DR. DEBORAH MURPHY
- Ojai Chiropractor
& Neurofeedback
The Natural Force
in each one of us
is the greatest force
in getting well.
Hippocrates
To Schedule Appointment
805-646-2225
HIPAA PRIVACY RULE
"Protected Health Information"
"The Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”) establishes, for the first time, a set of national standards for the protection of certain health information. The U.S. Department of Health and Human Services (“HHS”) issued the Privacy Rule to implement the requirement of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).1 The Privacy Rule standards address the use and disclosure of individuals’ health information—called “protected health information” by organizations subject to the Privacy Rule — called “covered entities,” as well as standards for individuals' privacy rights to understand and control how their health information is used." To learn more, click on the following link.
HIPAA- NOTICE OF PRIVACY PRACTICES
Re: Ojai Chiropractor - Deborah Murphy DC
Effective Date : 02-02-2022
(Por Español leer abajo)
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.
WHO WILL REGARD THIS NOTICE
This Notice of Privacy Practices (the “Notice”) describes Deborah Murphy D.C.’s practice and those of staff, volunteers, or other personnel who are involved in your care. Dr. Murphy and these individuals will follow the terms of this Notice, and may use or disclose medical information about you to carry out treatment, payment or health care operations, or for other purposes as permitted or required by law. This Notice explains your rights to access and control medical information about you, including information that may identify you and that relates to your past, present, or future physical, medical, or mental condition and medical care and related health care services.
THIS OFFICE’S PLEDGE REGARDING MEDICAL INFORMATION
The Doctor understands that medical information about you and your health is personal. The Doctor is committed to protecting medical information about you. In order to provide you with quality care and to comply with certain state and federal legal requirements, this practice creates a record of the services you receive at this practice. This Notice applies to all of the records of your care generated by this practice. This Notice will tell you about the ways in which this practice may use and disclose medical information about you. It also describes your rights and certain obligations the doctor has regarding the use and disclosure of medical information. The doctor is required by law to: (1) Make sure that medical information that identifies you is kept private; (2) Give you this Notice of its legal duties and privacy practices concerning medical information about you; (3) Follow the terms of the Notice that are currently in effect, and (4) Notify you in case there is an unauthorized use or disclosure of your unsecured medical information.
HOW THIS PRACTICE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU
The following categories describe different ways that the practice may use or disclose protected medical information. For each category of uses and disclosures, the practice will explain what is meant and may give some examples. Not every use or disclosure in a category will be listed. However, all of the ways this practice is permitted to use and disclose information will fall within one of the categories.
For Research. This Practice may disclose medical information about you to researchers when the information does not directly identify you as the source of the information or when a waiver has been issued by an institutional review board or a privacy board that has reviewed the research proposal and protocols for compliance with standards to ensure the privacy of your health information.
For Payment. This Practice may use and disclose medical information about you so that this business can get paid for the treatment and services you receive at this business.
For Health Care Operations. The Practice may use and disclose medical information about you to carry out activities that are necessary for business operations. These uses or disclosures are made for quality of care, compliance activities, administrative purposes, contractual obligations, grievances or lawsuits. For example, the business may use medical information to review treatment and services provided at the business or to evaluate the performance of its staff and contractors in caring for you.
To Individuals or Family Members Involved in Your Health Care. Unless you object, Dr. Murphy may disclose medical information about you to a member of your family, a relative, close friend or any other person that you identify who is involved in your care. The doctor may also tell your family or friends, personal representative, or any other person who is responsible for your care, of your location, general condition or death, unless you object.
Emergencies. The Doctor may disclose medical information about you to a public or private entity assisting in disaster relief so that your family can be notified about your condition, status, or location. You may object to this disclosure with a written request. However, if you are not available or are unable to agree or object, or in some emergency circumstances, the doctor will use her professional judgment to decide whether this disclosure is in your best interest.
As Required By Law. Dr. Murphy will disclose your health information when required to do so by federal, state or local law.
Workers’ Compensation. Though Dr. Murphy does not work within the Worker’s Compensation program, if required, she may release medical information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.
