Physician Associates of Jacksonville, PA 2700 Riverside Avenue, Suite 14, Jacksonville FL 32205. Phone:(904)389-3770

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PRIVACY NOTICE

The Following Notice Describes How Your Medical Information May Be Used And Disclosed, And How You Can Get Access To This Information. Please Review The Information Carefully.

• Your confidential healthcare information may be released to other healthcare professionals for the sole purpose of providing you with quality healthcare.
• Your confidential healthcare information may be released to your insurance provider for the purpose of the organization receiving payment for providing you with needed healthcare service.
• Your confidential healthcare information may be released to public law enforcement officials in the event of an investigation in which you are a victim of abuse, a crime or domestic violence.
• Your confidential healthcare information may be released to other healthcare providers in the event you need emergency care.
• Your confidential healthcare information may NOT be released for any other purpose than that which is identified in this notice.
• Your confidential healthcare information may be released only after receiving written authorization from you. You may revoke your permission to release confidential healthcare information at any time.
• You may be contacted by the organization to remind you of any appointments, healthcare treatment options or other health services that may be of interest to you.
• You may be contacted be the origination for the purpose of raising funds to support the origination’s operations.
• You have the right to restrict the use of you confidential healthcare information. However, the origination may choose to refuse your restriction if it is in conflict of providing you with quality healthcare or in the event of an emergency situation.
• You have the right to receive confidential communication about you health status.
• You have the right to review and photocopy any/all portions of your healthcare information.
• You have the right to make changes to your healthcare information.
• You have the right to know who has accessed your confidential healthcare information and for what purpose.
• You have the right to possess a copy of the Privacy Notice upon request.
• The organization is required by law to protect the privacy of its patients. It will keep confidential any and all patient healthcare information and will provide patients with a list of duties or practices that protect confidential healthcare information.
• The organization will abide by the terms of this notice. The organization reserves the right to make changes to this notice and continue to maintain confidentiality of all healthcare information.
• You have the right to complain to the organization if you believe your rights to privacy have been violated. If you feel your privacy rights have been violated, please mail your complaint to the organization: