidate claims by other users, or to pursue any claim as a representative or class action or in a private attorney general capacity.

No claim against athenahealth, any of our clients, and our and their officers, directors, employees, agents, affiliates, successors, assigns, licensors and service providers, or any Third Party Platform provider for a Third Party Platform related to your use of the Services, of any kind under any circumstances may be asserted or filed more than one year after you know, or in the exercise of reasonable care could know, of any circumstances, whether by act or omission, that may give rise to such claim.

You consent to receive service of process by electronic means or social media to the extent allowed by the applicable federal or state court. (This constitutes express agreement of the parties regarding your consent pursuant to Federal Rule of Civil Procedure 5(b)(2)(E) and any applicable state law equivalent.)

15. MISCELLANEOUS

If we do not act to enforce a breach of this Agreement or any portion thereof, that does not mean that we have waived our right to enforce this Agreement.

You may not assign or transfer accounts created while using our Services or this Agreement to anyone without our consent. However, you agree that we may assign this Agreement to any of our affiliates or subsidiaries, or in connection with any merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, without your consent and without notice.

You and we agree that there are no third-party beneficiaries of this Agreement.

If a court with authority over this Agreement finds any part of it unenforceable, you and we agree that the court should modify the terms to make that part enforceable while still achieving the intent of the Agreement. If the court cannot do that, you and we agree to ask the court to remove the unenforceable part and still enforce the rest of this Agreement.

Residents of New Jersey: if you are from New Jersey, the foregoing sections are intended to be only as broad as is permitted under the laws of the state of New Jersey. If any portion of the Agreement is held to be invalid under the laws of the state of New Jersey, the invalidity of such portion shall not affect the validity of the remaining portions of the applicable sections.

Section titles are for convenience only and will not affect the meaning of this Agreement.

16. NOTICES TO ATHENAHEALTH

You agree to provide any legal notice regarding your use of Services or any alleged breach of this Agreement to:

athenahealth, Inc.
Attn: LEGAL DEPARTMENT
311 Arsenal Street
Watertown, MA 02472

You agree that the only way to provide us legal notice is in writing at the address provided above.

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NOTICE OF PRIVACY PRACTICES

This Notice Describes How Medical Information about You May Be Used and Disclosed and How You Can Get Access to This Information

PLEASE REVIEW CAREFULLY.

If you have any questions about this notice, please contact the Facility Privacy Officer.

 

Who Will Follow This Notice: This notice describes the facility’s practices and how the facility shares your information with others for treatment, payment and health care operations purposes.

  • Any health care professional authorized to enter information into your facility chart.
  • All departments and units of the facility.
  • Any member of a volunteer group allowed to help you while you are in the facility.
  • All employees, staff, agents and other facility personnel.
  • Health care providers and their authorized representatives who are members of the facility’s organized health care arrangement, or “OHCA.” These health care providers and their authorized representatives will be operationally and/or clinically integrated with the facility, or will otherwise be permitted by law to receive your information. For example, to the extent permitted by law and in accordance with our policies, the facility will share your medical information with physicians who are members of the facility’s medical staff, even if the physician is not employed by the facility.
  • All entities, sites and locations within this facility’s system will follow the terms of this notice. They also may share medical information with each other for treatment, payment and health care operations purposes.

Our Pledge Regarding Medical Information: We understand that medical information about you and your healthcare is personal. We are committed to protecting medical information about you. A record is created of the care and services you receive at this facility. This record is needed to provide the necessary care and to comply with legal requirements. This notice applies to all of the records of your care generated by the facility. Your personal physician may have different policies or notices regarding the physicians use and disclosure of your medical information in the physician’s office or clinic.

This notice will tell about the ways in which the facility may use and disclose medical information about you. Also described are your rights and certain obligations we have regarding the use and disclosure of medical information.

The law requires the facility to:
  • Make sure that medical information that identifies you is kept private;
  • Inform you of our legal duties and privacy practices with respect to medical information about you; and
  • Follow the terms of the notice that is currently in effect. This notice is effective as of September 23, 2013.
HOW THE FACILITY MAY USE and DISCLOSE YOUR MEDICAL INFORMATION:

Except with respect to Highly Confidential Information (described below), we are permitted to use your health information for the following purposes:

  • Treatment. Your medical information may be used to provide you with medical treatment or services. This medical information may be disclosed to physicians, nurses, technicians, and others involved in your care at the facility, including employees, volunteers, students and interns at the facility. This includes using and disclosing your information to treat your illness or injury, to contact you to provide appointment reminders or to give you information about treatment options or other health related benefits and services that may interest you.

    For example: A physician treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. The physician may need to tell the dietitian about the diabetes so appropriate meals can be arranged. Different departments of the facility may also share medical information about you in order to coordinate your different needs, such as prescriptions, lab work and X-Rays. The facility also may disclose medical information about you to people outside the facility who may be involved in your medical care after you leave the facility, such as family members, home health agencies, and others who provide services that are part of your care.

  • Payment. Your medical information may be used and disclosed so that the treatment and services received at the facility may be billed and payment may be collected from you, your insurance company and/or a third party. Please note, we will comply with your request not to disclose your health information to your insurance company if the information relates solely to a healthcare item or service for which you have paid out of pocket and in full to us. This restriction does not apply to the use or disclosure of your health information for your medical treatment.

    For example: To the extent insurance will be responsible for reimbursing the facility for your care, the health plan or insurance company may need information about surgery you received at the facility so they can provide payment for the surgery. Information may also be given to someone who helps pay for your care. Your health plan or insurance company may also need information about a treatment you are going to receive to obtain prior approval or to determine whether they will cover the treatment.

  • Health Care Operations. Your medical information may be used and disclosed for purposes of furthering day-to-day facility operations. These uses and disclosures are necessary to run the facility and to monitor the quality of care our patients receive.

    For example: Subject to any limitations described in this notice, your medical information may be:

    1. Reviewed to evaluate the treatment and services performed by our staff in caring for you.
    2. Combined with that of other facility patients to decide what additional services the facility should offer, what services are not needed, and whether certain new treatments are effective.
    3. Disclosed to physicians, nurses, technicians, and other agents of the facility for review and learning purposes.
    4. Disclosed to healthcare students, interns and residents.
    5. Combined with information from other facilities to compare how we are doing and see where we can improve the care and services offered. Information that identifies you in this set of medical information may be removed so others may use it to study health care and health care delivery without knowing who the specific patients are.

