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These terms and conditions constitute a binding agreement between you and HARTSVILLE MEDICAL GROUP LLC ("we," "us," or "our").
The Patient Portal is an Internet service that allows our patients to: communicate with us; access their health records; request or reschedule appointments; view and update personal information; request prescriptions; receive test results; read patient educational material; view statements; pay bills; and access related services and content.
The Patient Portal is provided on behalf us and our physicians, employees, managers, officers, directors, agents, and representatives and powered by athenahealth, Inc. (all of the foregoing, collectively, the "Practice Entities"). The Practice Entities are intended third-party beneficiaries of this agreement and entitled to enforce all terms and conditions of this agreement.
By accessing or using the Patient Portal, you confirm that you agree to these terms and conditions. If you don't agree, don't use the Patient Portal. By agreeing to these terms and conditions, you acknowledge that you are at least 18 years of age, or legally emancipated, and that you are requesting access to Patient Portal. You acknowledge that Patient Portal is offered as a courtesy to our patients and agree that we may limit or discontinue your use of Patient Portal at any time for any reason.
All content included in Patient Portal and on all of our, including, but not limited to, text, photographs, graphics, button icons, images, artwork, names, logos, trademarks, service marks, and data ("Content"), in any form, are protected by U.S. and international copyright and trademark law and conventions. The Content includes both Content owned or controlled by one or more of the Practice Entities, as well as Content owned or controlled by third parties and licensed to one or more of the Practice Entities, and no right, title, or interest is granted to you in or to any Content other than the right to use such content in connection with your use of Patient Portal. Reproduction of any Content, in whole or in part, by any means, is prohibited without our express written consent.
This website and Patient Portal contain links to websites operated by other parties. The Practice Entities do not sponsor, operate, control, or endorse any of these sites, nor the information, products, or services provided by third parties through the Internet, nor do the Practice Entities make any guarantee, warranty, or representation regarding the accuracy of the information contained on the websites. The Practice Entities have no control over the security or privacy practices of these external websites. Use of other sites is strictly at your own risk including, but not limited to, any risks associated with destructive viruses. You are responsible for viewing and abiding by the terms and conditions of use and the privacy statements of the other websites.
This Patient Portal and all other sites hosted by any of the Practice Entities and the content contained herein and therein are provided by the Practice Entities on an "As Is" basis. THE PRACTICE ENTITIES MAKE NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AS TO THE OPERATION OF ITS SITES, OR THE CONTENT, PRODUCTS, OR SERVICES INCLUDED THEREIN. TO THE FULLEST EXTENT PERMISSIBLE BY APPLICABLE LAW, THE PRACTICE ENTITIES DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND INFRINGEMENT.
By using our website (including, but not limited to, Patient Portal), you agree that the laws of the Commonwealth of Massachusetts, without regard to principles of conflict of laws, will govern these terms and conditions and any dispute that might arise between you and any of the Practice Entities. You expressly agree that exclusive jurisdiction for any dispute with any of the Practice Entities resides in the courts of Middlesex County, Massachusetts, and you further agree and expressly consent to the exercise of personal jurisdiction in the courts of Middlesex County, Massachusetts, in connection with any claim involving any of the Practice Entities. Use of our website is unauthorized in any jurisdiction that does not give effect to the terms and conditions set forth herein.
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.
If you have any questions about this notice, please contact the Facility Privacy Officer.
Who Will Follow This Notice: This notice describes the facility’s practices and how the facility shares your information with others for treatment, payment and health care operations purposes.
Our Pledge Regarding Medical Information: We understand that medical information about you and your healthcare is personal. We are committed to protecting medical information about you. A record is created of the care and services you receive at this facility. This record is needed to provide the necessary care and to comply with legal requirements. This notice applies to all of the records of your care generated by the facility. Your personal physician may have different policies or notices regarding the physicians use and disclosure of your medical information in the physician’s office or clinic.
This notice will tell about the ways in which the facility may use and disclose medical information about you. Also described are your rights and certain obligations we have regarding the use and disclosure of medical information.
The law requires the facility to:Except with respect to Highly Confidential Information (described below), we are permitted to use your health information for the following purposes:
For example: A physician treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. The physician may need to tell the dietitian about the diabetes so appropriate meals can be arranged. Different departments of the facility may also share medical information about you in order to coordinate your different needs, such as prescriptions, lab work and X-Rays. The facility also may disclose medical information about you to people outside the facility who may be involved in your medical care after you leave the facility, such as family members, home health agencies, and others who provide services that are part of your care.
For example: To the extent insurance will be responsible for reimbursing the facility for your care, the health plan or insurance company may need information about surgery you received at the facility so they can provide payment for the surgery. Information may also be given to someone who helps pay for your care. Your health plan or insurance company may also need information about a treatment you are going to receive to obtain prior approval or to determine whether they will cover the treatment.
