Patient Privacy Policy

NOTICE OF PRIVACY PRACTICES

Oral and Facial Surgeons of Mid-Florida (OFS) is committed to protecting your privacy. As a healthcare provider, we know your trust in us is a central importance. This policy discloses our information use policies and practices in detail. Please read it to learn more about the ways we protect the information we collect, and to find out how you can limit the information about you that is shared. If OFS changes its information practices, we will provide you notice of any material changes.

 Strict Security Measures

OFS takes the security of information very seriously and has established security standards and procedures to prevent unauthorized access to patient information. We maintain physical, electronic and procedural safeguards that comply with federal and state standards to guard patient information.

 Uses and Disclosures of Health Information

We use health information about you for treatment, to obtain payment for treatment, for administrative purposes and to evaluate the quality of care you receive.

 We may use or disclose identifiable health information about you without your authorization for public health purpose, for auditing purpose, for research studies and for emergencies. We provide information when otherwise required by law such as for law enforcement in specific circumstances. In any other situation, we will ask for your written authorization to disclose information. You can later revoke that authorization to stop any further uses or disclosures. We may change our policies at any time. Before we make a significant change in our policies, we will change our notice and post the new notice in the reception area and in each examination room. You can also request a copy of our notice at any time. For more information about our privacy practices, contact us at the number listed below.

 Individual Right

In most cases, you have the right to look at or get a copy of health information about you that we use to make decisions about you. If you request copies, we will charge you $1.00 per page for the first 25 pages and $0.25 for each additional page. You also have the right to receive a list of instances where we have disclosed health information about you for reasons other than treatment, payment or related administrative purposes. If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct the existing information or add the missing information.

 You may request in writing that we not use or disclose your information for treatment, payment and administrative purposes except when specifically authorized by you, when required by law or emergencies. We will consider your request but are not legally required to accept it.

 Complaints

If you are concerned that we have violated your privacy rights or disagree with a decision we made about access or correction to your records, you may contact us at the number listed below. You may also send a written complaint to the US Department of Health and Human Services. Our office can provide you with the appropriate address upon request.

 If you decide to contact our office with a complaint, or if you send a written complaint to the US Department of Health and Human Services, you will not suffer any retaliation.

 Our Legal Duty

We are required by law to protect the privacy of your information, provide this notice of our information practices, and follow the information practices that are described in this notice.

 If you have any questions or complaints, please contact:

 Oral & Facial Surgeons of Mid-Florida

Attn: Privacy Officer

1573 West Fairbanks Avenue, Suite 300

Winter Park, Florida 32789

407-644-3117

www.ofsmidfl.com