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Northside Emergency Associates

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.

Individual Rights

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 to agree).
  • 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 the story.”
  • 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.
  1. First of all, you should know that generally you can visit this web site without providing any information about yourself.
  2. 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 message.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. If you have any questions regarding this Privacy Statement, please contact the Northside Emergency Associates office at (404) 851-6936.

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