Date_04/14/2003
We are
committed to preserving the privacy of your personal health
information. In fact, we are required by law to protect the privacy
of your medical information and to provide you with Notice
describing:
HOW MEDICAL INFORMATION ABOUT YOU
MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
We use health information about you for treatment, to obtain payment
for treatment, for administrative purposes, and to evaluate the
quality of care that you receive.
We may be required or permitted by certain laws to use and disclose
your medical information for other purposes without your consent or
authorization. As our patient, you have important rights relating to
inspecting and copying your medical information that we maintain,
amending or correcting that information, obtaining an accounting of
our disclosures of your medical information, requesting that we
communicate with you confidentially, requesting that we restrict
certain uses and disclosures of your health information, and
complaining if you think your rights have been violated.
We have available a detailed Notice of Privacy Practices which fully
explains your rights and our obligations under the law. We may
revise our Notice from time to time. The effective date at the top
right hand side of this page indicates the date of the most current
Notice in effect.
You have the right to receive a copy of our most current Notice in
effect. If you have not yet reserved a copy of our current Notice,
please ask at the front desk and we will provide you with a copy.
If you have any questions,
concerns or complaints about the Notice or your medical information,
please contact Human Resources, Pulmonary Exchange, Ltd.
9840 Southwest
Highway, Oak Lawn, IL 60453, 708-423-8888 |