East Texas Open MRI & Diagnostics takes your privacy seriously. Below is our HIPAA
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.
East Texas Open MRI & Diagnostics uses health information about you for testing, to
obtain payment for testing, for administrative purposes, and to
evaluate the quality of care that you receive. Your health information
is contained in a medical record that is the physical property of
East Texas Open MRI & Diagnostics.
East Texas Open MRI & Diagnostics May Use or Disclose Your Health Information
Testing or Treatment: East Texas Open MRI & Diagnostics may use your health
information to provide you with medical testing, treatment or
services. For example, information obtained by a health care provider,
such as a physician, nurse, or other person providing health services
to you, will record information in your record that is related to your
testing or treatment. This information is necessary for health care
providers to determine what testing or treatment you should receive.
Health care providers will also record actions take by them in the
course of your testing or treatment and note how you respond to the
Payment: East Texas Open MRI & Diagnostics may use and disclose your health
information to others for purposes of receiving payment for testing,
treatment and services that you receive. For example, a bill may be
sent to you or a third-party payor, such as an insurance company or
health plan. The information on the bill may contain information that
identifies you, your diagnosis, and treatment or supplies used in the
course of testing or treatment.
Health Care Operations: East Texas Open MRI & Diagnostics may use and disclose
health information about you for operational purposes. For example,
your health information may be disclosed to members of the medical
staff, risk or quality improvement personnel, and others to:
Evaluate the performance of our staff.
Assess the quality of care and
outcomes in your cases and similar cases.
Learn how to improve our
facilities and services.
Determine how to continually improve the quality and effectiveness
of the health care we provide.
Appointments: East Texas Open MRI & Diagnostics may use your information to
provide appointment reminders or information about treatment
alternatives or other health-related benefits and services that may be
of interest to you.
by law: East Texas Open MRI & Diagnostics may use and disclose information about
you as required by law. For example, East Texas Open MRI & Diagnostics may
disclose information for the following purposes:
For judicial and
administrative proceedings pursuant to legal authority.
To report information related
to victims of abuse, neglect or domestic violence.
assist law enforcement officials in their law enforcement duties.
Health: Your health information may be used or disclosed for public
health activities such as assisting public health authorities or other
legal authorities to prevent or control disease, injury, or
disability, or for other health oversight activities.
Decedents: Health information may be disclosed to funeral directors or
coroners to enable them to carry out their lawful duties.
East Texas Open MRI & Diagnostics may use your health information for research
purposes when an institutional review board or privacy board that has
reviewed the research proposal and established protocols to ensure the
privacy of your health information has approved the research.
and Safety: Your health information may be disclosed to avert a
serious threat to the health or safety of you or any other person
pursuant to applicable law.
Government Functions: Your health information may be disclosed for
specialized government functions such as protection of public
officials or reporting to various branches of the armed services.
Compensation: Your health information may be used or disclosed in
order to comply with laws and regulations related to Workers’
uses: Other uses and disclosures will be made only with your written
authorization and you may revoke the authorization except to the
extent East Texas Open MRI & Diagnostics has taken action in reliance on such.
Health Information Rights
the right to:
Request a restriction on
certain uses and disclosures or your information as provided by 45
C.F.R. §164.522 however, East Texas Open MRI & Diagnostics is not required to
agree to a requested restriction.
Obtain a paper copy of the
notice of information practices upon request.
Inspect and obtain a copy of
your health record as provided for in 45 C.F.R. §164.524.
Request that your health
record be amended as provided in 45 C.F.R. §164.526.
Request communications of your
health information by alternative means or at alternative locations.
an accounting of disclosures made of your health information as
provided by 45 C.F.R. §164.528.
submit a complaint to the Privacy Officer of East Texas Open MRI & Diagnostics or
you may submit a complaint to the Department of Health and Human
Services if you believe your privacy rights have been violated. You
will not be retaliated against for filing a complaint.
Obligations of East Texas Open MRI & Diagnostics
East Texas Open MRI & Diagnostics is required by law to:
Maintain the privacy of
protected health information.
Provide you with this notice
of its legal duties and privacy practices with respect to your
Abide by the terms of this
Notify you if we are unable to
agree to a requested restriction on how your information is used or
Accommodate reasonable requests you may make to communicate health
information by alternative means or at alternative locations.
East Texas Open MRI & Diagnostics reserves the right to change its information practices
and to make the new provisions effective for all protected health
information it maintains. Revised notices will be made available to
you by mail or upon your next visit.
have any questions or complaints, please contact:
East Texas Open MRI & Diagnostics
Attn. Privacy Officer
232 North John Redditt
Lufkin, Texas 75904