Notice of Privacy Practices
Northside Emergency Associates, P.C.
Uses and Disclosures of Health Information
We use health information about you for treatment, to obtain payment
for treatment, for administrative purposes, and to evaluate the quality
of care that you receive.
We may use or disclose identifiable health information about you without
your authorization for several other reasons. Subject to certain requirements,
we may give out health information without your authorization for public
health purposes, for auditing purposes, for research studies, and for
emergencies. We provide information when otherwise required by law,
such as for law enforcement in specific circumstances. In any other
situation, we will ask for your written authorization before using or
disclosing any identifiable health information about you. If you choose
to sign an authorization to disclose information, you can later revoke
that authorization to stop any future uses and disclosures.
We may change our policies at any time. Before we make a significant
change in our policies, we will change our Notice of Privacy Practices
accordingly. You can also request a copy of our notice any time. For
more information about our privacy practices, please contact our Privacy
Officer at 770-952-8899.
You have the right to look at or get a copy of health
information about you that we use to make decisions about you. If you
request copies, we will charge you $0.05 (5 cents) for each page. You
also have the right to receive a list of instances where we have disclosed
health information about you for reasons other than treatment, payment
or related administrative purposes. If you believe that information
in your record is incorrect or if important information is missing,
you have the right to request that we correct the existing information
or add the missing information. You may request in writing that we not
use or disclose your information for treatment, payment and administrative
purposes except when specifically authorized by you, when required by
law, or in emergency circumstances. We will consider your request but
are not legally required to accept it.
If you are concerned that we have violated your privacy
rights, or you disagree with a decision we made about access to your
records, you may contact our Privacy Officer at 770-952-8899 or send
written documentation to Privacy Officer, Optimum Physician Services,
100 Galleria Parkway, Suite 1450, Atlanta, GA 30339. You also may send
a written complaint to the U.S. Department of Health and Human Services.
Our Legal Duty
We are required by law to protect the privacy of
your information, provide this notice about our information practices,
and follow the information practices that are described in this notice.
Patients Have Rights to:
- Restrict use and disclosure. (Although the provider, NSH, is not required
- Designate an alternate means for communication with the patient (i.e.
work number vs home number)
- Inspect and amend their medical record or “state their part of
Request a history of non-routine disclosures for as far back as 6 years.
Contact the designated NSH privacy officer with questions and breech
of privacy complaints.
Web Site Privacy Statement
Thank you for visiting Northside Emergency Associates Web site. We are
very concerned about your privacy while visiting our web site and we want
you to feel comfortable about any personal information that you might
furnish while accessing this site.
- First of all, you should know that generally you can visit this
web site without providing any information about yourself.
- If you should request that information be sent to you or you enroll
in a class or subscribe to publications, then naturally you will provide
your name, e-mail address or address of residence. This information
will only be used to supply the requested materials or reply to your
- Upon any visit to our site we can only ascertain information regarding
the frequency of visitors to the site. We do collect data regarding
the total visits to the site and to the specific pages of our site.
This information is collected and used to determine the nature of
the information that is of interest to our consumers. Although this
site may include links providing direct access to other Internet sites,
Northside Emergency Associates takes no responsibility for the content
or information contained on those other sites, and does not exert
any editorial or other control over those other sites. Inclusion of
the other sites by links does not imply any endorsement of the material
or information on the other sites.
- Please note that we do not intentionally share or sell any of the
data collected or stored that you may have provided while visiting
our site to any other party, company or affiliate. However, we can
not provide any assurance that visitor information provided to our
site can not or will not be accessed or known by a third party who
might "hack" into our site.
- Any information provided by Northside Emergency Associates at our
site is intended for informational and or educational purposes; is
not intended to establish any professional provider to patient relationship;
and is not a substitute for the professional advice and consultation
that would be obtained in a visit or call to a health care professional.
If you have questions regarding a medical condition please call your
physician or other health care provider promptly to establish a professional
relationship with the provider.
- This site contains registration form(s) to enroll in various community-based
educational opportunities and provider-referral data. We would encourage
you to not provide any confidential or private information about you
or your health status on these forms. Because of the nature of this
electronic communication, we are unable to totally safeguard the information
from intentional or accidental disclosure and the site is provided
without express or implied guarantee.
- Any provider-referral information is provided by the health care
professional. Northside Emergency Associates does not provide any
assurances as to the accuracy or completeness of the information available
at or through this site.
- If you have any questions regarding this Privacy Statement, please
contact the Northside Emergency Associates office at (404) 851-6936.