The Health Insurance Portability and Accountability Act of 1996 (HIPPA) has establish requirements that health care providers, including St. Louis Center for Preventive and Longevity Medicine, LLC, must follow when using or disclosing your health information. This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Understanding Your Health Information Each time you visit a hospital, physician, or other health care provider, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information often referred to as you health or medical record, may serve as a: basis for planning your care and treatment means of communication among the many health professionals who contribute to your care legal document describing the care you received means by which you or a third-party payor can verify that services billed were actually provided a tool in educating health professionals a source of data for medical research a source of information for public health officials charged with improving the health of the nation a source of data for facility planning and marketing a tool with which we can assess and continually work to improve the care we render and the outcomes we achieve Understanding what is in your record and how your health information is used helps you to: ensure its accuracy better understand who, what, when, where, and why others may access your information make more informed decisions when authorizing disclosure to others Who Will Follow This Notice This notice describes St. Louis Center for Preventive and Longevity Medicine, LLC practices and that of all employees, staff and St. Louis Center for Preventive and Longevity Medicine, LLC personnel. This notice covers both St. Louis Center for Preventive and Longevity Medicine, LLC and Advanced Laser Clinic. For More Information or to Report a Problem If you have questions or would like additional information, you contact us at 314-994-1536. If you believe your privacy rights have been violated you can file a complaint with our office or with the secretary of Health and Human Services. There will be no retaliation for filing a complaint. Your Health Information Rights Although your health record is the physical property of the health care practitioner or facility that complied it, the information belongs to you. You have the right to: request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522 request a paper copy of the notice of privacy practices upon request. You may request a paper copy from the receptionist. request in writing to obtain a copy of your health record as provided for in 45 CFR 164.524< br> request in writing to amend your health record as provided in 45 CFR 164.528 request in writing to obtain an accounting of disclosures of your health information as provided in 45 FR 164.528 request in writing communications of your health information by alternative means or at alternative locations revoke your authorization to use or disclose health information except to the extent that action has already been taken Our Responsibilities We understand that medical information about you and your health is private. We are committed to protecting medical information about you. We create a record of the care and services you receive here. We need this record to provide you with quality care and comply with certain legal requirements. This notice applies to all of the records of your care generated by us. This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information. We are required to: maintain the privacy of your health information provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you abide by the terms of this notice notify you if we are unable to agree to a requested restriction accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations. We reserve the right to change our practices and this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. Each time you register at our facility, we will make available to you a copy of the current notice in effect. St. Louis Center for Preventive and Longevity Medicine, LLC and/or its physicians, staff, employees, agents and representatives, to share your confidential personal health information with other treating physicians, hospitals, health care facilities and licensed care practitioners for the purpose of performing St. Louis Center for Preventive and Longevity Medicine LLC’s obligations. St. Louis Center for Preventive and Longevity Medicine, LLC and/or its physicians, staff, employees, agents and representatives, to release any mental health, substance abuse and HIV/AIDS information for treatment, payment and health care operations purposes. Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we may already made with your permission, and that we are required to retain our records of the care that we provided to you.   Conditions of Use | Privacy Practices | © 2010