You have the right to:
You have some choices in the way that we use and share information as we:
We may use and share your information as we:
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us permission:
HOW DO WE TYPICALLY USE OR SHARE YOUR HEALTH INFORMATION?
We typically use or share your health information in the following ways:
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition
RUN OUR ORGANIZATION
We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
BILL FOR YOUR SERVICES
We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
HOW ELSE CAN WE USE OR SHARE YOUR HEALTH INFORMATION?
WE CAN SHARE HEALTH INFORMATION ABOUT YOU FOR CERTAIN SITUATIONS SUCH AS:
WE CAN USE OR SHARE HEALTH INFORMATION ABOUT YOU:
CHANGES TO THE TERMS OF THIS NOTICE
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our website, and we will mail a copy to you.
This Notice of Privacy applies to all affiliated entities doing business as The Youth Fountain.
The Youth Fountain
Phone: (732) 333-5992
Effective Date of this Notice: March 17, 2021