PRIVACY POLICY

Notice of Privacy Practices

Diana Breister Ghosh, M.D.

Contact Information – If you have questions about this policy, please contact the office at 619-822-1667 and request to speak with the Privacy Officer.

Notice Effective Date — This notice is effective as of April 14, 2003.

How Medical Information about You May Be Used and Disclosed

Typical uses and Disclosures of Medical Information:
We will keep your health care information confidential, using it for the following purposes:

For Treatment – We will use the health care information we learn about you to provide you with health care services. The following people in our office will have access to your information:

Medical staff—doctors, physician assistants, nurse practitioners
Nursing staff—registered nurses, licensed practical nurses, and medical assistants
Reception Staff
Medical records personnel

We have established standards and procedures that limit various staff members' access to your health information according to their primary job functions. These standards and procedures may change from time to time. All of our staff is required to sign a confidentiality statement. We shall share your health care information with other health care providers involved in your care.

When we admit you to the hospital, we will share your health care information with personnel of that hospital. That hospital will have a privacy and confidentiality policy like this one. If you have questions about their policy, you should ask them.
When we refer you to a specialist, we will share your health care information with them. We will send this information whether you actually see the specialist (for example, a surgeon) or whether you do not (for example, if we send a specimen to a laboratory for analysis). That specialist will have a privacy and confidentiality policy like this one. If you have questions about their policy, you should ask them.

When we submit a laboratory specimen to reference laboratories, and/or pathologists. We will share your health care information with other people associated with your care at our office. These include:

Family members you involve in your care
Friends you choose to include in your care
Other caregivers you choose to involve in your care
Other parties actively involved in your care

For Payment – we will use and disclose your health care information to seek reimbursement for services we render to you and members of your household. In this process, other parties may have access to the information you give us.
In this context, these parties include:

Our business office staff
The insurance organizations involved in your care
An organization that mails our statements to you
If one is required, the collection agency we use to collect unpaid balances.
Other firms that become involved in the process of processing or reviewing payment activities.

For Health Care Operations – we will use and disclose your health information to keep our practice operable. Examples of this kind of personnel include, but are not limited to, the following:

Our medical records staff
Outside health or management reviewers
Individuals performing similar activities

For Governmental Oversight Activities – if we received proper instruction from a party with applicable jurisdiction, we will use and disclose your health information to support activities associated with audits, investigations, license reviews, applications for privileges, and in compliance with governmental programs and laws.

As required by law – we will use and disclose your health care information as required by a court or administrative order, subpoena, discovery request, or other lawful process. We will use and disclose your information when requested by national security, intelligence, and other State and Federal officials and/or if you are an inmate or otherwise under the custody of law enforcement.

For appointment reminders – we will use and disclose your health information to remind you of appointments you have made in our office or elsewhere.

For Treatment alternatives – we will use and disclose your health information to seek out treatment alternatives for you of which we become aware in professional or popular literature.

For Research – we will use and disclose your health information to participate in research programs that have proper governmental approval. If your information is to be presented in a format that would allow individual identification, we will seek your written authorization before disclosing it.

Upon military command – if you currently serve in the military or are a veteran, we will disclose your information upon proper military command.

To prevent a serious threat to health or safety – if a licensed member of our staff determines, in his or her best professional judgment, that there is a serious threat to the health or safety of you or some other individual, we will disclose your health information to the proper authorities.

To discharge public health responsibilities – we will disclose your health care information to report deaths, child abuse, neglect, domestic violence, problems with products, reactions to medications, product recalls, disease/infection exposure, and to prevent and control disease, injury, and disability.

