Ronald Chusid, D.O. 1762 E. Oak Ave. Muskegon , MI (231) 773-3258 Site
Medical Problems of Adults
This, notice, as required by the privacy regulations created as a result of the Health
Insurance Portability and Accountability Act (HIPAA), describes how health information
about you, as a patient of this practice, may be used and disclosed and how you can
get access to your individually identifiable health information. Please review this
A. Our commitment to your privacy:
Our practice is dedicated to maintaining the privacy of your individually identifiable
health information (also called protected health information, or PHI). In the normal
conduct of a medical practice, we will create records regarding you and the treatment
and services we provide to you. We are required by law to maintain the confidentiality
of health information that identifies you. We also are required by law to provide
you with this notice of our legal duties and the privacy practices that we maintain
in our practice concerning your PHI. This document is to inform you of how we may
use and disclose your PHI, your privacy rights, and our obligations the concerning
use and disclosure of your PHI.
The terms of this notice apply to all records containing your PHI that are created
or retained by our practice. We reserve the right to revise or amend this Notice
of Privacy Practices at any time. Any revision or amendment to this notice will be
effective for all of your records that our practice has created or maintained in
the past, and for any of your records that we may create or maintain in the future.
We will post a copy of our current Notice in our offices in a visible location at
all times, a copy will be posted on our web site, and you may request a copy of our
most current Notice at any time.
B. If you have questions about this Notice, please contact Carol Chusid, R.N. Phone
C. We may use and disclose your PHI in the following ways:
The following categories describe the different ways in which we may use and disclose
your PHI in the normal operation of our practice.
1. Treatment. Our practice may use your PHI to treat you and review treatment options.
Many of the people who work for our practice may use or disclose your PHI in order
to treat you or to assist others in your treatment. We may disclose your PHI to others
who assist in your care, such as your spouse, children or parents. We may disclose
your PHI to other health care providers for purposes related to your care. This may
include other physicians involved in your care, such as physicians who may have referred
you to us for treatment, other physicians we have referred you to, or any other physicians
involved in your care. It may include other professionals such as home nursing agencies,
physical therapists, nurse educators, and dieticians. We might use your PHI in order
to write a prescription, or we might disclose your PHI to a pharmacy when we order
a prescription for you. Information may be disclosed to students involved in your
care as part of their education. If you are receiving prescriptions for controlled
substances, such as narcotic pain medications, we may exchange information with other
health care providers and pharmacies to investigate potential misuse of such medications,
such as receiving controlled substances from more than one source.