For Public Health Activities. Dr. Murphy may disclose the minimally necessary medical information about you for public health activities. These purposes generally include the following: (1) To prevent or control disease, injury, or disability; (2) To report deaths; (3) To report abuse or neglect of children, elders, and dependent adults; (4) To report reactions to medications or problems with products; (5) To notify people of recalls of products they may be using; and (6) To notify a person who may have been exposed to a disease or who may be at risk for contracting or spreading a disease or condition.
For Health Oversight Activities. Dr. Murphy, if required, may disclose medical information about you to a health oversight agency for activities authorized by law.
For Lawsuits and Disputes. Dr. Murphy may disclose medical information about you in response to a court or administrative order, subpoena, discovery request, or other lawful process.
Disclosure to Law Enforcement. If asked to do so by law enforcement and as authorized or required by law, Dr. Murphy may release medical information: (1) To identify or locate a suspect, fugitive, material witness, or missing person; (2) About a suspected victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement; (3) About a death suspected to be the result of criminal conduct; (4) About criminal conduct at this business; and (5) In case of a medical emergency, to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
Decedents. The Doctor may release medical information about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. The Doctor may also release medical information about you to funeral directors. The Doctor may also release information to any individual known to the Doctor as a family member, close personal friend of the family, or any other person identified, who was involved in your care or the payment for your care prior to your death, unless you indicate otherwise. Your medical information may be used or disclosed to others without your authorization after fifty (50) years from the date of your death.
For Specialized Government Functions. The Doctor may disclose medical information about you to authorized federal officials for intelligence, counter intelligence, and other national security activities.
Information About Inmates/Individuals in Custody. As authorized or required by law, if you are an inmate or under the custody of a law enforcement official, the Doctor may release medical information about you to the correctional institution or law enforcement official responsible for you.
Disclosure For Threats to Health and Safety. In certain circumstances, the Doctor could be required to disclose medical information to avert a serious threat to your health and safety or the health and safety of another person as required by law enforcement. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law.
Marketing. The Doctor will not release your medical information for marketing purposes without an authorization from you.
Sale of Medical Information. The Doctor will not sell your medical information without an authorization from you.
Communication: FOR SECURITY PURPOSES, PLEASE DO NOT TEXT, VOICE MESSAGE OR EMAIL THE DOCTOR WITH YOUR PERSONAL HEALTH INFORMATION. Voicemail messages, Texting, or Email communications are meant for routine tasks like scheduling, as they are unencrypted, and are not secure. Please save all sensitive communication for in person or phone contact only with the doctor or staff.
YOUR RIGHTS:
You have the following rights regarding your medical information. In order to exercise these rights, you must contact Dr, Murphy, The HIPAA Privacy Officer. You may be asked to submit a written request. Dr. Murphy may be contacted using the following information:
Dr. Deborah Murphy - Ojai Chiropractor & Neurofeedback
Attn: HIPAA Privacy Officer
PO Box 1209, Ojai, CA 93024
Phone: 805-646-2225
Right to Inspect and Copy. With certain exceptions, you have the right to inspect and receive copies of your medical information.
Amendment. If you feel that medical information about you is incorrect or incomplete, you may ask the Company to amend the information.
Right to an Accounting of Disclosures. You have the right to receive a list of certain disclosures that we may have made of your medical information.
Right to Request Restrictions. You have the right to request a restriction or limitation on medical information that the Doctor uses or discloses about you for treatment, payment or health care operations, and to request a limit on the medical information that the Doctor may disclose to family members or friends involved in your care.
Request Confidential Communications. You have the right to request that the Doctor communicate with you about your appointments or other matters related to your treatment in a specific way or at a specific location.
Receive a Copy. You have the right to obtain a copy of this notice.
CHANGES TO THIS NOTICE
The Doctor reserves the right to change the terms of this Notice at any time. The Doctor reserves the right to make the revised or changed notice effective for medical information the Doctor already has about you as well as any information the Doctor receives in the future. The Doctor will post a copy of the current Notice. The Notice will contain an effective date.
QUESTIONS AND COMPLAINTS
If you have any questions or believe that your privacy rights have been violated, you may contact the Company’s HIPAA Privacy Officer in person or mail a written summary of your concern to the address listed above.