Your Individual Rights Regarding Disclosures and Changes To Your Medical Information & Your Access To Medical Information

Your Privacy Rights

You have the right to:

Inspect and copy your health care information, or that of an individual for whom you are a legal guardian:

If you wish to examine your health care information, you will need to complete and submit the form supplied by our office.
After we receive the form, we will determine whether to permit you to examine your health care information. In some cases, we may refuse to permit you to do so. Examples of reasons why we would refuse include, but are not limited to, the following: A determination that doing so might harm you or might harm another person.
Unless we decide to refuse permission to review your health care information, we will make an appointment for you to review the information. You will do so in a private room, with a member of our staff available to assist you in finding information. We may charge a fee for this service.
While reviewing the information, you will have the right to a copy of parts or all of your health care information. We may charge a fee for this service.

You have the right to amend health care information, if you feel it is inaccurate or incomplete:

1)To request an amendment to your health care information, submit a letter stating the inaccurate or incomplete information and your requested changes to the information.
We will review your request to amend your record. We may decide to deny the amendment. Examples of reasons why we would refuse include, but are not limited to, the following: if we feel it is false or misleading, or could harm you or some other person.
If we accept your amendment, we will attach it as a permanent document in your health care record. If you make reference, individually and specifically, to specific documents in your health care record, we will append a note to each such document referring a future reader to your amendment. You need to describe each document individually. If you do not identify any particular documents or simply state “all” (or some similar language), then we will add your amendments as a separate document into the chart, but not append notes to any other documents.

You have the right to receive a list of non-routine disclosures we have made of your health care information.

When we refer you to a specialist as described above, we make a routine disclosure of your health care information that we think will be necessary and appropriate for treatment, payment, and health care operations. We do not keep record of these routine disclosures.
You can request a list of non-routine disclosures of your health care information we have made. We will provide you a list of these disclosures during the subsequent six years, beginning April 14, 2003. To request a list of these disclosures of your health care information, submit a letter requesting this information.

You have the right to request a limit to the health care information we disclose about you.

If you wish to do so, write a letter describing your concerns and wishes to your physician or to our Privacy Officer.
We are not obligated to acquiesce to your request. However, if we do agree, we will comply with your requests in all subsequent decisions to use and disclose your health care information.

You have the right to request confidential communications.

In general, we will not disclose your health care information except as described above. If, however, you wish us to restrict further the parties who will have access to your information, write a letter describing your concerns and wishes to your physician or to our Privacy Officer.
We are not obligated to acquiesce to your request. However, if we do agree, we will comply with your requests in all subsequent decisions to use and disclose your health care information.

Your Right to Complain

You have the right to file a complaint with us about our adherence to these policies.

Your complaint should be directed to our Privacy Officer.
You may submit a letter of complaint to our Privacy Officer.

You have the right to file a complaint with the Secretary of Health and Human Services

You should writer a letter describing your concerns.

Effectiveness and Subsequent Modification:

We reserve the right to change this policy, and the associated procedures, without notice.

This policy is effective on and after April 14, 2003. Contact our Privacy Officer with any questions you may have.

DBG Plastic Surgery Center

(619) 822-1667
2275 Rio Bonito Way, Suite 220
San Diego, CA 92108

Mission Valley, Mission Center off Friars Rd.

* The information contained within this website is not intended to be medical advice nor is it a substitute for medical advice. Before and after photos can help you better understand the various procedures that are available to you, in addition to helping you form reasonable expectations of what can be achieved through plastic surgery. It is important to keep in mind that each person is different and that your results may vary. Many external links have been provided on this site as a service and convenience to our patients and other visitors to our website. These external sites are created and maintained by other public and private organizations. Dr. Breister Ghosh, MD does not control or guarantee the accuracy, relevance, timeliness, or completeness of this outside information. The general information provided within this website is not meant to diagnose or treat any medical condition. A free consultation with the doctor is required to determine if you are a good candidate for any of the San Diego tummy tuck procedures or liposuction described herein and before any medical information can be provided to address your specific needs and goals such as laser skin treatment or other cosmetic surgical procedure.

DBG Plastic Surgery

619.822.1667
Diana Breister Ghosh, M.D.
2275 Rio Bonito Way, Suite 220
San Diego, CA 92108

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