     

  • Individuals Involved in Your Care. With your permission, your medical information may be released to a family member, guardian or other individuals involved in your care. They may also be told about your condition unless you have requested additional restrictions. In addition, your medical information may be disclosed to an entity assisting in a disaster relief effort so your family can be notified about your condition, status, and location.
  • Research. Under certain circumstances, your medical information may be used and disclosed for research purposes.

    For example: A research project may involve comparing the health and recovery of all patients who received one medication to those who received another, for the same conditions. All research projects, however, are subject to a special approval process. This process evaluates a proposed research project and its use of medical information, balancing the research needs with the patients’ need for privacy of their medical information. Your medical information may be disclosed to people preparing to conduct a research project; for example, helping them look for patients with specific medical needs, so long as the medical information they review does not leave the facility. We will almost always ask for your specific permission if the researcher will have access to your name, address or other information that reveals who you are, or will be involved in your care at the facility.

  • Marketing Activities. We may, without obtaining your authorization and so long as we do not receive payment from a third party for doing so, 1) provide you with marketing materials in a face-to-face encounter, 2) give you \a promotional gift of nominal value, or 3) tell you about our own health care products and services. We will ask your permission to use your health information for any other marketing activities.
  • Appointment Reminders. Your medical information may be used to contact you as a reminder of an appointment you have for treatment or medical care at the facility.
  • Treatment Alternatives. Your medical information may be used to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
  • Health-Related Benefits and Services. Your medical information may be used to tell you about health-related benefits or services that may be of interest to you.
  • Participation in Health Information Exchanges. We may participate in one or more health information exchanges (HIEs) and may electronically share your health information for treatment, payment and permitted healthcare operations purposes with other participants in the HIE – including entities that may not be listed under “Who Will Follow This Notice” on the first page of this notice. Depending on State law requirements, you may be asked to “opt-in” in order to share your information with HIEs, or you may be provided the opportunity to “opt-out” of HIE participation.HIEs allow your health care providers to efficiently access and use your pertinent medical information necessary for treatment and other lawful purposes. We will not share your information with an HIE unless both the HIE and its participants are subject to HIPAA’s privacy and security requirements.
  • As Required by Law.Your medical information will be disclosed when required to do so by federal, state, or local authorities, laws, rules and/or regulations.
  • Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, your medical information will be disclosed in response to a court or administration order, subpoena, discovery request, or other lawful process by someone else involved in the dispute when we are legally required to respond.
  • Law Enforcement. Your medical information will be released if requested by a law enforcement official:
    1. In response to a court order, subpoena, warrant, summons or similar process;
    2. To identify or locate a suspect, fugitive, material witness, or missing person;
    3. About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;
    4. About a death we believe may be the result of criminal conduct;
    5. In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
  • National Security and Intelligence Activities. Your medical information will be released to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
  • Protective Services for the President and Others. Your medical information may be disclosed to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.
  • To Alert a Serious Threat to Health or Safety. Your medical information may be used and disclosed when necessary to prevent a serious threat to your health and safety and that of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.
  • Health Oversight Activities. Your medical information may be disclosed to a health oversight facility for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
SPECIAL SITUATIONS:
  • Organ and Tissue Donation. If you are an organ or tissue donor, your medical information may be released to organizations that handle organ procurement or organ, eye and tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.
  • Military and Veterans. If you are a member of the armed forces, your medical information may be released as required by military command authorities. If you are a member of the foreign military personnel, your medical information may be released to the appropriate foreign military authority.
  • Workers’ Compensation. If you seek treatment for a work-related illness or injury, we must provide full information in accordance with state-specific laws regarding workers’ compensation claims. Once state-specific requirements are met and an appropriate written request is received, only the records pertaining to the work- related illness or injury may be disclosed.
  • Public Health Risk. Your medical information may be used and disclosed for public health activities. These activities generally include the following:
    1. To prevent or control disease, injury or disability;
    2. To report births and deaths;
    3. To report child abuse or neglect;
    4. To report reactions to medications or problems with products;
    5. To notify people of recalls of products they may be using;
    6. To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;
    7. To notify the appropriate government authority if we believe a patient has been the victim of abuse, \neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
  • Coroners, Medical Examiners, and Funeral Directors. Your medical information may be released to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients of the facility to funeral directors as necessary to carry out their duties.
  • Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary for the following reasons:
    1. For the institution to provide you with health care;
    2. To protect the health and safety of you and others;
    3. For the safety and security of the correctional institution.
HIGHLY CONFIDENTIAL INFORMATION:

Federal and/or State law require special privacy protections for certain highly confidential information about you, including your health information that is maintained in psychotherapy notes. Similarly, Federal and/or State law may provide greater protections for the following types of information than HIPAA, in which case we will comply with the law that provides your information with the greatest protection and you with the greatest privacy rights: (1) mental health and developmental disabilities; (2) alcohol and drug abuse prevention, treatment and referral; (3) HIV/AIDS testing, diagnosis or treatment; (4) communicable diseases; (5) genetic testing; (6) child abuse and neglect; (7) domestic or elder abuse; and/or (8) sexual assault. In order for your highly confidential information to be disclosed for a purpose other than those permitted by law, your written authorization is required.

YOUR WRITTEN AUTHORIZATION

We will first obtain your written authorization before using or disclosing your protected health information for any purpose not described above, including disclosures that constitute the sale of protected health information or for marketing communications paid for by a third party (excluding refill reminders, which the law permits without your authorization). If you provide the facility permission to use or disclose your medical information, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose your medical information for the reasons covered in your written authorization. You understand that we are unable to take back any disclosures already made with your permission, and that we are required to retain our records of the care that the facility provided to you.

