BALA FAMILY PRACTICE NOTICE OF PRIVACY PRACTICES
Family Practice has implemented the following policies
and procedures so that the confidentiality of your personal and/or
medical information remains confidential.
Your physician(s) and
all other employees working in Bala Family Practice will keep any
information related to you (medical and/or non-medical), in a
confidential manner. However, so that we may provide you with
appropriate medical care, for general practice operations and or for
the purposes of obtaining payment, we will, at our discretion provide
information pertaining to the treatment you received in this practice,
tile charges for this treatment and related information regarding the
treatment and charges to other health care related entities. This
information will be submitted through the following mechanisms: US
Postal Service, fax submission. Internet submission, voice mail and/or
personal communications. The following is a list of the most common
types of entities that we most typically would provide personal health
related information. This list is not an all-inclusive list. Other
entities may be added to this list.
non-physician providers (i.e. specialty therapists, counselors) who
work outside of this practice.
*Medical facilities (i.e. hospitals,
*Laboratories for the purposes of running
*Other healthcare providers, such as pharmacies
regarding prescription medications, durable medical equipment
suppliers, and ambulance services.
*School health departments.
*Insurance companies (or third party administrators) for the purpose
of obtaining, reviewing medical necessity and or general case
*State or Federal agencies that require the submission
of specific health related information.
We may need to contact
you, by phone, to discuss or confirm your appointments, test results,
treatments, referrals, an account balance and/or to return your phone
call. We will first attempt to contact you at home, however, if you
are not available, and you provide us with a work number, we will
attempt to contact you at work. If you are not available, we will
leave a message for you to either call the office or we will remind
you of your appointment time. These messages are sometimes left on
personal message devices, such as an answering machine. If you do not
want messages left on machines for you, please give us this in