You may also file a written complaint with the Department of Health and Human Services at the following address:
Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W. Room 509F HHH Bldg.
Washington, D.C. 20201
Toll-free: (800) 368-1019 TDD
toll-free: (800) 537-7697
Email: OCRComplaint@hhs.gov
You will not be penalized or retaliated against for filing a complaint.
MEDICAL INFORMATION USE FOR OTHER PURPOSES
If there were other uses and disclosures of medical information not covered by this Notice or the laws that apply to use will be made only with your written permission. If you provide the Doctor permission to use or disclose medical information about you, you may revoke that permission in writing at any time. If you revoke your permission the Doctor will stop any further use or disclosure of your medical information for the purposes covered by your written authorization, except if the Doctor has already acted in reliance on your permission. It is understood that the Doctor is unable to take back any disclosure the Doctor has already made with your permission and that the Doctor is required to retain its records of the care that the Doctor provided to you.
WHAT IS INFORMED CONSENT?
Informed Consent Laws in each state have been developed to govern certain types of communication between health providers and patients. Such laws list the types of information that patients must be given so they can make an informed decision about getting medical care, diagnostic tests, or treatment, and the following is the form used by this clInic. In addition, relevant information pertaining to the treatment will be explained during the appointment. See Chiropractic & Neurofeedback forms below.
CHIROPRACTIC INFORMED CONSENT
Re: Ojai Chiropractor - Deborah Murphy DC
I hereby request and consent to the performance of Chiropractic adjustments & other Chiropractic procedures, including a variety of modes of physical therapy and diagnostic x-rays, and any supportive therapies for me, or the patient named below, for whom i am legally responsible, by the doctor of Chiropractic indicated below, and or other support staff who are now or in the future treat me while employed by, working, or associated with, or serving as a back-up for Dr. Murphy, including those working at the clinic or office or any other office or clinic, whether they are signatories to this form or not
I have had an opportunity to discuss with the Dr. Deborah Murphy and/or with other office or clinic personnel, the nature and purpose of Chiropractic adjustments and procedures. I understand that results are not guaranteed.
I understand and am informed that, as in the practice of medicine, and similarly to all other health modalities, results are not guaranteed, and there is no promise of cure. I further understand & am informed that, as in the practice of medicine, in the practice of Chiropractic, there are some risks to treatment, including, but not limited to fractures, disc injuries, strokes, dislocations and sprains. I do not expect the Dr. to be able to anticipate and explain all risks and complications, and I wish to rely on the Dr. to exercise her judgement during the course of the procedure which the Dr. feels at the time, based upon the facts then known, is in my best interest.
I further understand that there are treatment options available for my condition other than Chiropractic procedures. There treatment options include, but are not limited to, self-administered, over-the-counter analgesics, and rest, medical care with prescription drugs, such as antiinflamatories, muscle relaxants, and painkillers, physical therapy, steroid injections, bracing, and surgery. I understand and have been informed that I have the right to a second opinion and to secure other opinions if I have concerns as to the nature of my symptoms & treatment options available.
I have read or have had read to me, the above consent. I have also had an opportunity to ask questions about its content, and by signing below, I agree to the above-named procedures. I intend for this consent form to cover treatment for the entire course of my present condition and for any future condition or conditions, for which I may seek treatment.
Patient signature, or Representative’s signature. Date
Deborah Murphy D.C.
Ojai Chiropractor
P.O. Box 1209, Ojai, CA 93024
111 W Topa Topa St., Ste C, Ojai, CA 93023
NEUROFEEDBACK TRAINING
INFORMED CONSENT
Dr. Deborah Murphy, Chiropractor, offers Biofeedback and Neurofeedback training for conditions associated with irregular activity of nervous system and brain activity. Conditions benefitted may include chronic pain, muscle tension, headaches, sleep irregularities, post concussion, digestive disorders, PMS, ADD/ADHD, stress management, resiliency, and more.
I hereby request and give consent to Dr. Deborah Murphy to perform Neurofeedback training, or/& Chiropractic procedures or diagnostic modalities, including modes of physical therapy, relaxation techniques, or supportive therapies for myself, (or on the patient named below, for whom I am legally responsible.) And I also understand I am entitled to refuse any service or training approach.