ADDITIONAL INFORMATION CONCERNING THIS NOTICE:
  • Changes To This Notice. We reserve the right to change this notice and make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. The facility will post a current copy of the notice with the effective date. In addition, each time you register at, or are admitted to, the facility for treatment or health care services as an inpatient or outpatient, we will offer you a copy of the current notice in effect.
  • Complaints. You will not be penalized for filing a complaint. If you believe your privacy rights have been violated, you may file a complaint with the facility or with the Secretary of the Department of Health and Human Services. Some States may allow you to file a complaint with State’s Attorney General, Office of Consumer Affairs or other State agency as specified by applicable State law. To file a complaint with the facility, submit your complaint to the facility’s Privacy Officer in writing. The facility’s Privacy Officer can provide you with contact information for the Secretary of the Department of Health and Human Services as well as the State agency or agencies authorized to accept your complaints.
YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION
You have the following rights regarding medical information the facility maintains about you:
** NOTE: All Requests Must Be Submitted in Writing to the Facility**
  • Right to Request Access to Your Health Information. You have the right to timely inspect and copy medical information that may be used to make decisions about your care. Such access will be granted by the facility in accordance with applicable law.

    To inspect and copy medical information or to receive an electronic copy of the medical information that may be used to make decisions about you, you must submit a written request. If you request a paper copy of your information, we may charge a fee for the cost of copying, mailing or other supplies associated with your request.

    If the facility uses or maintains an electronic health record with respect to your medical information, you have the right to obtain an electronic copy of the information if you so choose.

    1. You may direct the facility to transmit the copy to another entity or person that you designate provided the choice is clear, conspicuous, and specific.
    2. The facility may charge a fee equal to its labor cost in providing the electronic copy (e.g., costs may include the cost of a flash drive, if that is how you request a copy of your information be produced). If you request an electronic copy of your information, we will provide the information in the format requested if it is feasible to do so.

    We may deny your request to inspect and copy in some limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional, other than the person who denied your request, will be chosen by the facility to review your request and the denial. The facility will comply with the outcome of the review.

    1. A licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to endanger the life or physical safety of the individual or another person.
    2. The protected health information makes reference to another person (unless such other person is a health care provider) and a licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to cause substantial harm to such other person.
    3. The request for access is made by the individual’s personal representative, and a licensed health care professional has determined, in the exercise of professional judgment, that the provision of access to such personal representative is reasonably likely to cause substantial harm to the individual or another person.
  • Right to Amend.If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment to information kept by or for the facility. Except where individual state laws are more stringent, this facility has a minimum of 60 days to act on your request.

    To request an amendment, you must submit a written request. You must also provide a reason that supports your request.

    Your request for an amendment may be denied if:

    1. Your request is not in writing or does not include a reason to support the request;
    2. The medical information was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
    3. The medical information is not part of the medical information kept by or for the facility;
    4. The medical information is not part of the information you would be permitted to inspect and copy; or
    5. The medical information is accurate and complete.
  • Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of your medical information for purposes other than treatment, payment and health care operations. Except where individual state laws are more stringent, this facility has a minimum of 60 days to act on your request.

    To request this list or accounting of disclosures:

    1. You must submit your request in writing.
    2. Your request must state a time period, which may not be longer than six years and may not include dates before April 14, 2003.
    3. Your request should indicate in what form you want the list (for example, on paper, electronically).

    The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

  • Right to Request Restrictions. You have a right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member.

    To request restrictions, you must make your request in writing. In your request, you must tell us:

    1. What information you want to limit;
    2. Whether you want to limit our use, disclosure or both;
    3. To whom you want the limits to apply, for example, disclosures to your spouse.

    You also have a right to request that a health care item or service not be disclosed to your health plan for payment purposes or health care operations. We are required to honor your request if the health care item or service is paid out of pocket and in full. This restriction does not apply to use or disclosure of your health information related to your medical treatment.

  • Right to Request Confidential Communication. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example: You can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
  • Right to Be Notified of Breach. We will notify you if we discover a breach of your unsecured protected health information.
  • Right to a Paper Copy of This Notice. You have the right to a copy of this notice. You may ask us to give you a copy at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.

In English

AVISO SOBRE PRÁCTICAS DE PRIVACIDAD

Este aviso describe cómo se puede utilizar y divulgar su información médica y cómo puede tener acceso a esta información.

REVÍSELO ATENTAMENTE.

Si tiene alguna pregunta con relación a este aviso, comuníquese con el funcionario de privacidad del centro.

 

Quiénes seguirán este aviso: Este aviso describe las prácticas del centro y cómo el centro comparte su información con otras personas con fines de tratamiento, pago y operaciones de atención médica.

  • Cualquier profesional de atención médica autorizado para ingresar información a su expediente en el centro.
  • Todos los departamentos y unidades del centro.
  • Cualquier miembro de un grupo voluntario a quien se le permita ayudarle mientras usted esté en el centro.
  • Todos los empleados, el personal, los agentes y otro personal del centro.
  • Los proveedores de atención médica y sus representantes autorizados que sean miembros del arreglo organizada de atención médica del centro (Organized Health Care Arrangement, “OHCA”). Estos proveedores de atención médica y sus representantes autorizados estarán integrados de manera operacional o clínica con el centro, o de lo contrario contarán con autorización de la ley para recibir su información. Por ejemplo, en la medida en que la ley lo permita y de acuerdo con nuestras políticas, el centro compartirá su información médica con médicos miembros del personal médico del centro, incluso si el médico no es empleado del centro.
  • Todas las entidades, los sitios y las ubicaciones dentro del sistema de este Centro seguirán los términos de este aviso. También pueden compartir información médica entre ellos con fines de tratamiento, pago y operaciones de atención médica.

Nuestro compromiso relacionado con la información médica: Comprendemos que su información y atención médica es personal. Estamos comprometidos a proteger su información médica. Se crea un expediente de la atención y los servicios que recibe en el centro. Este expediente es necesario para proporcionar la atención necesaria y para cumplir con los requisitos legales. Este aviso se aplica a todos los expedientes de su atención generados por el centro. Puede que su médico personal tenga políticas o avisos distintos relacionados al uso y la divulgación de su información médica en la clínica o el consultorio del médico.

En este aviso se indicarán las maneras en que el centro puede usar y divulgar su información médica. También se describen sus derechos y ciertas obligaciones que tenemos relacionadas con el uso y la divulgación de información médica.

