We are committed to:
Making sure that medical information that identifies you is kept private.
Providing you with this notice of our legal duties and privacy practices
Follow the terms of this notice
Notify you, after management’s review, if we are unable to agree to a requested restriction on how your information is used or disclosed.
Accommodate reasonable requests for communications of your health information in a particular manner or to a location other than your permanent address.
Obtain your written authorization to disclose your health information for reason other than those listed above and permitted under law.
Pinnacle Family Care, PLLC reserves the right to change the terms of this notice and to make the new provisions effective for all protected health information it maintains. Revised notices will be made available to you by posting them in our facilities, posting them on our website at www.pinnaclefamilycare.com, and/or upon your request, we will provide you with a copy of the most recent copy of our Notice of Privacy Practice.
If you feel your privacy rights have been violated, you may file a complaint to the Practice Administrator of Pinnacle Family Care or to the United States Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
If you have any questions and/or concerns regarding any of the above, please contact:
3625 Cape Center Drive
Fayetteville NC 28304
Phone: (910) 483-6114
Our Pledge Regarding Health Information: Pinnacle Family Care (PINNACLE FAMILY CARE) uses and shares health information about treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive. We are committed to protecting health information about you.We obtain your written consent before we disclose your health information for treatment, payment, or health care operations purposes. In addition, we will also obtain your written authorization to disclose your health information to a specific person or entity for purposes other than treatment, payment, and/or operations, such as your request to have your health information seen to a life insurance company, an attorney, persons, and/or other entities outside of PINNACLE FAMILY CARE. Pinncle Family Care is committed to following the terms of this notice and assures you that we will take all steps necessary to protect your privacy and medical information.
How We May Use Your Health Information:
For Treatment: We may use your health information to provide, coordinate, or manage your medical treatment or related services. Information obtained by a nurse, physician, or other member of your healthcare team will be documented in your medical record and used to determine the course of treatment for you. Different PINNACLE FAMILY CARE departments may also access your health information in order to coordinate services that you may need such as prescriptions, lab work, and x-rays. We may also disclose your health information to other providers such as home health providers or physicians along with PINNACLE FAMILY CARE, are involved in your medical care.
For Payment: We may use and disclose your health information to bill and collect payment for treatment and services that you receive from PINNACLE FAMILY CARE.
For Health Care Operations: We may use and disclose health information about you for clinic and business operations such as accessing the quality of care and outcomes in your case and/or similar cases, learn how to improve our facilities and services, and/or determine how to make improvements in the care and services we provide.
Appointments/Follow-Up Calls: We may use your information to contact you as a reminder that you have an appointment for treatment or to follow-up regarding your medical care received at Pinnacle Family Care. However, if we are not able to contact you directly, with your permission, only limited information in accordance with patient privacy regulations and guidelines will be left pertaining to our call.
Individual Involved in Your Care: We may share information about your care or condition with an authorized representative, a family member, or other person identified by you or who is involved in your care of payment related to your care. If you do not want information about you released to those involved in your care, please contact the Practice Administrator for immediate updates to your patient profile and account(s).
How We May Disclose Your Health Information Outside of Pinnacle Family Care Without Your Consent Required by Law: We may disclose information about you when required to do so by federal, state, or local laws. For example, we may disclose your health information to respond to a court order, or to a court ordered subpoena or other subpoenas in limited circumstances in accordance with applicable law.
Public Health Risks: We may disclose information for the public health activities such as to report births or deaths, information related to victims of child abuse or neglect, medication reactions or recalls of products, notification of a person or persons who may have been exposed to a disease or are in risk or contracting or spreading the disease.
Health Oversight Activities: We may disclose information to federal and state agencies for oversight activities authorized by law such as investigations, inspections, audits, surveys, and licensing.
Treatment Alternatives: We may use and disclose information to tell you about or recommend possible treatment options or other health-related benefits and services that may be of interest to you.
Workers’ Compensation: Your health information concerning a workplace related illness or injury may be used or disclosed in order to comply with laws and regulations related to Workers’ Compensation or similar programs.
North Carolina Law: In the event that North Carolina law requires us to give more protection to your health information than stated in this notice or required by Federal law, we will give that additional protection to your health information.
Your Health Information Rights
You have the right to:
a Restriction on Certain Uses and Disclosures of Your Health Information: You may ask us not to use or disclose certain health information. In some situations, we may be required by law to share your health information. PINNACLE FAMILY CARE is not required to agree to requested restrictions on the use of health information within PINNACLE FAMILY CARE.
Request to Inspect and/or Obtain a Copy of Your Health Record: Your health information is contained in records that are the physical property of PINNACLE FAMILY CARE. You have the right to request to inspect and/or obtain a copy of your health information and billing records. We may charge a fee for the costs associated wit copying and/or mailing the information.
Request to Correct/Amend Information in Your Health Record: If you feel that health information we have about you is incorrect or incomplete, you may ask us to correct/amend the information. If we determine that the health information is incorrect or incomplete, we will revise your record.
Request Confidential Communication: You have the right to communicate with you about health information in a particular manner or at a location other than your permanent address.
Receive a Listing of How Your Information Has Been Shared Excluding Certain Disclosures that are Expectations Under the Law: You have the right to receive a listing of disclosures of your health information for purposes outside of treatment, payment, and/or clinical operations.
Receive a Paper Copy of this Notice: You have the right to obtain a paper copy of this notice via the Pinnacle Family Care Website or in our office.