THE PRACTICE’S RIGHTS
1. The Practice is allowed a reasonable time (typically 30 days) with which to comply with a patient’s request to review or copy their health information. The Practice is allowed an additional reasonable period of time if the record is off site. The Practice may charge a fee for copying the health record.
2. Requests for examination and copying medical records are subject to the provisions of existing Colorado law, including without limitation all relevant rules, regulations, and policies of the licensing boards.
3. The patient will be supervised by the Practice staff during any in-person review of the record.
Supervision is allowed and required to prevent the removal or altering of the medical record.
The patient will not be charged forin-person examination of the records.
THE PRACTICE’S DUTIES
1. The Practice is required by law to maintain the privacy of confidential information and provide individuals with notice of its legal duties and privacy practices with respect to such information.
2. The Practice is required to abide by the terms of this Notice.
3. The Practice reserves the right to change the terms of its Notice from time to time and to make the new
Notice provisions effective for all confidential information that it maintains.
FOR MORE INFORMATION REGARDING HOW TO EXERCISE THESE RIGHTS:
If you have questions or would like more information regarding any of the rights listed above, please contact Hope Marie Manning, PA-C, CAQ-Psych, who acts as our Privacy Officer, at the telephone number on the first page of this Notice.
IF YOU BELIEVE THAT YOUR RIGHTS HAVE BEEN VIOLATED:
If you believe your privacy rights, as described in this Notice, have been violated, you may file a complaint with our office and/or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact our Privacy Officer as listed on the first page of this Notice. If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/ or e-mailing OCRMail@hhs.gov. You will not be penalized or retaliated against for filing a complaint.
