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Copyright 2010 Ferstl Chiropractic Clinic, P.C. Web Design and Hosting by MEMNetService
NO CONSENT REQUIRED
1. Ferstl Chiropractic Clinic, PC may use and/or disclose your PHI, without a written Consent from you, in the
following instances:
(a) De-identified Information - Information that does not identify you and, even without your name, cannot be used to
identify you.
(b) Business Associate - To a business associate if Ferstl Chiropractic Clinic, PC obtains satisfactory written
assurance, in accordance with applicable law, that the business associate will appropriately safeguard your PHI. A
business associate is an entity that assists Ferstl Chiropractic Clinic, PC in undertaking some essential function,
such as a billing company that assists the office in submitting claims for payment to insurance companies or other
payers.
(c) Personal Representative - To a person who, under applicable law, has the authority to represent you in making
decisions related to your health care.
(d) Emergency Situations -
(i) for the purpose of obtaining or rendering emergency treatment to you provided that Ferstl Chiropractic Clinic,
PC attempts to obtain your Consent as soon as possible; or
(ii) to a public or private entity authorized by law or by its charter to assist in disaster relief efforts, for the purpose
of coordinating your care with such entities in an emergency situation.
(e) Communication Barriers If, due to substantial communication barriers or inability to communicate, Ferstl
Chiropractic Clinic, PC has been unable to obtain your Consent and Ferstl Chiropractic Clinic, PC determines, in the
exercise of its professional judgment, that your Consent to receive treatment is clearly inferred from the
circumstances.
(f) Public Health Activities - Such activities include, for example, information collected by a public health authority,
as authorized by law, to prevent or control disease.
(g) Abuse, Neglect or Domestic Violence - To a government authority if Ferstl Chiropractic Clinic, PC is required by
law to make such disclosure. If Ferstl Chiropractic Clinic, PC is authorized by law to make such a disclosure, it will
do so if it believes that the disclosure is necessary to prevent serious harm.
(h) Health Oversight Activities - Such activities, which must be required by law, involve government agencies and
may include, for example, criminal investigations, disciplinary actions, or general oversight activities relating to the
community's health care system.
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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.com
Privacy Policy