Notice of Privacy Practices

Effective Date: 01 August 2021

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.

At Gauld Foot & Ankle, we are committed to protecting the privacy and security of your medical information. This Notice of Privacy Practices describes how we may use and disclose your medical information and explains your rights concerning your medical information. It also outlines our legal obligations concerning your medical information.

I.  Uses and Disclosures of Medical Information

We may use and disclose your medical information for various purposes, including:

1. Treatment: We may use your medical information to provide you with medical treatment or services. For example, we may share information with specialists involved in your care.
2. Payment: We may use and disclose your medical information to bill and collect payment for the services provided to you. 3. Healthcare Operations: We may use and disclose your medical information for healthcare operations, such as quality improvement activities and reviewing the competence of healthcare professionals.
3. Appointment Reminders: We may use your medical information to provide appointment reminders or information about treatment alternatives.
4. Required by Law: We may disclose your medical information when required by law, such as for public health purposes or in response to a court order.
5. Authorization: We will obtain your written authorization before using or disclosing your medical information for purposes other than those described in this Notice.

II.  Your Rights

You have the following rights concerning your medical information:

1. Right to Inspect and Copy: You have the right to inspect and obtain a copy of your medical information, with some exceptions. 2. Right to Amend: You have the right to request an amendment of your medical information if you believe it is inaccurate or incomplete.

• Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures of your medical information made by us.
• Right to Request Restrictions: You have the right to request restrictions on the use and disclosure of your medical information. 5. Right to Request Confidential Communications: You have the right to request that we communicate with you about your medical information in a certain way or at a certain location.

6. Right to a Paper Copy: You have the right to obtain a paper copy of this Notice upon request.

III.  Complaints

If you believe your privacy rights have been violated, you may file a complaint with Gauld Foot & Ankle or the Georgia Bureau of Investigation.

IV. Changes to this Notice

We reserve the right to change the terms of this Notice at any time. The revised Notice will be effective for medical information we already have and any information we receive in the future.

V. Contact Information

For further information or to exercise your rights, please contact: info@gauldfootandankle.com.