HIPAA Notice of Privacy Practices
Elizabeth Ward, MD takes matters of patient privacy seriously and adheres to HIPAA guidelines and procedures. 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 and click on the link above to get a full copy of HIPAA Notice of Privacy Practices.
Your Rights:
You have the right to:
Get a copy of your paper or electronic medical record
Correct your paper or electronic medical record
Request confidential communication
Ask me to limit the information shared
Get a list of those with whom I’ve shared your information
Get a copy of this privacy notice
Choose someone to act on your behalf
File a complaint if you believe your privacy rights have been violated.
To file a complaint, please contact me directly at: elizabethwardmd@gmail.com or by calling 415-498-0481.
If you are not satisfied with how I handle a complaint or if you don’t feel I have handled your concern, you may also submit a formal complaint to:
Region IX
Office for Civil Rights
U.S. Department of Health and Human Services
90 7th Street, Suite 4-100
San Francisco, CA 94103
(800) 368-1019; (800) 537-7697 (TDD)
(202) 619-3818 (fax)
OCRMail@hhs.gov
I will not retaliate against you for filing a complaint.
Uses and Disclosures of Protected Health Information:
I may use and share your information for the following purposes including:
Treating you
Running my organization
Billing you for services
Helping with public health and safety issues
Communicating with you via reminders, texts or emails
Notifying appropriate contacts in the event of a threat to your safety
Responding to organ and tissue donation requests
Working with a coroner or medical examiner
Addressing workers’ compensation, law enforcement, and other government requests
Responding to lawsuits and legal actions
My Responsibilities:
I am required by law to maintain the privacy and security of your protected health information.
I will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
I must follow the duties and privacy practices described in this notice and give you a copy of it.
I will not use or share your information other than as described here unless you tell me I can in writing. You may change your mind at any time. Let me know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice:
I can change the terms of this notice at any time, and the changes will apply to all the information I have about you.
The current HIPAA notice will be available upon request at any time and maintained on this web site.
Please download a full copy of the HIPAA Notice of Privacy Practices at the link at the top of this page or request a written copy from me.
For further inquires or concerns contact me at: elizabethwardmd@gmail.com or by calling 415-498-0481.