Privacy Notice
Statement of Privacy in Compliance of HIPAA
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 EFFECTIVE 12/12/02 UNTIL FURTHER NOTICE.
YOUR RIGHTS AS A PATIENT:
As a patient, you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA), Dr. Kapust can use your protected health information for treatment, payment and health care operations.
Your Authorization
Most uses and disclosures that do not fall under treatment, payment, health care operations will require your written authorization. Upon signing, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we will disclose health information to a family member, or another person responsible for your care, using our professional judgment. We will only disclose health information that is directly relevant to the person's involvement in your healthcare.
Marketing
We will not use your health information for marketing communications without your written authorization.
Required by Law
We may also use or disclose your health information when we are required to do so by law.
Abuse or Neglect
We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your or other people's health or safety.
National Security
We may disclose the health information of Armed Forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to the appropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provide you with appointment reminders via phone, e-mail or letter.
Your Rights as a Patient
You have the right to restrict the disclosure of your protected health information (in writing). The request for restriction may be denied if the information is required for treatment, payment or health care operations.
Legal Requirements
Dr. Kapust is required by law to maintain the privacy of your protected health information. We are required to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice. The policies in any new notice will not be in effect until they are posted to this site, or are available within our office.
Complaints
If you have complaints regarding the way your protected health information was handled, you may submit a complaint in writing to our office. You will not be retaliated against in any manner for a complaint.
The California Law SB 168 regulates the usage and disclosure of individual Social Security Numbers (SSNs). It is intended to provide additional protection against identity theft by limiting the use of an individual's Social Security Number.
The intent of the law is to protect California residents. Consequently, all persons or entities that communicate with individuals by U.S. mail, or via the Internet, and use or disclose an individual's Social Security Number may need to comply with the law by the relevant effective dates for its California population.
This bill applies to California residents and non-California entities with members that reside in California. It does not apply to individuals that travel to California, but live outside of California. It also does not apply to federal, state, and local government entities.
The California Law SB 168 provides separate effective dates for health care entities to allow time for testing and implementation of the changes that are required under the law. These dates are staggered between January 1, 2003 through July 1, 2005 for different lines of existing and new business.
Restrictions
SB 168 prohibits persons or entities from engaging in the following activities:
How Dr. Kapust's office complies with this law
Contact Information
For further information about our privacy policies, please contact Dr. Kapust at the following address or phone number:
Dr. Robert Kapust, O.D.
703 Pier Ave, STE C
Hermosa Beach, CA 90254
(310) 374-9899
robertkapustod@gmail.com
Statement of Privacy in Compliance of HIPAA
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 EFFECTIVE 12/12/02 UNTIL FURTHER NOTICE.
YOUR RIGHTS AS A PATIENT:
As a patient, you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA), Dr. Kapust can use your protected health information for treatment, payment and health care operations.
- Treatment - We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
- Payment - We may use and disclose your health information to obtain payment for services we provide you.
- Health care operations - We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competency or qualifications of healthcare professionals, evaluating provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
Your Authorization
Most uses and disclosures that do not fall under treatment, payment, health care operations will require your written authorization. Upon signing, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we will disclose health information to a family member, or another person responsible for your care, using our professional judgment. We will only disclose health information that is directly relevant to the person's involvement in your healthcare.
Marketing
We will not use your health information for marketing communications without your written authorization.
Required by Law
We may also use or disclose your health information when we are required to do so by law.
Abuse or Neglect
We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your or other people's health or safety.
National Security
We may disclose the health information of Armed Forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to the appropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provide you with appointment reminders via phone, e-mail or letter.
Your Rights as a Patient
You have the right to restrict the disclosure of your protected health information (in writing). The request for restriction may be denied if the information is required for treatment, payment or health care operations.
- You have the right to receive confidential communications regarding your protected health information.
- You have the right to inspect and copy your protected health information.
- You have the right to amend your protected health information.
- You have the right to receive an account of disclosures of your protected health information.
- You have the right to a paper copy of this notice of privacy practices.
Legal Requirements
Dr. Kapust is required by law to maintain the privacy of your protected health information. We are required to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice. The policies in any new notice will not be in effect until they are posted to this site, or are available within our office.
Complaints
If you have complaints regarding the way your protected health information was handled, you may submit a complaint in writing to our office. You will not be retaliated against in any manner for a complaint.
The California Law SB 168 regulates the usage and disclosure of individual Social Security Numbers (SSNs). It is intended to provide additional protection against identity theft by limiting the use of an individual's Social Security Number.
The intent of the law is to protect California residents. Consequently, all persons or entities that communicate with individuals by U.S. mail, or via the Internet, and use or disclose an individual's Social Security Number may need to comply with the law by the relevant effective dates for its California population.
This bill applies to California residents and non-California entities with members that reside in California. It does not apply to individuals that travel to California, but live outside of California. It also does not apply to federal, state, and local government entities.
The California Law SB 168 provides separate effective dates for health care entities to allow time for testing and implementation of the changes that are required under the law. These dates are staggered between January 1, 2003 through July 1, 2005 for different lines of existing and new business.
Restrictions
SB 168 prohibits persons or entities from engaging in the following activities:
- Publicly posting or displaying in any manner an individual's Social Security Number
- Printing an individual's Social Security Number on any card required for the individual to access products or services provided by the person or entity (the ID card requirement)
- Requiring an individual to transmit his or her Social Security Number over the Internet, unless the connection is secure or the Social Security Number is encrypted
- Requiring an individual to use his or her Social Security Number to access a Web site unless a password, unique personal identification number, or other authentication device is also required
- Printing an individual's Social Security Number on any materials that are mailed to the individual, unless state or federal law requires the inclusion of the Social Security Number on the document to be mailed however, applications and forms sent by mail may include Social Security Numbers.
How Dr. Kapust's office complies with this law
- Patient social security numbers are never made public, and only used in the office for the reasons stated in item #2 below.
- Patient social security numbers are used only as permitted by law to access patient insurance eligibility and in situations where patient's delinquent debt to Dr. Kapust has forced collection proceedings.
- All computers in our office that can access patient information are password protected. Any patient information sent or received over the Internet in on secure servers.
Contact Information
For further information about our privacy policies, please contact Dr. Kapust at the following address or phone number:
Dr. Robert Kapust, O.D.
703 Pier Ave, STE C
Hermosa Beach, CA 90254
(310) 374-9899
robertkapustod@gmail.com
