NOTICE OF
PRIVACY PRACTICE
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU MAY OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
USES AND DISCLOSURES
Treatment:
Your health information may be used by staff members or disclosed to other healthcare professionals for the purposes of evaluating your health, diagnosing medical conditions, and providing treatment.
Payment:
Your health information may be used to seek payment from your health plan or other sources of coverage such as automobile insurers or credit card companies.
Healthcare Operations:
Your health information may be disclosed to support day-to-day activities like budgeting, financial reporting, and quality evaluation.
Law Enforcement:
Your health information may be disclosed to law enforcement agencies to support government audits and inspections, investigations, or government-mandated reporting.
Public Health Reporting:
Your health information may be disclosed to public health agencies as required by state law (e.g., for reporting communicable diseases).
Research:
Health records may be used to evaluate eligibility for research studies at Ironwood Cancer & Research Centers. Any use of your information for research will require your written consent or will be protected under privacy laws.
Other Uses and Disclosures:
Any use of your information for purposes other than those listed above will require your specific written authorization.
ADDITIONAL USES OF INFORMATION
Appointment Reminders:
Your health information may be used to send appointment reminders.
Information about Treatments:
We may send you information on treatment and management options for your medical condition, as well as related health goods and services.
INDIVIDUAL RIGHTS
You have certain rights under federal privacy standards, including:
- The right to request restrictions on the use and disclosure of your protected health information.
- The right to receive confidential communications concerning your medical condition and treatment.
- The right to inspect and copy your protected health information.
- The right to amend or submit corrections to your protected health information.
- The right to receive an accounting of how and to whom your protected health information has been disclosed.
- The right to receive a printed copy of this notice.
This list outlines the individual rights under federal privacy standards related to protected health information.
RIGHT TO REVISE PRIVACY PRACTICES
As permitted by law, we reserve the right to amend or modify our privacy practices. We will provide you with a revised notice at your next office visit. The revised policies and practices will be applied to all protected health information we maintain.
REQUEST TO INSPECT PROTECTED HEALTH INFORMATION
As permitted by federal regulations, requests to inspect or copy protected health information must be submitted in writing. Contact the privacy officer for the appropriate form to request access to your records.
COMPLAINTS/CONTACT PERSON
If you have any questions, comments, or complaints about our privacy practices, please send a letter to:
Privacy Officer/AdministratorIronwood Cancer & Research Centers
P. O. Box 6423
Chandler, AZ 85246
If you believe your privacy rights have been violated, please contact us at the address above or by calling. You will not face any penalties or retaliation for submitting a complaint.