La ley obliga al centro a:
  • asegurarse de que la información médica que le identifica se mantenga confidencial;
  • informarle de nuestras obligaciones legales y prácticas de privacidad relacionadas con su información médica; y
  • seguir los términos del aviso actualmente vigente. Este aviso entra en vigencia a partir del 23 de septiembre de 2013.
CÓMO PUEDE EL CENTRO USAR y DIVULGAR SU INFORMACIÓN MÉDICA:

A excepción de lo relacionado con la información altamente confidencial (descrita a continuación), estamos autorizados a usar su información de salud para los siguientes propósitos:

  • Tratamiento. Su información médica puede ser usada para proporcionarle tratamiento o servicios médicos. Esta información médica puede ser divulgada a médicos, enfermeros, técnicos y otras personas que participen en su atención en el centro, incluso empleados, voluntarios, estudiantes y médicos internistas en el centro. Esto incluye usar y divulgar su información para tratar su enfermedad o lesión, para contactarle y proporcionarle recordatorios de sus citas, o brindarle información sobre opciones de tratamiento u otros beneficios y servicios relacionados con la salud, que pudieran interesarle.

    Por ejemplo: Un médico que le proporcione tratamiento por una pierna fracturada puede necesitar saber si usted tiene diabetes, debido a que la diabetes puede retardar el proceso de curación. El médico puede necesitar informarle al dietista acerca de la diabetes para que se coordinen las comidas adecuadas. Los distintos departamentos del centro pueden también compartir su información médica para coordinar sus diferentes necesidades, tales como recetas médicas, trabajo de laboratorio y rayos X. El centro también puede divulgar su información médica a personas ajenas al centro, que pudieran participar en su atención médica después de que se le dé el alta, tales como familiares, agencias de salud en el hogar y otras personas que proporcionen servicios como parte de su atención médica.

  • Pago. Su información médica puede usarse y divulgarse para que el tratamiento y los servicios recibidos en el centro puedan facturarse y que el pago le sea cobrado a usted, a su aseguradora y/o a un tercero. Tenga en cuenta que solo cumpliremos con su solicitud de no divulgar su información de salud a su aseguradora si la información se relaciona con un artículo o servicio de atención médica que usted nos haya pagado en su totalidad mediante un desembolso directo. Esta restricción no se aplica al uso o ni a la divulgación de su información de salud para su tratamiento médico.

    Por ejemplo: Hasta donde el seguro sea responsable de reembolsar al centro el costo de su atención, el plan médico o la aseguradora puede necesitar información sobre la cirugía que se le practicó en el centro para que puedan pagar por la cirugía. También puede proporcionarse información a alguna persona que ayude a pagar por su atención. Su plan médico o aseguradora también podría necesitar información sobre algún tratamiento que recibirá, para obtener la aprobación previa o para determinar si cubrirán el tratamiento.

  • Operaciones de atención médica. Su información médica puede ser usada y divulgada con el objetivo de obtener más información de operaciones diarias en el centro. Estos usos y divulgaciones son necesarios para que el centro funcione y para supervisar la calidad de la atención que nuestros pacientes reciben.

    Por ejemplo: Sujeta a cualquier limitación descrita en este aviso, su información médica puede ser:

    1. Revisada para evaluar el tratamiento y los servicios llevados a cabo por nuestro personal para su atención.
    2. Combinada con información de pacientes de otros centros para decidir qué servicios adicionales debería ofrecer el centro, qué servicios no son necesarios y si ciertos tratamientos nuevos son eficaces o no.
    3. Divulgada a médicos, enfermeros, técnicos y otros agentes del centro con fines educativos y de revisión.
    4. Divulgada a estudiantes de atención médica, a médicos internistas y a residentes.
    5. Combinada con información de otros centros para comparar nuestro funcionamiento y ver dónde podemos mejorar la atención y los servicios que ofrecemos. La información que le identifique en este conjunto de información médica puede ser eliminada, para que otras personas la usen para estudiar la atención médica y los servicios de atención médica sin saber quiénes son los pacientes específicos.

     

  • Personas involucradas en su atención médica. Con su autorización, puede darse a conocer su información médica a un familiar, tutor u otra persona involucrada en su atención. También puede informárseles sobre su afección, a menos que usted haya solicitado restricciones adicionales. Además, su información médica puede divulgarse a una entidad que asista en el socorro ante un desastre para que sea posible avisar a su familia respecto a su afección, estado de salud y ubicación.
  • Investigación. Bajo determinadas circunstancias, su información médica puede ser usada y divulgada con propósitos de investigación.

    Por ejemplo: Un proyecto de investigación puede involucrar comparar la salud y la recuperación de todos los pacientes que recibieron un medicamento con la de aquellos que recibieron otro, para la misma afección. Sin embargo, todos los proyectos de investigación están sujetos a un proceso especial de aprobación. Este proceso evalúa un proyecto de investigación propuesto, y el pertinente uso de información médica, equilibrando las necesidades de investigación con la necesidad de los pacientes de mantener privada su información médica. Su información médica puede divulgarse a personas que estén preparándose para llevar a cabo un proyecto de investigación; por ejemplo, ayudarles a buscar pacientes con necesidades médicas específicas, siempre y cuando la información médica que revisen no salga del centro. Casi siempre le pediremos su autorización específica si el investigador tuviera que acceder a su nombre, dirección u otra información que revele su identidad, o participara en su atención médica en el centro.