Neurofeedback training is a process of providing information to the patient about physical, nervous system, and brainwave activity. Sensors are attached to the head & earlobes to gather information. Nothing is done to the trainee. The sensors simply measure changes in brainwaves. The information is seen on a computer screen, heard through speakers or headphones, and felt through a tactile feedback devise, thus the trainee is able to see, hear, and feel changes in brainwave activity and, by practicing self-regulation techniques such as relaxation and breathing, the patient can learn to correct imbalances and exercise flexibility of the nervous system. This process may result in improvement to the trainee's presenting condition(s) due to correction of the functional problems.
Research has been conducted to study the effects of this intervention and these studies have been published in peer reviewed, professional journals relevant to this field of study. Extensive research and clinical experience have demonstrated the effectiveness of Neurofeedback interventions for a wide variety of conditions. These interventions are considered particularly safe and are generally without harmful side effects. However, any intervention that can lead to positive results can also lead to unwanted effects. The manner in which a person's nervous system has tended to react in the past, can give clues for an individual's potential to have a particular side effect. Because this is a training approach, both desirable and undesirable effects continue for only a short time unless they are reinforced. This characteristic helps limit the potential for lasting negative effects and allows for the selective reinforcement of positive effects.
I understand and am informed that, as in the practice of medicine, and like all other health fields, results are not guaranteed, and there is no promise of cure, and as in the practice of Medicine, Neurofeedback treatment has some risks, including, but not limited to fatigue, hyper-excitability, headache, depression, motor tics, agitation, seizure, ringing in the ears, and flash-backs. Neurofeedback simply allows the brain to witness its own activity, therefore any possible side effects are typically temporary and already within the realm of symptoms the individual experiences or has experienced before. I do not expect the doctor to be able to anticipate and explain all risks and complications, and I wish to rely on the doctor to exercise judgement during the course of the procedure which the doctor feels at the time, based upon the facts then known, is in my (or my dependent's) best interest. I have had an opportunity to discuss with Dr. Murphy the nature and purpose of Neurofeedback, and associated procedures.
I understand that Neurofeedback's training effects can decrease ones need for medication, or can increase ones sensitivity to it. A lessening need for medication can be a desirable side-effect, however, since withdrawal from some medications can be dangerous, especially for serious medical conditions such as Seizure Disorders (anticonvulsants), medications for Bipolar Disorder, Blood Pressure Meds., among others, therefore I agree to work under medical supervision when making adjustments to, withdrawing from, or eliminating prescription medications. I understand Chiropractors are "drugless practitioners," and it is not within their scope of practice to prescribe or manage prescription medications, though appropriate referrals will be given upon request.
I further understand there are treatment options available for my condition other than Chiropractic &/or Neurofeedback training. These treatment options include consulting other health care practitioners, medical doctors, therapists, or specialists, ex. Neurologist, Orthopedist, Psychiatrist, or treatment options may include medication(s), injections, surgery, dietary changes, exercise, lifestyle recommendations, physical or psychological therapy. Other treatment options may include allied health practitioners, ex. Psychologist, Counselor, Acupuncturist, OR in- or out-patient drug & alcohol treatment program, self-care, over-the-counter medications, 12-Step program(s), rest, massage, meditation, diet, exercise, lifestyle management, OR individuals may choose to go without diagnosis or treatment. I understand and have been informed that I have the right to a second opinion and to secure other opinions if I have concerns as to the nature of the symptoms and treatment options.
All patient records and transactions are confidential unless release of these records is authorized in writing by the patient, or otherwise required by law.
I have read or have had read to me, the above consent. I have also had an opportunity to ask questions about its content, and by signing below, I agree to the above-named procedures. I intend this consent form to cover the entire course of treatment or training for my present condition/s and for any future condition(s) for which I seek treatment or training.
