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Privacy
Examples of Disclosure for Treatment,
Payment, and Health Operations
1. We will use your health information for treatment:

For example :  Information obtained by a nurse, physician, or other member of
your health care team will be recorded in your record and used to determine the
course of treatment that should work best for you.  Dr. Behmand will document
in your record his expectations of the members of your health care team.  
Members of your health care team will then record the actions they took and
their observations, such that Dr. Behmand will know how you are responding to
treatment.

2. We will use your health information for payment:

For example:  A bill may be sent to you or a third-party payer.  The information
on or accompanying the bill may include information that identifies you, as well
as your diagnosis, procedures, and supplies used.

3.)  We will use your health information for regular health operations:

A.)  Quality Assurance:  Members of our medical staff, the risk or quality
improvement manager may use information in your health record to assess the
care and outcomes in your case and others like it.  This information will then be
used in an effort to continually improve the quality and effectiveness of the health
care and service we provide.

B.)  Business Associates:  There are some services provided in our organization
through contacts with Business Associates.  Examples include diagnostic services,
certain laboratory tests, and therapy sessions and when these services are
contracted, we may disclose your health information to our Business Associates
so that it can perform the job we have asked it to do and bill you or your third-
party payer for services rendered.  To protect your health information, however,
we require the business associate to appropriately safeguard your information.

C.)  Notification:  We may use or disclose information to notify or assist in
notifying a family member, personal representative, or another person
responsible for your care, your location, and general condition.

D.)  Communication with family:  Health professionals, using their best
judgment, may disclose to a family member, other relative, close personal friend
or any other person
you identify, health information relevant to that person’s
involvement in your care or payment related to your care.

E.)  Marketing:  Unless specifically notified to the contrary by you, we may
contact you to provide appointment reminders or information about treatment
alternatives or other health-related benefits and devices that may be of interest to
you.

F.)  Food and Drug Administration (FDA):  We may disclose to the FDA health
information relative to adverse events with respect to food, supplements,
product and product defects, or post marketing surveillance information to
enable product recalls, repairs, or replacement.

G.)  Workers compensation:  We may disclose health information to the extent
authorized by and to the extent necessary to comply with laws relating to workers
compensation or other similar programs established by law.

H.)  Public health:  As required by law, we may disclose your health information
to public health or legal authorities charged with preventing or controlling
disease, injury, or disability.

I.)  Correctional institution:  Should you be an inmate of a correctional
institution, we may disclose to the institution or agents thereof health information
necessary for your health and the health and safety of other individuals.

J.)  Law enforcement:  We may disclose health information for law enforcement
purposes as required by law or in response to a valid subpoena.

Federal law makes provision for your health information to be released to an
appropriate health oversight agency, public health authority, or attorney,
provided that a work force member or business associate believes in good faith
that we have engaged in unlawful conduct or have otherwise violated professional
or clinical standards and are potentially endangering one or more patients,
workers, or the public.
Effective Date:  01/09/05
Version Number:  03
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1776 Ygnacio Valley Rd, Suite 108
Walnut Creek, California 94598
Tel: (925) 939-9200
1776 Ygnacio Valley Rd, Suite 108, Walnut Creek, California  94598
Telephone: (925) 939-9200  Facsimile: (925) 939-9205

Home/Cosmetic Surgery For Women/Cosmetic Surgery For Men/Plastic Surgery After Massive
Weight Loss/Thermage®/Botox®/Skin Care/Injectable Skin Fillers/The Office
Privacy/Contact Us/Sitemap