  • Actividades de marketing. Puede que sin su autorización, siempre y cuando no recibamos pago de un tercero por hacerlo, 1) le proporcionemos material de marketing en encuentros presenciales, 2) le brindemos un regalo promocional de valor mínimo, o 3) le informemos acerca de nuestros propios productos y servicios de atención médica. Solicitaremos su autorización para usar su información de salud para cualquier otra actividad de marketing.
  • Recordatorios de citas. Podemos usar su información médica para comunicarnos con usted y recordarle su cita para tratamiento o atención médica en el centro.
  • Alternativas de tratamiento. Podemos usar su información médica para contarle o recomendarle posibles opciones o alternativas de tratamiento que pudieran ser de su interés.
  • Beneficios y servicios relacionados con la salud. Podemos usar su información médica para contarle acerca de beneficios y servicios relacionados con la salud que pudieran ser de su interés.
  • Participación en intercambios de información de salud. Puede que participemos en uno o más intercambios de información de salud (Health Information Exchanges, HIE) y compartamos su información de salud de manera electrónica para propósitos de tratamiento, pago y operaciones autorizadas de atención médica con otros participantes en HIE, incluso entidades que pueden no estar mencionadas bajo “Quiénes seguirán este aviso” en la primera página de este aviso. Según los requisitos legales del estado, puede que se le solicite ser "incluido" para compartir su información en HIE, o puede proporcionársele la oportunidad de ser "excluido" para no participar en HIE. HIE permite que sus proveedores de atención médica accedan eficazmente y usen su información médica necesaria para tratamiento y otros propósitos legales. No compartiremos su información en un HIE a menos que el HIE y sus participantes estén sujetos a los requisitos de privacidad y seguridad de HIPAA.
  • Conforme lo requiera la ley. Su información médica será divulgada cuando lo soliciten las autoridades, leyes, reglas y/o reglamentos federales, estatales o locales.
  • Juicios y litigios. Si está involucrado en un juicio o litigio, su información médica se divulgará como respuesta a una orden judicial o un mandato administrativo, una citación, una solicitud de descubrimiento, u otro proceso legal de parte de alguien involucrado en el litigio, cuando la ley nos obligue a responder.
  • Policía. Su información médica se divulgará si lo requiere un oficial de la policía:
    1. Como respuesta a una orden judicial, una citación, una sentencia, una solicitud o un proceso similar;
    2. Para identificar o localizar a un sospechoso, fugitivo, testigo material, o a una persona desaparecida;
    3. Acerca de la víctima de un crimen si, bajo determinadas circunstancias limitadas, no podemos obtener la autorización de la persona;
    4. Acerca de un fallecimiento si creemos que puede ser el resultado de una conducta criminal;
    5. En circunstancias de emergencia, para denunciar un crimen; la ubicación de un delito o de las víctimas; o la identidad, descripción o ubicación de la persona que cometió el delito.
  • Seguridad nacional y actividades de inteligencia. Su información médica se divulgará a funcionarios federales autorizados para actividades de inteligencia, contraespionaje y otras actividades de seguridad nacional autorizadas por la ley.
  • Servicios de protección para el Presidente y otros funcionarios. Su información médica puede divulgarse a funcionarios federales autorizados para que puedan proporcionar protección al Presidente, otras personas autorizadas o jefes de estado extranjeros, o para llevar a cabo investigaciones especiales.
  • Para alertar sobre una amenaza grave a la salud o la seguridad. Su información médica puede usarse y divulgarse cuando sea necesario para prevenir una amenaza grave a su salud y seguridad, así como a la del público o de otra persona. Sin embargo, cualquier divulgación se hará solamente a las personas capaces de ayudar a prevenir la amenaza.
  • Actividades de supervisión de salud. Su información médica puede divulgarse a un centro de supervisión de salud para actividades autorizadas por la ley. Estas actividades de supervisión incluyen, por ejemplo, auditorías, investigaciones, inspecciones y obtención de licencias. Estas actividades son necesarias para que el gobierno supervise el sistema de atención médica, los programas gubernamentales y el cumplimiento con las leyes de los derechos civiles.
SITUACIONES ESPECIALES:
  • Donación de órganos y tejidos. Si usted es un donante de órganos o tejidos, su información médica puede divulgarse a organizaciones que manejen la obtención de órganos el, trasplante de órganos, ojos y tejidos, o a un banco de donación de órganos, según sea necesario para facilitar la donación de órganos y tejidos, y los trasplantes.
  • Militares y veteranos de guerra. Si pertenece al ejército, su información médica puede divulgarse como lo requieran las autoridades de comando militar. Si usted es un miembro del personal militar extranjero, su información médica puede divulgarse a las autoridades militares extranjeras que sean adecuadas.
  • Compensación a los trabajadores. Si busca un tratamiento para una enfermedad o lesión relacionada con el trabajo, debemos proporcionar la información completa según las leyes específicas del estado en relación con los reclamos de compensación laboral. Una vez que se cumplan los requisitos específicos del estado y que se reciba una solicitud escrita adecuada, solo pueden divulgarse los expedientes correspondientes a la enfermedad o lesión relacionada con el trabajo.
  • Riesgo de salud pública. Su información médica puede ser usada y divulgada para actividades de salud pública. Estas actividades generalmente incluyen lo siguiente:
    1. Prevenir o controlar una enfermedad, lesión o discapacidad;
    2. Reportar nacimientos o fallecimientos;
    3. Reportar maltrato o abandono infantil;
    4. Reportar reacciones a medicamentos o problemas con productos;
    5. Avisar a las personas sobre el retiro del mercado de productos que pudieran estar usando;
    6. Avisar a la persona que haya podido estar expuesta a una enfermedad o pudiera estar en riesgo de contraer o propagar una enfermedad o afección;
    7. Avisar a la autoridad gubernamental adecuada si creemos que un paciente ha sido víctima de abuso, abandono o violencia doméstica. Solo la divulgaremos si está de acuerdo o cuando se solicite o esté autorizado por la ley.
  • Jueces de instrucción, médicos forenses y directores de funerarias. Su información médica puede ser divulgada a un forense o médico forense. Esto puede ser necesario, por ejemplo, para identificar a una persona fallecida o determinar la causa de muerte. También podemos divulgar información médica de los pacientes del centro a directores funerarios, conforme sea necesario, para la realización de sus funciones.
  • Reclusos. Si usted es un recluso en una institución correccional o está bajo la custodia de un funcionario del oficial de policía, puede que divulguemos su información médica a la institución correccional o funcionario al oficial de policía. Esta divulgación sería necesaria por las siguientes razones:
    1. Para que la institución le proporcione atención médica;
    2. Para proteger su salud y seguridad, así como la de otros;
    3. Para la seguridad de la institución correccional.
INFORMACIÓN ALTAMENTE CONFIDENCIAL:

Las leyes federales y/o estatales exigen protecciones especiales a la privacidad para determinada información altamente confidencial acerca de usted, incluso su información médica almacenada en las notas de psicoterapia. De igual manera, las leyes federales y/o estatales pueden proporcionar mayor protección de la que proporciona la HIPAA para los siguientes tipos de información, en cuyo caso cumpliremos con la ley que le proporcione la mayor protección a su información y los mayores derechos de privacidad a usted (1) salud mental y discapacidades del desarrollo; (2) prevención, tratamiento y remisión por abuso de alcohol y drogas; (3) pruebas, diagnóstico o tratamiento para VIH/SIDA; (4) enfermedades transmisibles; (5) pruebas genéticas; (6) abuso y abandono infantil; (7) abuso doméstico o al adulto mayor; y (8) agresión sexual. Para que su información altamente confidencial sea divulgada con un objetivo diferente del que la ley permite, se necesita su autorización escrita.

