South Florida Fibroid Center  
 
NOTICE OF PRIVACY PRACTICES
 
 

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.


This notice is provided in two layers. Upon request the full Notice will be given to you, which provides further details of our privacy policies and procedures.

  1
How we may use and disclose your health information. We use health information about you for your treatment, to get paid for your treatment, for administrative purposes and to evaluate the quality of the care you receive. For example, your health information may be shared with other health care personnel who care for you. Information may be shared on paper, by mail, electronic mail, fax, verbally or other methods. We may use and disclose your health information without your authorization for the reasons listed above and several others. Beyond those reasons we ask for your written authorization before using or disclosing your health information. If you sign an authorization to disclose information, you can later revoke it to stop further use and disclosures.

  2.
Your Rights. In most cases you have the right to look at or get a copy of your health information that we use to make decisions about you. If you request copies, we may charge you a cost based fee. You also have the right to request a list of certain types of disclosures we have made. If you believe your health information is incomplete or incorrect, you have the right to request that we correct the existing or add missing information.

  3.
Our legal duty. We are required by law to protect the privacy of your health information, provide this notice about our privacy practices, follow the privacy practices that are described in this notice, and request your signed acknowledgement that you received this notice. We may change our privacy policy at any time. However, if we make major changes we are required to post a new notice before the change takes effect. You can request a copy of the notice at any time. For more information about our policies please contact the person listed below.

  4. Privacy Complaints. If you are concerned that we have violated your privacy rights or our privacy policies, or if you disagree with a decision we made about access to your health information, you may contact:
   
Katherine Croghan,
Privacy, Security and Compliance Officer
Radiology Associates of Hollywood, PA

d/b/a
South Florida Fibroid Center
9050 Pines Blvd,
Suite 200
Pembroke Pines, FL 33024
Telephone 954-437-4800 x2155

or
Secretary of the Department of Health and Human Services, at 200 Independence Avenue, S.W., Room 509F, HHH Building, Washington, D.C. 20201
(e-mail: ocrmail@hhs.gov).