Notice of Privacy Practices
Effective Date 04/14/03

This notice explains how your health information will be used and disclosed by Warrenton Urgent Care and how you can gain access to this information.

The doctors and employees of Warrenton Urgent Care are required to abide by the terms of this privacy notice and to protect your health information. We will share your information with each other in the practice as necessary for your care.

We may use and disclose your health information without your authorization to other physicians, their staff, other health care entities, your insurance company and other business associates regarding your treatment, payment and or healthcare operations. We may disclose your information for emergencies, when required by law, and for research studies.

We may call you, leaving messages with the person that answers the phone or the answering machine to check on your progress since your last visit.

At your visit, we may call you from the waiting room using your first and last names.

All other disclosures of your protected health information will be done only after we obtain your written authorization to do so. You may revoke any authorization after you have given it.

You have the following rights pertaining to your health information.

  • The rights to request, read, or receive copies of you billing records.
  • The rights to request (in writing) to amend your records if you feel there is an incorrect or missing information.
  • The rights to request (in writing) to see a list of disclosures made of your health information.
  • The rights to request (in writing) that we not disclose your information for treatment, payment, or health care operation without your authorization.

We are not required to comply with your request in some instances.

Warrenton Urgent Care reserves the right to change the terms of this Privacy Notice, and to make the new notice apply to the health information you already have in your record. We will provide you with a revised copy of the Privacy Notice during your first visit to our office after the revision. If you are concerned that your privacy rights have been violated; would like to read, copy or amend your records; or have any other concerns please contact us at 540-351-0662. You may also send a written complaint to the US Department of Health and Human Services. Version 2 01/21/10

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