For example: Subject to any limitations described in this notice, your medical information may be:
For example: A research project may involve comparing the health and recovery of all patients who received one medication to those who received another, for the same conditions. All research projects, however, are subject to a special approval process. This process evaluates a proposed research project and its use of medical information, balancing the research needs with the patients’ need for privacy of their medical information. Your medical information may be disclosed to people preparing to conduct a research project; for example, helping them look for patients with specific medical needs, so long as the medical information they review does not leave the facility. We will almost always ask for your specific permission if the researcher will have access to your name, address or other information that reveals who you are, or will be involved in your care at the facility.
Federal and/or State law require special privacy protections for certain highly confidential information about you, including your health information that is maintained in psychotherapy notes. Similarly, Federal and/or State law may provide greater protections for the following types of information than HIPAA, in which case we will comply with the law that provides your information with the greatest protection and you with the greatest privacy rights: (1) mental health and developmental disabilities; (2) alcohol and drug abuse prevention, treatment and referral; (3) HIV/AIDS testing, diagnosis or treatment; (4) communicable diseases; (5) genetic testing; (6) child abuse and neglect; (7) domestic or elder abuse; and/or (8) sexual assault. In order for your highly confidential information to be disclosed for a purpose other than those permitted by law, your written authorization is required.
YOUR WRITTEN AUTHORIZATIONWe will first obtain your written authorization before using or disclosing your protected health information for any purpose not described above, including disclosures that constitute the sale of protected health information or for marketing communications paid for by a third party (excluding refill reminders, which the law permits without your authorization). If you provide the facility permission to use or disclose your medical information, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose your medical information for the reasons covered in your written authorization. You understand that we are unable to take back any disclosures already made with your permission, and that we are required to retain our records of the care that the facility provided to you.
ADDITIONAL INFORMATION CONCERNING THIS NOTICE:To inspect and copy medical information or to receive an electronic copy of the medical information that may be used to make decisions about you, you must submit a written request. If you request a paper copy of your information, we may charge a fee for the cost of copying, mailing or other supplies associated with your request.
If the facility uses or maintains an electronic health record with respect to your medical information, you have the right to obtain an electronic copy of the information if you so choose.
We may deny your request to inspect and copy in some limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional, other than the person who denied your request, will be chosen by the facility to review your request and the denial. The facility will comply with the outcome of the review.
To request an amendment, you must submit a written request. You must also provide a reason that supports your request.
Your request for an amendment may be denied if:
To request this list or accounting of disclosures:
The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
To request restrictions, you must make your request in writing. In your request, you must tell us:
You also have a right to request that a health care item or service not be disclosed to your health plan for payment purposes or health care operations. We are required to honor your request if the health care item or service is paid out of pocket and in full. This restriction does not apply to use or disclosure of your health information related to your medical treatment.
Este aviso describe cómo se puede utilizar y divulgar su información médica y cómo puede tener acceso a esta información.
REVÍSELO ATENTAMENTE.
Si tiene alguna pregunta con relación a este aviso, comuníquese con el funcionario de privacidad del centro.
Quiénes seguirán este aviso: Este aviso describe las prácticas del centro y cómo el centro comparte su información con otras personas con fines de tratamiento, pago y operaciones de atención médica.
Nuestro compromiso relacionado con la información médica: Comprendemos que su información y atención médica es personal. Estamos comprometidos a proteger su información médica. Se crea un expediente de la atención y los servicios que recibe en el centro. Este expediente es necesario para proporcionar la atención necesaria y para cumplir con los requisitos legales. Este aviso se aplica a todos los expedientes de su atención generados por el centro. Puede que su médico personal tenga políticas o avisos distintos relacionados al uso y la divulgación de su información médica en la clínica o el consultorio del médico.
En este aviso se indicarán las maneras en que el centro puede usar y divulgar su información médica. También se describen sus derechos y ciertas obligaciones que tenemos relacionadas con el uso y la divulgación de información médica.
La ley obliga al centro a:A excepción de lo relacionado con la información altamente confidencial (descrita a continuación), estamos autorizados a usar su información de salud para los siguientes propósitos:
Por ejemplo: Un médico que le proporcione tratamiento por una pierna fracturada puede necesitar saber si usted tiene diabetes, debido a que la diabetes puede retardar el proceso de curación. El médico puede necesitar informarle al dietista acerca de la diabetes para que se coordinen las comidas adecuadas. Los distintos departamentos del centro pueden también compartir su información médica para coordinar sus diferentes necesidades, tales como recetas médicas, trabajo de laboratorio y rayos X. El centro también puede divulgar su información médica a personas ajenas al centro, que pudieran participar en su atención médica después de que se le dé el alta, tales como familiares, agencias de salud en el hogar y otras personas que proporcionen servicios como parte de su atención médica.
Por ejemplo: Hasta donde el seguro sea responsable de reembolsar al centro el costo de su atención, el plan médico o la aseguradora puede necesitar información sobre la cirugía que se le practicó en el centro para que puedan pagar por la cirugía. También puede proporcionarse información a alguna persona que ayude a pagar por su atención. Su plan médico o aseguradora también podría necesitar información sobre algún tratamiento que recibirá, para obtener la aprobación previa o para determinar si cubrirán el tratamiento.