Patient signature, or Representative’s signature. Date
Deborah Murphy DC
Ojai Chiropractor
P.O. Box 1209, Ojai, CA 93024
111 W Topa Topa St., Ste C, Ojai, CA 93023
Dr. Deborah Murphy -
Ojai Chiropractor & Neurofeedback
311 W Topa Topa St Ste 3, Ojai California, California
AVISO DE PRÁCTICAS DE PRIVACIDAD DE HIPAA- en español
Re: Ojai Chiropractor - Deborah Murphy DC
Fecha de vigencia : 02-02-2022
ESTE AVISO DESCRIBE CÓMO SE PUEDE UTILIZAR Y DIVULGAR SU INFORMACIÓN MÉDICA Y CÓMO USTED PUEDE TENER ACCESO A ESTA INFORMACIÓN. POR FAVOR REVISELO CUIDADOSAMENTE.
QUIÉN SEGUIRÁ ESTE AVISO
Este Aviso de Prácticas de Privacidad (el “Aviso”) describe la práctica de Deborah Murphy D.C. y las del personal, voluntarios u otro personal que esté involucrado en su atención. La Dra. Murphy y estas personas seguirán los términos de este Aviso y pueden usar o divulgar información médica sobre usted para llevar a cabo operaciones de tratamiento, pago u atención médica, o para otros fines según lo permita o exija la ley. Este Aviso explica sus derechos para acceder y controlar su información médica, incluida la información que puede identificarlo y que se relaciona con su condición física, médica o mental pasada, presente o futura y la atención médica y los servicios de atención médica relacionados.
EL COMPROMISO DE ESTA OFICINA CON RESPECTO A LA INFORMACIÓN MÉDICA
La Doctora entiende que la información médica sobre usted y su salud es personal. La Doctora se compromete a proteger la información médica sobre usted. Para brindarle atención de calidad y cumplir con ciertos requisitos legales estatales y federales, esta práctica crea un registro de los servicios que recibe en esta práctica. Este Aviso se aplica a todos los registros de su atención generados por esta práctica. Este Aviso le informará sobre las formas en que esta práctica puede usar y divulgar su información médica. También describe sus derechos y ciertas obligaciones que tiene el médico con respecto al uso y divulgación de información médica. El médico está obligado por ley a: (1) Asegurarse de que la información médica que lo identifica se mantenga privada; (2) Darle este Aviso de sus deberes legales y prácticas de privacidad con respecto a su información médica; (3) Cumplir con los términos del Aviso que están actualmente en vigor, y (4) Notificarle en caso de que haya un uso o divulgación no autorizados de su información médica no segura.
CÓMO ESTA PRÁCTICA PUEDE UTILIZAR Y DIVULGAR INFORMACIÓN MÉDICA SOBRE USTED
Las siguientes categorías describen diferentes formas en que la práctica puede usar o divulgar información médica protegida. Para cada categoría de usos y divulgaciones, la práctica explicará lo que significa y puede dar algunos ejemplos. No se enumerarán todos los usos o divulgaciones en una categoría. Sin embargo, todas las formas en que se permite que esta práctica utilice y divulgue información se incluirán en una de las categorías.
Para investigación. Esta práctica puede divulgar información médica sobre usted a investigadores cuando la información no lo identifique directamente como la fuente de la información o cuando una junta de revisión institucional o una junta de privacidad haya emitido una exención que haya revisado la propuesta de investigación y los protocolos de cumplimiento. con estándares para asegurar la privacidad de su información de salud.
Para pago. Esta práctica puede usar y divulgar información médica sobre usted para que este negocio pueda recibir pagos por el tratamiento y los servicios que recibe en este negocio.
Para operaciones de atención médica. La práctica puede usar y divulgar información médica sobre usted para llevar a cabo actividades que son necesarias para las operaciones comerciales. Estos usos o divulgaciones se realizan para la calidad de la atención, actividades de cumplimiento, fines administrativos, obligaciones contractuales, quejas o demandas. Por ejemplo, la empresa puede usar información médica para revisar el tratamiento y los servicios proporcionados en la empresa o para evaluar el desempeño de su personal y contratistas en su atención.
A personas o familiares involucrados en su atención médica. A menos que usted se oponga, la Dra. Murphy puede divulgar su información médica a un miembro de su familia, un pariente, un amigo cercano o cualquier otra persona que usted identifique y que esté involucrada en su atención. El médico también puede informar a su familia o amigos, representante personal o cualquier otra persona responsable de su atención, sobre su ubicación, estado general o muerte, a menos que usted se oponga.
