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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.

WHO IS COVERED BY THIS NOTICE:
This notice describes Kendall Speech and Language Center, Inc. practices and that of: Any Speech-Language Pathologist, Speech-Language Assistant, Occupational Therapist, clerical staff authorized to enter information into your medical records, and all employees, staff, interns, and students who participate in therapy services. These entities, sites, and locations may share information with each other for treatment, payment, or health system operations purposes described in this notice.

OUR PLEDGE REGARDING MEDICAL INFORMATION:
We understand that your health information is personal. We are committed to protecting this information. We create a record of the care and services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. This notice will tell you about the ways in which we may use and disclose your health information. We also describe your rights and certain obligations we have regarding the use and disclosure of heatlh informaiton. We are required to: Make sure that your health information is kept private; give you this notice of our legal duties and privacy practices; and follow the terms of the notice that is currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION:
The following categories describe different ways that we use and disclose medical information. FOR TREATMENT: We may use your health information to provide you with therapy treatments or services. This information may be disclosed to your Doctor, Speech Pathologist, Speech Pathologist Assistants, Occupational Therapists, and all other personnel who may be involved in the treatment of care for you. FOR PAYMENTS: We may use and disclose your health information so that the therapy services you receive at this Center may be billed to and payments may be collected from an insurance company, you, or a third party. FOR HEALTH CARE OPERATIONS: We may use and disclose your health information for health system operations. These uses and disclosures are necessary to run this Center and make sure that all of our patients receive quality care. APPOINTMENT REMINDERS: We may use and disclose information to contact you as a reminder that you have an appointment for therapy treatment. If you do not wish to receive appointment reminders, be sure to tell our scheduler. FUNDRAISING ACTIVITIES: We may use your information to contact you in an effort to raise money for the various organizations (i.e. N.A.A.R.). If you do not want to be contacted for fundraising efforts, you must notify us in writing at the Kendall Speech and Language Center, Inc., 10743 Southwest 104 Street, Miami, Florida 33176. INDIVIDUALS INVOLVED IN YOUR CARE OR PAYMENT FOR YOUR CARE: We may release medical information to a family member or other designated person who is involved in your care. We may also give information to the person who helps pay for your care. We may also release information about you to an agency assisting you in your care. RESEARCH: Under certain circumstances, we may use and disclose information about you for research purposes. All research projects are subject to a special approval process. AS REQUIRED BY LAW: We will disclose all information about you when required to do so by federal, state or local law. WORKER´S COMPENSATION: We may release medical information to Worker's Compensation, as required by Worker's Compensation laws. This program provides benefits for work-related illness or injuries. VICTIMS OF ABUSE, NEGLECT, OR DOMESTIC VIOLENCE: We may disclose pertinent health information to government agencies authorized by law to receive reports of abuse, neglect, or domestic violence if we believe that you have been such a victim. HEALTH OVERSIGHT ACTIVITIES: We may disclose pertinent information to a health oversight agency for activities authorized by law. These oversight activities include audits, investigation, inspection, and licensure. JUDICIAL AND ADMINISTRATIVE PROCEEDING: We may disclose your health information in the course of an administrative or judicial proceeding, such as a response to a court order. LAW ENFORCEMENT: We may release information to a law enforcement official if required by law.

USE OF INFORMATION THAT REQUIRES AUTHORIZATION:
Disclosure of information that are not related to treatment, payments, or health care operation, or are not otherwise covered by this notice can be made only with your specific authorization. YOUR RIGHTS TO REVIEW AND COPY: You have the right to inspect and obtain a copy of your information that may be used to make decisions about your treatment. You must submit this request in writing to the Director of the Center. If you request this information, we may charge a fee for the costs of copying, mailing, or other supplies associated with your request. The cost of copying is $1.00 per page. RIGHT TO AMEND: You have the right to amend any information that you feel is incorrect or incomplete. RIGHT TO REQUEST RESTRICTIONS: You have the right to request a restriction of limitation we use to disclose on your treatment or payment. RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS: You have the right to request that we communicate with you about your personal information in a certain way or at a certain location. (i.e. you can ask us that we only contact you at work or by mail). This request for confidential communication must be made in writing. RIGHT TO A PAPER COPY OF THIS NOTICE: You have the right to obtain a copy of this notice. This notice will be posted at this Center at all times. You may ask the staff at any time if an additional copy is needed. CHANGES TO THIS NOTICE: Kendall Speech and Language Center, Inc. reserves the right to change this notice. We reserve the right to make any changes of this notice to be effective immediately. A copy of this notice is available to you at any time upon request. COMPLAINTS: If you believe that your rights have been violated, you may file a complaint by contacting our Privacy Officer and by contacting the U.S. Office of Civil Rights, Washington, D.C. All complaints must be in writing. YOU WILL NOT BE PENALIZED FOR FILING A COMPLAINT.

If you have any questions about this notice, please contact the Privacy Officer at 305-274-7883.

 



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