THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY.  THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT TO US.

OUR RESPONSIBILITIES

We are required by law to maintain the privacy of your health information.  We must provide you with this Notice about our privacy practices, our legal responsibilities, and your rights concerning your health information.  We will abide by the terms of this notice effective 1/1/2012, remaining in effect until replaced.  We will accommodate your reasonable requests regarding methods to communicate health information with you.

 We reserve the right to amend, change, or eliminate provisions in our privacy practices and access practices and to enact new provisions regarding the protected health information we maintain.  If our information practices change, we will amend our Notice.  You are entitled to receive a revised copy of the Notice by calling (571) 228-1708 and requesting a copy of our "Notice".

USES AND DISCLOSURES OF HEALTH INFROMATION

We use and disclose health information about you for treatment, payment, and healthcare operations.  For example:

Treatment:  We may use or disclose your health information to a physician or other healthcare provider providing treatment for you.

 Payment:  We may use and disclose your health information to obtain payment for services for you.  This includes health insurance companies as well as any business associate helping us obtain payment.

Healthcare Operations:  We may use and disclose your health information in connection with our healthcare operations to include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, certification, licensing, or credentialing activities.

Your Authorization:  In addition to our use of health information for treatment, payment, or healthcare operations, you may give us written authorization to use or disclose your health information to anyone for any purpose.  Unless you give written permission, we cannot use or disclose your health information for any reason except those described in this Notice.  Authorization may be resolved at anytime with written notification.

To Your Family and Friends:  Using our best judgment, we may disclose to a family member, other relative, close personal friend, or any other person you identify, health information relevant to that person's involvement in your care or in payment for such care only if you agree that we may do so or in an emergency.

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