Emergencias la Doctora puede divulgar información médica sobre usted a una entidad pública o privada que ayude en el alivio de desastres para que su familia pueda ser notificada sobre su condición, estado o ubicación. Puede oponerse a esta divulgación con una solicitud por escrito. Sin embargo, si no está disponible o no puede aceptar u objetar, o en algunas circunstancias de emergencia, el médico usará su criterio profesional para decidir si esta divulgación es lo mejor para usted.
Según lo requerido por la ley. La Dra. Murphy divulgará su información de salud cuando así lo exija la ley federal, estatal o local.
Compensación de trabajadores. Aunque la Dra. Murphy no trabaja dentro del programa de Compensación para trabajadores, si es necesario, puede divulgar información médica sobre usted para compensación para trabajadores o programas similares. Estos programas brindan beneficios por lesiones o enfermedades relacionadas con el trabajo.
Para Actividades de Salud Pública. La Dra. Murphy puede divulgar la información médica mínimamente necesaria sobre usted para actividades de salud pública. Estos propósitos generalmente incluyen lo siguiente: (1) Para prevenir o controlar enfermedades, lesiones o discapacidades; (2) Para informar muertes; (3) Para denunciar abuso o negligencia de niños, ancianos y adultos dependientes; (4) Para reportar reacciones a medicamentos o problemas con productos; (5) Para notificar a las personas sobre retiros del mercado de productos que puedan estar usando; y (6) Para notificar a una persona que puede haber estado expuesta a una enfermedad o que puede estar en riesgo de contraer o propagar una enfermedad o condición.
Para las actividades de vigilancia de la salud. La Dra. Murphy, si es necesario, puede divulgar información médica sobre usted a una agencia de supervisión de la salud para actividades autorizadas por la ley.
Para Juicios y Disputas. La Dra. Murphy puede divulgar información médica sobre usted en respuesta a una orden judicial o administrativa, citación, solicitud de descubrimiento u otro proceso legal.
Divulgación a las fuerzas del orden. Si la policía lo solicita y según lo autorice o exija la ley, la Dra. Murphy puede divulgar información médica: (1) para identificar o ubicar a un sospechoso, fugitivo, testigo importante o persona desaparecida; (2) Sobre una víctima sospechosa de un delito si, bajo ciertas circunstancias limitadas, no podemos obtener el consentimiento de la persona; (3) Sobre una muerte sospechosa de ser el resultado de una conducta criminal; (4) Sobre conducta criminal en este negocio; y (5) En caso de una emergencia médica, para reportar un delito, la ubicación del delito o de las víctimas, o la identidad, descripción o ubicación de la persona que cometió el delito.
Difuntos La Doctora puede divulgar información médica sobre usted a un médico forense o examinador médico. Esto puede ser necesario, por ejemplo, para identificar a una persona fallecida o determinar la causa de la muerte. La Doctora también puede divulgar información médica sobre usted a los directores de funerarias. La Doctora también puede divulgar información a cualquier persona conocida por el Doctor como miembro de la familia, amigo personal cercano de la familia o cualquier otra persona identificada, que estuvo involucrada en su atención o en el pago de su atención antes de su muerte, a menos que usted indicar lo contrario. Su información médica puede usarse o divulgarse a otros sin su autorización después de cincuenta (50) años a partir de la fecha de su muerte.
Para funciones gubernamentales especializadas. La Doctora puede divulgar información médica sobre usted a funcionarios federales autorizados para actividades de inteligencia, contrainteligencia y otras actividades de seguridad nacional.
Información sobre reclusos/individuos bajo custodia. Según lo autorice o exija la ley, si usted es un recluso o está bajo la custodia de un oficial de la ley, la Doctora puede divulgar su información médica a la institución correccional o al oficial de la ley responsable de usted.
Divulgación de amenazas a la salud y la seguridad. En determinadas circunstancias, se le podría solicitar al Doctor que divulgue información médica para evitar una amenaza grave para su salud y seguridad o para la salud y seguridad de otra persona, según lo exija la policía. El uso o divulgación se hará de conformidad con la ley y se limitará a los requisitos pertinentes de la ley.
