The Mountain Therapeutic Massage and Acupuncture Clinic is dedicated to providing service with respect for human dignity. Protecting your privacy and healthcare information is fundamental in the course of our relationship. Outlined here are policies we follow and rights to which you are entitled, according to North Carolina law.
We gather personal and health information in several ways:
- Information we receive from you
- Information we receive from other healthcare providers
- Information we receive from third party payers
This information is used for treatment, payment and health care operations. Please be aware that during the course of our relationship we will likely use and disclose Protected Health Information (PHI) about you for these treatment, payment, and health care operations. PHI is identifying information about your past and present physical or mental health condition.
You may specifically authorize us to use PHI for any purpose or to disclose the health information we have about you by submitting the authorization in writing. Such disclosures will be made to any personal representative you choose.
The Mountain Therapeutic Clinic will not use your health information for marketing communications without your written authorization. We may send newsletters and appointment reminders, by calls, post cards or letters, unless otherwise advised by you.
The Mountain Therapeutic Clinic may use or disclose your Protected Health Information when required by law.
- Upon written request you have the right to access, review or receive copies of your health care records.
- Upon written request you have the right to receive a list of items this office disclosed about your healthcare information.
- You have the right to request that this office place additional restrictions on disclosure of your Protected Health Information.
- You have the right to request that we amend your Protected Health Information; the request must be in writing.
- You have a right to receive all notices in writing.
If you have questions, complaints or want more information, please contact Karen Litton or Dennis Harrison at the clinic.
If you wish to make a formal complaint, send it to:
U.S. Department of Health and Human Services
DHHS (Office of Civil Rights)
200 Independence Avenue SW
Room S09F HHH Building
Washington DC 20201