SU AUTORIZACIÓN ESCRITA

Obtendremos su autorización escrita antes de usar o divulgar su información médica protegida para cualquier propósito no descrito anteriormente, incluso divulgaciones que constituyan la venta de información médica protegida o para comunicados de marketing pagados por un tercero (excluyendo recordatorios para surtir nuevamente medicamentos, que la ley permite sin su autorización). Si autoriza al centro usar o divulgar su información médica, puede anular esa autorización, por escrito, en cualquier momento. Si revoca su autorización, ya no usaremos ni divulgaremos su información médica por las razones cubiertas en su autorización escrita. Usted comprende que no podemos quitar cualquier divulgación hecha con su autorización, y que se nos requiere retener nuestros expedientes de la atención que el centro le proporcionó.

INFORMACIÓN ADICIONAL RELACIONADA CON ESTE AVISO:
  • Cambios a este aviso. Nos reservamos el derecho de cambiar este aviso y que el aviso nuevo o modificado entre en vigencia para la información médica con la que ya contamos acerca de usted así como para cualquier información que recibamos en el futuro. El centro publicará una copia actual de este aviso con la fecha de vigencia. Además, cada vez que usted ingrese, o sea internado en el centro para recibir un tratamiento o servicios de atención médica como paciente hospitalizado o como paciente ambulatorio, le ofreceremos una copia del aviso actual vigente.
  • Reclamos. No será multado por presentar un reclamo. Si usted cree que sus derechos a la privacidad han sido violados, puede presentar un reclamo en el centro al Secretaría del Departamento de Salud y Servicios Humanos. Algunos estados pueden permitirle presentar un reclamo al fiscal general del estado, oficina de asuntos del consumidor u otra agencia estatal según lo especifique la ley estatal aplicable. Para presentar un reclamo en el centro, envíe su reclamo al funcionario de privacidad del centro por escrito. El funcionario de privacidad del centro puede proporcionarle información de contacto del Secretaría del Departamento de Salud y Servicios Humanos así como de la agencia estatal o agencias autorizadas para aceptar sus reclamos.
SUS DERECHOS EN RELACIÓN CON SU INFORMACIÓN MÉDICA
Tiene los siguientes derechos en relación con la información médica que el centro registra sobre usted:
** NOTA: Todas las solicitudes deben ser presentadas por escrito al centro.**
  • Derecho a solicitar acceso a su información de salud. Usted tiene el derecho a inspeccionar oportunamente y copiar información médica que pudiera usarse para tomar decisiones sobre su atención médica. El centro otorgará dicho acceso de conformidad con la ley aplicable.

    Para revisar y copiar información médica o para recibir una copia electrónica de la información médica que pueda usarse para tomar decisiones sobre usted, debe presentar una solicitud por escrito. Si solicita una copia impresa de su información, puede que cobremos una cuota por el costo de copiar, enviar por correo u otros insumos relacionados con su solicitud.

    Si el centro usa o mantiene un registro médico electrónico relacionado con su información médica, usted tiene derecho a obtener una copia electrónica de la información si así lo desea.

    1. Puede requerir que el centro envíe la copia a otra entidad o persona que usted nombre, siempre que la elección sea clara, precisa y específica.
    2. El centro puede cobrar una cuota igual a su costo administrativo por proporcionar una copia electrónica (por ejemplo, los costos pueden incluir el costo de una unidad de memoria, si solicitó que se produjera así una copia de su información). Si usted solicita una copia electrónica de su información, le proporcionaremos la información en el formato requerido si es posible hacerlo.

    Podemos negarnos a su solicitud de inspeccionar y copiar, en ciertas circunstancias limitadas. Si se le niega el acceso a la información médica, puede solicitar que se revise la denegación. El centro elegirá a otro profesional autorizado de la atención médica, que no sea la persona que le denegó su solicitud, para revisar su solicitud y la denegación. El centro cumplirá con el resultado de la revisión.

    1. Un profesional autorizado de la atención médica ha determinado, en el ejercicio de su juicio profesional, que es probable que el acceso requerido ponga en peligro la vida o seguridad física de la persona, o de otra persona.
    2. La información médica protegida hace referencia a otra persona (a menos que esa otra persona sea un proveedor de atención médica) y un profesional autorizado de la atención médica ha determinado, en el ejercicio de su juicio profesional, que es muy probable que el acceso requerido cause daño a tal persona.
    3. El representante personal de una persona hace la solicitud de acceso, y un profesional autorizado de la atención médica ha determinado, en el ejercicio de su juicio profesional, que si se proporciona acceso a ese representante personal es muy probable que cause daño sustancial a la persona o a otra persona.
  • Derecho a hacer modificaciones. Si cree que la información médica que tenemos es incorrecta o está incompleta, puede solicitarnos modificar la información. Tiene derecho a solicitar modificar la información que el centro mantiene o que es para el centro. Excepto cuando las leyes estatales individuales son más estrictas, este centro tiene un mínimo de 60 días para procesar su solicitud.

    Para solicitar una modificación, debe presentar una solicitud por escrito. También debe proporcionar una razón que apoye su solicitud.

    Puede denegarse su solicitud de modificación si:
    1. Su solicitud no está por escrito o no incluye una razón para apoyar la solicitud;
    2. Su información médica no la creamos nosotros, a menos que la persona o entidad que creó la información ya no esté disponible para realizar la modificación;
    3. La información médica no es parte de la información médica que almacena el centro;
    4. La información médica no es parte de la información que le permitirán revisar y copiar; o
    5. La información médica se considera exacta y completa.
  • Derecho a solicitar una lista detallada de las de divulgaciones. Usted tiene derecho a solicitar una "lista detallada de las divulgaciones". Es una lista de las divulgaciones que hicimos de su información médica para fines diferentes al tratamiento, el pago y las operaciones de atención médica. Excepto cuando las leyes estatales individuales son más estrictas, este centro tiene un mínimo de 60 días para procesar su solicitud.