Márketing. La Doctora no divulgará su información médica con fines comerciales sin su autorización.
Comunicación: POR MOTIVOS DE SEGURIDAD, NO ENVÍE TEXTOS, MENSAJES DE VOZ NI CORREO ELECTRÓNICO AL MÉDICO CON SU INFORMACIÓN MÉDICA PERSONAL. Los mensajes de correo de voz, los mensajes de texto o las comunicaciones por correo electrónico están destinados a tareas rutinarias como la programación, ya que no están cifrados y no son seguros. Guarde todas las comunicaciones confidenciales para contacto en persona o por teléfono solo con el médico o el personal.
Venta de Información Médica. El Doctor no venderá su información médica sin su autorización.
TUS DERECHOS:
Tiene los siguientes derechos con respecto a su información médica. Para ejercer estos derechos, debe comunicarse con la Dra. Murphy, el oficial de privacidad de HIPAA. Es posible que se le pida que presente una solicitud por escrito. Se puede contactar al Dr. Murphy utilizando la siguiente información:
Dr. Deborah Murphy - Ojai Chiropractor & Neurofeedback
Attn: HIPAA Privacy Officer
PO Box 1209, Ojai, CA 93024
Phone: 805-646-2225
Derecho a inspeccionar y copiar. Con ciertas excepciones, tiene derecho a inspeccionar y recibir copias de su información médica.
Enmienda. Si cree que la información médica sobre usted es incorrecta o está incompleta, puede solicitar a la Compañía que modifique la información.
Derecho a la Rendición de Cuentas de las Divulgaciones. Tiene derecho a recibir una lista de ciertas divulgaciones que podamos haber hecho de su información médica.
Derecho a Solicitar Restricciones. Tiene derecho a solicitar una restricción o limitación de la información médica que el Doctor usa o divulga sobre usted para el tratamiento, el pago o las operaciones de atención médica, y a solicitar un límite en la información médica que el Doctor puede divulgar a familiares o amigos involucrados. a tu cuidado.
Solicitar Comunicaciones Confidenciales. Tiene derecho a solicitar que el Doctor se comunique con usted sobre sus citas u otros asuntos relacionados con su tratamiento de una manera específica o en un lugar específico.
Recibir una copia. Tiene derecho a obtener una copia de este aviso.
CAMBIOS A ESTE AVISO
La Doctora se reserva el derecho de cambiar los términos de este Aviso en cualquier momento. La Doctora se reserva el derecho de hacer efectivo el aviso revisado o modificado para la información médica que la Doctora ya tiene sobre usted, así como cualquier información que la Doctora reciba en el futuro. La Doctora publicará una copia del Aviso actual. El Aviso contendrá una fecha de vigencia.
PREGUNTAS Y QUEJAS
Si tiene alguna pregunta o cree que se han violado sus derechos de privacidad, puede comunicarse personalmente con el Funcionario de privacidad de HIPAA de la Compañía o enviar un resumen escrito de su inquietud a la dirección que se indica arriba.
También puede presentar una queja por escrito ante el Departamento de Salud y Servicios Humanos en la siguiente dirección:
Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W. Room 509F HHH Bldg.
Washington, D.C. 20201
Toll-free: (800) 368-1019 TDD
toll-free: (800) 537-7697
Email: OCRComplaint@hhs.gov
No será penalizado ni sufrirá represalias por presentar una queja.
USO DE LA INFORMACIÓN MÉDICA PARA OTROS FINES
Si hubiera otros usos y divulgaciones de información médica no cubiertos por este Aviso o las leyes que se aplican, el uso se hará únicamente con su permiso por escrito. Si le da permiso al Doctor para usar o divulgar información médica sobre usted, puede revocar ese permiso por escrito en cualquier momento. Si revoca su permiso, el Doctor dejará de usar o divulgar su información médica para los fines cubiertos por su autorización por escrito, excepto si el Doctor ya ha actuado basándose en su permiso. Se entiende que el Doctor no puede retractarse de ninguna divulgación que ya haya hecho con su permiso y que el Doctor está obligado a conservar sus registros de la atención que le brindó.