NOTICE OF PRIVACY PRACTICES
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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 IT CAREFULLY. I. OUR LEGAL DUTY Four Seasons is required by law to maintain the privacy of your health information. We are also required to provide you or your representative with this notice about our privacy practice, our legal duties and your rights concerning your health information. We must abide by the terms of this notice while it is in effect. We reserve the right to change the terms of this notice and to make the new notice provisions effective for all health information that we maintain. If we change this notice, we will make a copy of the revised notice available to you or your appointed Four Seasons may use or disclose your health information for purposes of treating you, obtaining payment for your care and conducting health care operations. Four Seasons has established poli - cies to guard against unnecessary uses or disclosures of your health information. A. To Provide Treatment : Four Seasons may use your health information to coordinate care within Four Seasons and with others involved in your care, such as your attending physi - cian, members of the Four Seasons interdisciplinary team and other health care professionals who have agreed to assist Four Seasons in coordinating your care. For example, physicians involved in your care will need information about your symptoms in order to prescribe appro - priate medications. Four Seasons may also disclose your health care information to individu - als outside of Four Seasons who are involved in your care including family members, clergy whom you have designated, pharmacists, suppliers of medical equipment or other health care professionals that Four Seasons works with order to coordinate your care. representative at our website, www.FourSeasonsCFL.org II. USES AND DISCLOSURES OF HEALTH INFORMATION B. To Obtain Payment: Four Seasons may disclose your health information to collect payment from third parties for the care you may receive from Four Seasons. For example, Four Sea - sons may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse you or Four Seasons. Four Seasons may also need to obtain prior approval from your insurer and may need to explain to the insurer your need for care and the services that will be provided to you. C. To Conduct Health Care Operations : Four Seasons may use and disclose health care informa- tion for its own operations in order to facilitate the function of Four Seasons and, as neces - sary, to provide quality care to all Four Seasons’ patients. Health care operations include, without limitation, such activities as: • Quality assessment and improvement activities (e.g., combining your health information with other Four Seasons’ patients to evaluate ways to improve services); • Activities designed to improve health or reduce health care costs; • Protocol development, case management and care coordination; • Contacting health care providers and patients with information about treatment alterna - tives and other related functions that do not include treatment; • Professional review and performance evaluation (e.g., to evaluate staff performance); • Training programs including those in which students, trainees or practitioners in health care learn under supervision;
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866.466.9734
Four Seasons
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