    Para solicitar esta lista detallada o informe de divulgaciones:

    1. Debe presentar su solicitud por escrito.
    2. Su solicitud debe incluir un período de tiempo no mayor que seis años y no puede incluir fechas anteriores al 14 de abril de 2003.
    3. Su solicitud debe indicar en qué forma desea la lista (por ejemplo, impresa, electrónica).

    La primera lista que solicite en un período de 12 meses será sin costo. Para listas adicionales, es probable que le cobremos por los costos de proporcionar la lista. Le indicaremos el costo y puede decidir retirar o revisar su solicitud antes de incurrir en gastos.

  • Derecho a solicitar restricciones. Usted tiene derecho a solicitar una restricción o limitación en la información médica que usamos o divulgamos acerca de usted para tratamiento, pago u operaciones de atención médica. También tiene el derecho de solicitar un límite sobre su información médica que divulgamos a alguien que participe en su atención, o pago de su atención médica, como un familiar.

    Para solicitar restricciones, debe hacer su solicitud por escrito. En su solicitud, debe indicarnos:

    1. Qué información desea limitar;
    2. Si desea limitar nuestro uso, la divulgación, o ambos;
    3. A quiénes quiere que se les apliquen los límites, por ejemplo, divulgaciones a su cónyuge.

    También tiene derecho a solicitar que un artículo o servicio de atención médica no sea divulgado a su plan de salud para fines de pago u operaciones de atención médica. Se nos exige cumplir con su solicitud si el artículo o servicio de atención médica es pagado en su totalidad por desembolso directo. Esta restricción no se aplica al uso ni a la divulgación de su información de salud relacionada con su tratamiento médico.

  • Derecho a solicitar comunicación confidencial. Usted tiene derecho a solicitar que nos comuniquemos con usted acerca de asuntos médicos, de determinada manera o en determinada ubicación.

    Por ejemplo: Puede solicitar que solo nos comuniquemos con usted en el trabajo o por correo. Para solicitar comunicaciones confidenciales, debe presentar su solicitud por escrito. No preguntaremos la razón de su solicitud. Cumpliremos con todas las solicitudes razonables. Su solicitud debe especificar cómo y dónde desea que se le contacte.

  • Derecho a ser notificado de violaciones. Le avisaremos si descubrimos una violación a la información médica protegida no garantizada.
  • Derecho a recibir una copia impresa de este aviso. Usted tiene derecho a recibir una copia de este aviso. Puede solicitarnos una copia en cualquier momento. Incluso si ha aceptado recibir este aviso de manera electrónica, tiene derecho a recibir una copia impresa de este aviso.
Notice of Privacy Practices
PPSI-2601 06/03 (Rev. 02/10, 08/13)
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Below you will find answers to commonly asked questions concerning the website. For technical issues with this website during normal business hours, please contact our office.


What is the Patient Portal?

What is the Patient Portal?

The Patient Portal is an online service that provides patients secure access to their health information. Various features may be available on the portal at your practice's discretion, including the ability to send messages to your health care providers, schedule appointments, and pay bills online.  top

Who can use the Patient Portal?

Any active patient over the age of 13 is eligible to register for and use the Patient Portal. If you are authorized, a family access account can be created that will allow you to access selected family members' health information. top

Security

How secure is the Patient Portal?

All communications between you and your provider's office are carried over a secure, encrypted connection. This secure connection utilizes industry standard Secure Socket Layer (SSL) encryption to ensure secure data transmission as well as server-side digital certificate authentication. To prohibit unauthorized access, all medical information is stored behind our firewall in our electronic medical record system.

You should always make sure that the email address on file for your account is accurate, as notifications from the portal are sent to the email address on file. Make sure to sign out of your account each time you are finished using the portal. top

What if my password is stolen?

Change your password immediately by completing one of the following options:
  • Sign in to the Patient Portal, go to athenahealth Profile, and reset your password.
  • Click Forgot your password on the sign-in page and enter your email address to request a password reset email.
  • Contact your provider's office and request a password reset email.
 top

What if I forget my password?

On the sign-in page, click Forgot your password and enter your email address to request a password reset email. top

What if I'm unable to access the Patient Portal?

Please contact your provider's office to register or to verify your information. top

How do I sign out?

Click the Sign Out link at the top right of the screen. Alternatively, if your keyboard remains idle for 10 minutes or more, you will receive a pop-up window asking if you are still actively using the portal. If you do not click the OK button, you will be signed out automatically. Any information you have typed and not saved or sent will be lost.
Note: Do not use a public computer to access your health information.
 top

Signing Up

What do I need to access the Patient Portal?

  • an email address
  • access to a computer and the internet
 top

How do I register for the Patient Portal?

To register for the Patient Portal, click the Sign up today link on the sign-in page, then enter your information.  top

How do I sign in to the Patient Portal?

To sign in to the Patient Portal, click on the Login with athenahealth button. Next, enter your email address and password, then click the Log in button.  top

I have a PIN instead of a password. How do I sign in to the Patient Portal?

We have made our sign-in process easier. If you have been signing in with a PIN, date of birth, and phone number, you will now be able to sign in with just an email address and password. To do this, you must create a password for your account by clicking the Use your PIN to create a password link on the Patient Portal sign-in page, and following the instructions. This is a one-time only change; going forward you will simply need to enter your email address and password to sign in.  top

My Profile

How do I edit my profile information?

  1. Click the My Profile tab.
  2. Click on the athenahealth profile section and then the athenahealth profile button.
  3. Update your information as required.
  4. Click on the back arrow to return to the Patient Portal.
 top

How do I edit how my contact preferences for different types of notifications?

  1. Click on the My Profile tab.
  2. Select My Notifications.
  3. Indicate your contact preferences for different types of notifications.
  4. Click the Save button.
Note: Portal users cannot deactivate email notifications, as at least one method of communication is required.
 top

How do I view my insurance information?

  1. Click the My Profile tab.
  2. Select Insurance.
Note: If your insurance information has changed, please contact your provider's office.
 top

Appointments

How do I reschedule an appointment?

