Protected Health Information
Protected Health Information (PHI) includes information that we create or receive about your past, present, or future health condition, the provision of health care to you, or the payment for health care provided to you.
How We Use and Share PHI
We use and share PHI for many different reasons. Below, we describe the different reasons and give you some examples of each category.
For treatment
For example, if you’re being treated for skin cancer, we may share PHI with the Mohs surgeon or your primary care doctor in order to coordinate your care.
For payment
We may use and share PHI in order to bill and collect payment for the treatment and services provided to you.
Reports required by law
We may report PHI when the law requires us to give information to government agencies.
Health oversight
We may report PHI to assist the government when it investigates or inspects a health care provider or organization.
Workers’ compensation
We may report PHI in order to comply with workers’ compensation laws.
Appointment reminders and health-related benefits or services
We may use PHI to give you appointment reminders or give you information about treatment choices or other health care services or benefits we offer.
Disclosures to family, friends, or others
We will NOT share PHI with your family member, friend, or other person who is involved in your care or payment for your health care, unless you have provided written authorization to that effect.
When Our Use of PHI Requires Your Authorization
We must ask for your written authorization for any other use of PHI not described in the sections above. If you authorize a use of your PHI, you can later remove the authorization and stop any future use covered by that authorization. You can remove an authorization by written request to the practice:
Fairfax Acne & Dermatology Services400 Warren Ave, Suite 2B
East Providence, RI 02914
Your Right to Correct or Update Your PHI
If you feel that there is a mistake in your PHI, or that important information is missing, you may request a correction.
We will respond within 60 days of your request. We may deny your request if the PHI is correct and complete, not created by us, not allowed to be shared with you, or not in our records. If we deny your request, we will inform you of the reason for the denial. You may file a written statement of disagreement, or may ask that your original request and our denial be attached to all future reports of your PHI.
Questions or Privacy Complaints
If you have any questions about this notice, wish to file a complaint about our privacy practices, feel that we may have violated your privacy rights, or disagree with a decision we made about access to your PHI, please contact the practice:
Fairfax Acne & Dermatology Services400 Warren Ave, Suite 2B
East Providence, RI 02914
You may also send a written complaint to:
Secretary, U.S. Department of Health and Human Services200 Independence Ave S.W.
Washington, D.C. 20201
Your complaint will not alter or affect the care we provide to you.
Website Privacy
The appointment inquiry form asks for contact details, date of birth, address, appointment type, and insurance information to help the office respond and arrange care. Please contact the office directly for medical advice or questions about your records.
Maps, Instagram posts, and the external payment portal are provided by third parties. Visiting or interacting with those services may share technical information with them and is subject to their privacy policies.