Por ejemplo: Sujeta a cualquier limitación descrita en este aviso, su información médica puede ser:
Por ejemplo: Un proyecto de investigación puede involucrar comparar la salud y la recuperación de todos los pacientes que recibieron un medicamento con la de aquellos que recibieron otro, para la misma afección. Sin embargo, todos los proyectos de investigación están sujetos a un proceso especial de aprobación. Este proceso evalúa un proyecto de investigación propuesto, y el pertinente uso de información médica, equilibrando las necesidades de investigación con la necesidad de los pacientes de mantener privada su información médica. Su información médica puede divulgarse a personas que estén preparándose para llevar a cabo un proyecto de investigación; por ejemplo, ayudarles a buscar pacientes con necesidades médicas específicas, siempre y cuando la información médica que revisen no salga del centro. Casi siempre le pediremos su autorización específica si el investigador tuviera que acceder a su nombre, dirección u otra información que revele su identidad, o participara en su atención médica en el centro.
Las leyes federales y/o estatales exigen protecciones especiales a la privacidad para determinada información altamente confidencial acerca de usted, incluso su información médica almacenada en las notas de psicoterapia. De igual manera, las leyes federales y/o estatales pueden proporcionar mayor protección de la que proporciona la HIPAA para los siguientes tipos de información, en cuyo caso cumpliremos con la ley que le proporcione la mayor protección a su información y los mayores derechos de privacidad a usted (1) salud mental y discapacidades del desarrollo; (2) prevención, tratamiento y remisión por abuso de alcohol y drogas; (3) pruebas, diagnóstico o tratamiento para VIH/SIDA; (4) enfermedades transmisibles; (5) pruebas genéticas; (6) abuso y abandono infantil; (7) abuso doméstico o al adulto mayor; y (8) agresión sexual. Para que su información altamente confidencial sea divulgada con un objetivo diferente del que la ley permite, se necesita su autorización escrita.
SU AUTORIZACIÓN ESCRITAObtendremos su autorización escrita antes de usar o divulgar su información médica protegida para cualquier propósito no descrito anteriormente, incluso divulgaciones que constituyan la venta de información médica protegida o para comunicados de marketing pagados por un tercero (excluyendo recordatorios para surtir nuevamente medicamentos, que la ley permite sin su autorización). Si autoriza al centro usar o divulgar su información médica, puede anular esa autorización, por escrito, en cualquier momento. Si revoca su autorización, ya no usaremos ni divulgaremos su información médica por las razones cubiertas en su autorización escrita. Usted comprende que no podemos quitar cualquier divulgación hecha con su autorización, y que se nos requiere retener nuestros expedientes de la atención que el centro le proporcionó.
INFORMACIÓN ADICIONAL RELACIONADA CON ESTE AVISO:Para revisar y copiar información médica o para recibir una copia electrónica de la información médica que pueda usarse para tomar decisiones sobre usted, debe presentar una solicitud por escrito. Si solicita una copia impresa de su información, puede que cobremos una cuota por el costo de copiar, enviar por correo u otros insumos relacionados con su solicitud.
Si el centro usa o mantiene un registro médico electrónico relacionado con su información médica, usted tiene derecho a obtener una copia electrónica de la información si así lo desea.
Podemos negarnos a su solicitud de inspeccionar y copiar, en ciertas circunstancias limitadas. Si se le niega el acceso a la información médica, puede solicitar que se revise la denegación. El centro elegirá a otro profesional autorizado de la atención médica, que no sea la persona que le denegó su solicitud, para revisar su solicitud y la denegación. El centro cumplirá con el resultado de la revisión.
Para solicitar una modificación, debe presentar una solicitud por escrito. También debe proporcionar una razón que apoye su solicitud.
Puede denegarse su solicitud de modificación si:Para solicitar esta lista detallada o informe de divulgaciones:
La primera lista que solicite en un período de 12 meses será sin costo. Para listas adicionales, es probable que le cobremos por los costos de proporcionar la lista. Le indicaremos el costo y puede decidir retirar o revisar su solicitud antes de incurrir en gastos.
Para solicitar restricciones, debe hacer su solicitud por escrito. En su solicitud, debe indicarnos:
También tiene derecho a solicitar que un artículo o servicio de atención médica no sea divulgado a su plan de salud para fines de pago u operaciones de atención médica. Se nos exige cumplir con su solicitud si el artículo o servicio de atención médica es pagado en su totalidad por desembolso directo. Esta restricción no se aplica al uso ni a la divulgación de su información de salud relacionada con su tratamiento médico.
Por ejemplo: Puede solicitar que solo nos comuniquemos con usted en el trabajo o por correo. Para solicitar comunicaciones confidenciales, debe presentar su solicitud por escrito. No preguntaremos la razón de su solicitud. Cumpliremos con todas las solicitudes razonables. Su solicitud debe especificar cómo y dónde desea que se le contacte.
Below you will find answers to commonly asked questions concerning the website. For technical issues with this website during normal business hours, please contact our office.