  1. Click the Appointments tab. Your scheduled appointments will appear listed under Upcoming Appointments.
  2. Click the Reschedule link that appears beneath the date of your appointment.
  3. Select an available appointment from the calendar.
  4. Click the Reschedule Appointment button.
Note: The availability of this feature is at the discretion of your practice.
 top

How do I request an appointment?

It is at your practice's discretion to allow online appointment scheduling. If your practice does not allow online appointment scheduling, you can request an appointment by sending a message to your provider. To do so:
  1. Click the Messages tab.
  2. Click the Compose Message button.
  3. Select the Appointments and scheduling option from the message type dropdown menu.
  4. Select your provider, office location, and your preferred time of day and days of week.
  5. Type your subject and message.
  6. Click the Send button.
 top

How do I view upcoming appointments?

Click the Appointments tab. Your scheduled appointments will appear listed under Upcoming Appointments.  top

How do I view past appointments?

  1. Click the Appointments tab.
  2. Select Past.
  3. Select the desired timeframe from the Past Appointments dropdown menu.
 top

Messages

Note: The availability of this feature is at the discretion of your practice.

How do I ask my provider a question?

  1. Click the Messages tab.
  2. Click the Compose Message button.
  3. Select the message type from the dropdown options based on the topic of your question.
  4. Select your provider and office location.
  5. Type your subject and message.
  6. Click the Send button
 top

How soon can I expect a response from my provider?

Your provider's office will make every effort to respond to your messages within a timely manner. Please do not expect a response on weekends or holidays. If you need to speak with the office sooner, please call the office directly. Urgent matters should not be dealt with via the Patient Portal. top

How do I view messages and/or responses from my provider?

  1. Click the Messages tab.
  2. Select Inbox.
  3. Click the desired message in your inbox to read the message.
 top

Why can't I delete my sent and archived messages?

You cannot permanently delete sent or archived messages. This is because all messages that you send and receive in the Patient Portal are part of your medical record. top

Billing

Note: The availability of this feature is at the discretion of your practice.

How do I view my account balance?

Click the Billing tab. Your list of charges will be listed by date of visit, followed by your account balance, under Recent Charges Payable Onlinetop

How do I make a payment?

  1. Click the Billing tab. Your recent charges will appear listed under Recent Charges Payable Online.
  2. Click the Make a Payment button.
  3. Select the charges you want to pay under Select Payment Amount.
  4. Click the Continue button.
  5. Enter your credit card information under Select Payment Method.
  6. Click the Continue button.
  7. Review your payment information.
  8. Click the Continue button
 top

How do I view my payment history?

  1. Click the Billing tab.
  2. Select Payments.
  3. Select the payment you would like to view.
  4. Click the View detail link.
 top

How do I view my account statements?

  1. Click the Billing tab.
  2. Select Statements.
  3. Select the patient statement you would like to view.
  4. Click the View detail link
 top

How do I manage my saved credit and debit cards?

  1. Click the Billing tab.
  2. Select Payment Methods.
  3. From here you can:
    1. Click Add a Credit Card to save a new card for future payments.
    2. Click Make Default to set a saved card as your default payment method.
    3. Click the Delete link to remove a saved card from the portal.
 top

Why doesn't anything happen when I click "View Detail" or "View Receipt?"

Adobe Acrobat is required to view and print statements and forms on the Patient Portal. When you click the Billing tab, you will see a note indicating this requirement, along with a link to download this program for free. top

My Health

Why can't I view my test results?

It is at your provider's discretion to make test results available. Your provider must authorize the release of your test results in order for them to post to your Patient Portal account. Only test results which are considered appropriate for release will be accessible through the Patient Portal. top
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You can create a family or guarantor login account that will allow you to access selected family members' health information within the same login account. "Family" access gives you the same access to patient information and actions as you do with your own patient web portal account. "Guarantor" access gives you the ability to view contact and billing information and make payments on the patients' behalf.

  1. In order to setup an account of this nature, the patient to which you are requesting access will need to log in to their patient web portal account and grant access using the following steps. If you know the login information for this patient, such as your child, log into their web portal account.
  2. Go to the "My Profile" tab and click on "Family/Guarantor Access."
  3. Enter the e-mail address of the family member and click on "Go."
  4. Select an Account Type of "Family" or "Guarantor", fill in the required fields, and click on "Submit."
  5. A temporary password will appear in a pop up screen. Write this password down and forward it to the family member, as it will not be available after clicking on "ok."
  6. The family member's name will then be listed under the "Family" or "Guarantor" section at the top of the screen.
  7. To edit or remove this family member's access, click on the family member's name at the top of the screen.
  8. To sign into this family or guarantor account, check the "Sign in to your family or guarantor account" box on the Sign In screen, type in your email address and password, then click Sign In. Once singed in, you must change your password and accept the terms and conditions to view the account.
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The "AllianceHealth Medical Group" alerts program offers appointment, billing, lab result, and general announcements via SMS on your cell phone. Message and data rates may apply. Text STOP to 28309 in order to cancel your participation in the program at any time. Text HELP to 28309 for support needs. Alerts 1 message per request. As the program will involve the transmission and use of your personal information, it is subject to AllianceHealth Medical Group's Privacy Policy, which is available HERE, and to Patient Portal Terms and Conditions, which are available HERE. Service is available on ACS Wireless, AT&T, Alltel, Appalachian Wireless, Bell Mobility, Bluegrass Cellular, Boost (iDEN), Boos Unlimited (CDMA), Cellcom, Cellular One from Dobson, Cellular One of East Central Illinois, Cellular South, Centennial Wireless, Cincinnati Bell, Cricket Communications, Fido, GCI Communications, Golden State Cellular, Illinois Valley Cellular, Immix Wireless, Inland Cellular, MTS Mobility, MetroPCS, Nex-Tech Wireless, Rogers Wirless, SaskTel Mobility, Sprint, T-Mobile, Telux Mobility, Thumb Cellular, U.S. Cellular, Unicel, United Wireless, Verizon Wirless, Viaero Wireless, Virgin Mobile, Virgin Mobile USA, West Central Wirless, and nTelos Wirless and is subject to their terms of service. AllianceHealth Medical Group alerts may change or end the program at its discrection.
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