Clinical Trials of the Rockies
*We can share health information with a coroner, medical examiner, or funeral director when an individual dies
*We can use or share PHI for workers’ compensation claims, law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security, and presidential protective services
*We can share PHI in response to a court or administrative order or subpoena
*We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time and let us know in writing.
*We are required by law to maintain the privacy and security of your protected health information
*We will let you know if a breach occurs that may have compromised the privacy or security of your information.
*We must follow the duties and privacy practices described in this notice and give you a copy of it.
We can change the terms of this notice and the changes will apply to all information we have about you. The new notice will be available upon request and posted in our office.
We are required by law to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to PHI. We are also required to abide by the terms of the notice currently In effect. Please direct any remaining questions to our HIPAA Compliance Officer, Dr. Jennifer Lytle.
Ask us to limit what we use or share
You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say "yes" unless a law requires us to share that information.
Get a list of those with whom we've shared PHI in the past 6 years by asking us
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make or those to law enforcement). We provide one accounting per year for free but will charge a reasonable, cost-based fee for others within 12 months.
Get a copy of this privacy notice immediately by asking for one at any time.
Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
If you believe your privacy rights have been violated, you can file a complaint in writing by notifying our compliance officer, Dr. Jennifer Lytle at our office or the U.S. Department of Health and Human Services Office for Civil Rights.We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
Notice of Privacy Practices (05/04/15)
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. This Notice of Privacy Practices is NOT an authorization. This Notice of Privacy Practices describes how we, our business associates, and their subcontractors, may use and disclose your protected health information (PHI) to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health condition and related health care services. It may be information we created or acquired from other sources.
This section explains your rights regarding your health information and some of our responsibilities to help you.
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you by written request.
We will usually provide a copy or a summary of your health information (excluding psychotherapy notes) within 30 days of your request. We may charge a reasonable, cost-based fee. The information will not be provided in the rare circumstance the physician determines access to the record could cause substantial harm or endanger the life or physical safety of you or another person. If requested, a second medical practitioner will review the denial and their decision will be final.
Ask us to correct your medical record
You can ask us to correct health information about you that you think is incorrect or incomplete by written request.
We will provide our decision in writing within 30 days.
Request confidential communications
You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
We will say "yes" to all reasonable requests.
Per requirements, we post our Notice of Privacy Practices.
PLEASE NOTE: If you are only participating in a clinical study, and are not seen in our private practice, your health insurance company would never be contacted and you would never be billed (so please disregard these portions of the Notice of Privacy Practices as they would not be relevant to you). If you are a study participant, your medication and visits are free, with possible compensation for time and travel.
Call Us: 303-495-2102
In these cases you have both the right and choice to tell us to:
*Share information with your family, close friends, or others involved in your care
*Share information in a disaster relief situation
We generally do not share detailed psychotherapy notes.
We do not sell your information and we never share your information for marketing or fundraising purposes, unless you give us written permission.
Our Uses and Disclosures
We typically use or share your health information in the following ways:
Treat you - We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization - We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
Bill for services - We can use and share your health information to bill and get payment from health plans or other entities (like a collection agency if necessary).
Example: We give information about you to your health insurance plan so it will pay for your services.
How else can we use or share your health information?
We are allowed or required to share your information in other ways- usually in ways that contribute to the public good such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.
* Help with public health and safety issues such as preventing or controlling disease / injury / disability, helping with product recalls, reporting adverse reactions to medication, reporting suspected abuse, neglect or domestic violence, or preventing or reducing a serious threat to anyone’s health or safety including you or someone else
*We can use or share your information for health research
*We will share information about you if state or federal laws require it including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law