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NOTICE OF PRIVACY PRACTICES
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions about this notice, contact our office at 7325 S.W. 63rd Ave, Suite 203, Miami, Fl, 33143. (305) 661-5994.
PURPOSE OF THIS NOTICE
This notice describes the ways in which we may use and disclose medical information about you. This notice also describes your rights and certain obligations we have regarding the use and disclosure of medical information.
OUR LEGAL REQUIREMENTS
We are required by law to:
 | Make sure that medical information that identifies you is kept private; |
 | Give you this notice of our legal duties and privacy practices with respect to medical information about you; |
 | Follow the terms of the notice that currently is in effect; |
 | Change the notice only in accordance with federal rules; |
 | Provide our internal complaint process for privacy issues to you. |
WHO WILL FOLLOW OUR PRIVACY PRACTICES
We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services that we provide to you. We need this record to provide you with medical care and to comply with certain legal requirements. This notice applies to all of the records of your care we generate. This notice also applies to other health information about you; such as information collected with your authorization during research studies that do not involve treatment. Your personal doctor and other entities providing products or services to you may have different policies or notices regarding their use and disclosure of your medical information.
YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU
You have the following rights regarding medical information we maintain about you:
RIGHT TO INSPECT AND COPY: You have the right to inspect and copy medical information about you or your care. Usually, this includes medical and billing records.
To inspect and copy medical information about you or your care, you must submit your request in writing to Sleep-Wake Disorders Center of South Florida, 7325 S.W. 63 ave, Suite 203, Miami, Fl, 33143. If you request a copy of the information, we charge a fee for the costs of copying, mailing, or other supplies associated with your request.
We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by us will review the request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
RIGHT TO AMEND: If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request and amendment for as long as the information is kept by us or for us.
To request an amendment, your request must be made in writing to Sleep-Wake Disorders Center of South Florida, 7325 S.W. 63 ave, Suite 203, Miami, Fl, 33143. In addition, you must provide a reason that supports your request.
We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
 | Was not created by us, unless the person or entity that created the information is no longer available to make the amendment; |
 | Is not part of the medical information kept by or for us; |
 | Is not part of the information which you would be permitted to inspect or copy; |
 | Is accurate and complete. |
RIGHT TO AN ACCOUNTING OF DISCLOSURE: You have the right to request an "accounting of disclosures." This accounting is a list of the disclosures we made of medical information about you, except disclosures made for treatment, payment and Sleep-Wake Disorders of South Florida operations.
To request this list or accounting of disclosures, you must submit your request in writing to Sleep-Wake Disorders Center of South Florida, 7325 S.W. 63 ave, Suite 203, Miami, Fl, 33143. Your request must state a time period, which may not be longer that six years and may not include dates before April 16, 2003. Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within a 12-month period will be free. For additional list, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
RIGHT TO REQUEST RESTRICTIONS: You have the right to request a restriction or limitation of the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. We are not required to agree to your request. If we do not agree, we will comply with your request unless the information is needed to provide your emergency treatment.
To request restrictions, you must make your request in writing to Sleep-Wake Disorders Center of South Florida, 7325 S.W. 63 ave, Suite 203, Miami, Fl, 33143. In your request, you must tell is (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
To request confidential communications, you must make your request in writing to Sleep-Wake Disorders Center of South Florida, 7325 S.W. 63 ave, Suite 203, Miami, Fl, 33143. We will not ask you for the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
RIGHT TO A PAPER COPY OF THIS NOTICE: You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are entitled to a paper copy of this notice.
To obtain a paper copy of this notice, contact Sleep-Wake Disorders Center of South Florida, 7325 S.W. 63 ave, Suite 203, Miami, Fl, 33143.
 
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