Footer Text: Lorem ipsum dolor Copyright 2010 Ferstl Chiropractic Clinic, P.C.         Web Design and Hosting by MEMNetService THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THAT INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY. I        This Practice is committed to maintaining the privacy of your protected health information ("PHI"), which includes information about your health condition and the care and treatment you receive from Ferstl Chiropractic Clinic, PC. The creation of a record detailing the care and services you receive helps this office to provide you with quality health care. This Notice details how your PHI may be used and disclosed to third parties.   This Notice also details your rights regarding your PHI. CONSENT 1. Ferstl Chiropractic Clinic, PC may use and/or disclose your PHI provided that it first obtains a valid Consent signed by you. The Consent will allow Ferstl Chiropractic Clinic, PC to use and/or disclose your PHI for the purposes of: (a) Treatment - In order to provide you with the health care you require, Ferstl Chiropractic Clinic, PC will provide your PHI to those health care professionals, whether on Ferstl Chiropractic Clinic, PC's staff or not, directly involved in your care so that they may understand your health condition and needs.  For example, a physician treating you for lower back pain may need to know the results of your latest physical examination by this office. (b) Payment - In order to get paid for services provided to you, Ferstl Chiropractic Clinic, PC will provide your PHI, directly or through a billing service, to appropriate third party payors, pursuant to their billing and payment requirements. For example, Ferstl Chiropractic Clinic, PC may need to provide the Medicare program with information about health care services that you received from Ferstl Chiropractic Clinic, PC so that Ferstl Chiropractic Clinic, PC can be properly reimbursed. Ferstl Chiropractic Clinic, PC may also need to tell your insurance plan about treatment you are going to receive so that it can determine whether or not it will cover the treatment expense. (c) Health Care Operations   In order for Ferstl Chiropractic Clinic, PC to operate in accordance with applicable law and insurance requirements and in order for Ferstl Chiropractic Clinic, PC to continue to provide quality and efficient care, it may be necessary for Ferstl Chiropractic Clinic, PC to compile, use and/or disclose your PHI.   For example, Ferstl Chiropractic Clinic, PC may use your PHI in order to evaluate the performance of Ferstl Chiropractic Clinic, PC’s personnel in providing care to you. -1- Copyright 2010 Ferstl Chiropractic Clinic P.C.          Web Design and Hosting by MEMNetService Privacy Policy Ferstl Chiropractic Clinic, P.C. If you have any questions regarding our privacy policies, please feel free to contact us during regular business hours. Joseph F Ferstl DC FACO Director at Large, Illinois Chiropractic Society Second Vice President American College of Chiropractic Orthopedics 1557 Weatherstone Ln Elgin  IL  60123 847-741-3355 847-741-3597 fax info@ferstlchiropractic.co m Privacy Policy