Right to Privacy and Confidentiality:
You have the right to privacy and confidentiality concerning your medical records and health information. We will not disclose your health information without your written authorization, except as required or permitted by law.
Right to Access and Obtain Copies:
You have the right to access your health information and obtain copies of your medical records upon request. We may charge a reasonable fee for copying and providing these records in the format you request.
Right to Amend Your Health Information:
You have the right to request amendments or corrections to your health information if you believe it is inaccurate or incomplete. We will review your request and, if appropriate, make the necessary amendments.
Right to Restrict Use and Disclosure:
You have the right to request restrictions on how we use and disclose your health information for treatment, payment, or healthcare operations. However, we are not obligated to agree to such restrictions except under specific circumstances.
Right to Request Confidential Communications:
You have the right to request that we communicate with you about your health information in a specific way or at a particular location to preserve your privacy and confidentiality.
Right to File a Complaint:
If you believe your privacy rights have been violated, you have the right to file a complaint with our Privacy Officer or with the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services.
Right to Receive Notification of Breach:
You have the right to be notified in the event of a breach of your unsecured health information, as required by law.
Right to Revoke Authorization:
You have the right to revoke your authorization for the use or disclosure of your health information, except to the extent that action has already been taken based on your prior authorization.
Right to Request an Accounting of Disclosures:
You have the right to request an accounting of disclosures of your health information made by us, except for certain disclosures, such as those made for treatment, payment, or healthcare operations.
If you have any questions, concerns, or wish to exercise your rights regarding your health information, please contact our Privacy Officer at 1707 N. Mills Ave. Orlando, Fl 32803 or (407) 647-3960. We are dedicated to upholding your privacy rights and ensuring the confidentiality and security of your health information.
Per Florida Statute 381.026, Florida law requires that your healthcare provider or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider's or health care facility's right to expect certain behavior on the part of patients. You may request a copy of the full text of this law from your health care provider or health care facility. A summary of your rights and responsibilities follows:
- A patient has the right to be treated with courtesy and respect, with appreciation of his or her individual dignity, and with protection of his or her need for privacy.
- A patient has the right to receive a prompt and reasonable response to questions and requests.
- A patient has the right to know who is providing medical services and who is responsible for his or her care.
- A patient has the right to know what patient support services are available, including if an interpreter is available if he or she does not speak English.
- A patient has the right to know what rules and regulations apply to his or her conduct.
- A patient has the right to be given by the health care provider information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis.
- A patient has the right to refuse any treatment, except as otherwise provided by law.
- A patient has the right to be given, upon request, full information and necessary counseling on the availability of known financial resources for his or her care.
- A patient who is eligible for Medicare has the right to know, upon request and in advance of treatment, whether the health care provider or health care facility accepts the Medicare assignment rate.
- A patient has the right to receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.
- A patient has the right to receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have the charges explained.
- A patient has the right to impartial access to medical treatment or accommodations, regardless of race, national origin, religion, handicap, or source of payment.
- A patient has the right to treatment for any emergency medical condition that will deteriorate from failure to provide treatment.
- A patient has the right to know if medical treatment is for purposes of experimental research and to give his or her consent or refusal to participate in such experimental research.
- A patient has the right to express grievances regarding any violation of his or her rights, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served him or her and to the appropriate state licensing agency.
1. A patient is responsible for providing to the health care provider, to the best of his or her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his or her health.
2. A patient is responsible for reporting unexpected changes in his or her condition to the health care provider.
3. A patient is responsible for reporting to the health care provider whether he or she understands a planned course of action and what is expected of him or her.
4. A patient is responsible for following the treatment plan recommended by the health care provider.
5. A patient is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility.
6. A patient is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider's instructions.
7. A patient is responsible for assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.
8. A patient is responsible for following health care facility rules and regulations affecting patient care and conduct.
For further information please contact our administrative team at Orlando Immunology Center, PA (OIC) 1707 N. Mills Ave. Orlando, Fl 32803 or (407) 647-3960.