Privacy Policy

Notice Of Privacy Practices

Indian River Walk-In Clinic
640 21st Street
Vero Beach, Florida 32960

Phone: 772-299-1092
Fax: 772-978-1960

Effective January 1, 2007.

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.

Indian River Walk in Clinic is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. If you have questions about any part of this notice or if you want more information about the privacy practices at Indian River Walk in Clinic, please contact the office manager at this location.

I. How Indian River Walk in Clinic May Use or Disclose Your Health Information

Indian River Walk in Clinic collects health information from you and stores it in a chart and/or on a computer. This is your medical record. The medical record is the property of Indian River Walk in Clinic, but the information in the medical record belongs to you. Indian River Walk in Clinic protects the privacy of your health information. The law permits Indian River Walk in Clinic to use or disclose your health information for the following purposes:

Treatment

Indian River Walk in Clinic may use your health information to determine a course of treatment, to coordinate care within the office, to coordinate care with other offices of Indian River Walk in Clinic involved in your care. For example, Indian River Walk in Clinic office might disclose your health information to other health care providers involved in the course of your treatment.

Payment

Indian River Walk in Clinic may use your health information to seek approval for certain services, bill for these services and collect payment from third party payers. For example, our office will send a bill to your health insurance company to provide them with the necessary information for payment of our services.

Regular Health Care Operations

Indian River Walk in Clinic may use and disclose health information within its own operations to facilitate the function of our office, diagnostic centers or laboratory and as necessary to provide quality care to all of our patients. Indian River Walk in ClinicÕs healthcare operations include such activities as:

Quality assessment and improvement activities

Activities designed to improve health or reduce healthcare costs

Professional review and performance evaluation

Review and auditing, including compliance reviews, medical reviews and compliance programs.

Information Provided to You

Additionally, we may contact you to provide appointment reminders or to give you information about other treatments or health-related services that may be of interest to you.

Notifications and Communications With Family

We may disclose your health information to notify or assist in notifying a family member, your personal representative or another person responsible for your care about your location, your general condition or in the event of your death. If you are able and available to agree or object, we will give you the opportunity to object prior to making this notification. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others.

Required by Law

As required by law, we may use and disclose your health information.

Public Health

As required by law, we may disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury, or disability; reporting child abuse or neglect; report domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure.

Health Oversight Activities

As required by law we may disclose your health information to health agencies during the course of audits, investigations, inspections, licensure and other proceedings.

Judicial and Administrative Proceedings

As required by law we may disclose your health information in the course of any administrative or judicial proceeding.

Law Enforcement

As required by law we may disclose your health information to law enforcement officials for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena and other law enforcement purposes.

Deceased Person Information

As required by law we may disclose your health information to coroners, medical examiners and funeral directors.

Organ Donations

As required by law we may disclose your health information to organizations involved in procuring, banking or transplanting organs and tissues.

Public Safety

We may disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety or a particular person or the general public.

Specialized Government Functions

We may disclose your health information for military, national security and prisoner-related purposes.

Workers Compensation

We may disclose your health information as necessary to comply with workerÕs compensation laws.

Marketing

We may contact you to give you information about other treatments or health-related benefits and services that may be of interest to you. Other forms of marketing would require your prior written authorization.

Change of Ownership

In the event that ownership of Indian River Walk in Clinic changes, ownership of your health information will conform to applicable state and federal laws.

II. When Indian River Walk in Clinic May Not Use or Disclose Your Health Information

Except as described in this Notice of Privacy Practices, Indian River Walk in Clinic will not use or disclose your health information without your written authorization. If you do authorize Indian River Walk in Clinic to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.

III. Your Health Information Rights

You have the right to request restrictions on certain uses and disclosures of your health information. Indian River Walk in Clinic is not required to agree to the restriction you requested.

You have the right to receive your health information through a reasonable alternative means or at an alternative location. For example, you may request that Indian River Walk in Clinic conducts communications pertaining to your health information with you privately with no other family members present. You can request this information in writing and Indian River Walk in Clinic will not request that you provide any reasons for your request and will attempt to honor your reasonable requests for confidential communications.

You have the right to inspect and copy your health information.

You have the right to request that Indian River Walk in Clinic amend your health information that is incorrect or incomplete. Indian River Walk in Clinic is not required to change your health information and will provide you with information about Indian River Walk in ClinicÕs denial and how you can disagree with the denial.

You have the right to receive an accounting of disclosures of your health information made by Indian River Walk in Clinic, except that Indian River Walk in Clinic does not have to account for the disclosures described in Paragraphs entitled Treatment, Payment, Healthcare Operations, Information Provided to You, and certain government functions of Section I of this Notice of Privacy Practices.

You have the right to a paper copy of this Notice of Privacy Practices.

If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact the office manager at 561-795-4565.

IV. Changes to this Notice of Privacy Practices

Indian River Walk in Clinic reserves the right to amend this Notice of Privacy Practices at any time in the future, and to make the new provisions effective for all information that it maintains, including information that was created or received prior to the date of such amendment. Until such amendment is made, Indian River Walk in Clinic is required by law to comply with this Notice. Any amendments made to the Notice of Privacy Practices will be posted in the office waiting room within 10 days of changes and a paper copy will be available upon request.

V. Complaints

Complaints about this Notice of Privacy Practices or how Indian River Walk in Clinic

Handles your health information should be directed to:

Office Manager

Indian River Walk in Clinic
640 21st Street
Vero Beach, FL 32960
772-299-1092

If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to:

Region IV, Office for Civil Rights

U.S. Department of Health and Human Services

Indian River Walk in Clinic will not retaliate against any person for filing a complaint.