How will The Free Clinic use and disclose my Protected Health Information?
The Free Clinic collects Protected Health Information from you and stores it in a chart or on a computer. The client record is the property of The Free Clinic, but the information in the record belongs to you. The Free Clinic protects the privacy of your Protected Health Information. You do not need to sign an authorization form (a release) in order for us to use or disclose your health information for these purposes. • Treatment: We can share information about your health with other specialists in our agency so that you receive the most appropriate treatment. • Payment: We can share information about when and for what purpose you were seen, so that we can be paid for treating you. For example, we could send information to funding agencies and payors stating when and for what condition you were at the office. They can then send us money to help cover your costs of being seen. • Health Care Operations: During the course of providing this treatment, there may be times when supervisors, a
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