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HIPPA Statement

Notice of Privacy Practices Summary

This summary briefly describes important information contained in our Notice of Privacy Practices. We encourage you to take the time to read the complete notice. Please ask for a copy of the complete Notice of Privacy Practices.

The goal of KENTUCKY PROSTHETICS & ORTHOTICS is to take appropriate steps to attempt to safeguard any medical or other personal information that is provided to us. We are required to: (i) maintain the privacy of medical information provided to us; (ii) provide notice of our legal duties and privacy practices; and (iii) abide by the terms of our Notice of Privacy Practices currently in effect. This notice describes the practices of our employees and staff as well as any contracted billing service providers or other associated service provider. All of these individuals, entities, sites, and locations will follow the terms of this notice. In addition, these individuals, entities, sites, and locations may share medical information with each other for the treatment, payment, or health care operation purposes described in this notice.

In the ordinary course of receiving treatment and health care services from us, you will be providing us with personal information such as: (1) Your name, address, and phone number. (2) Information relating to your medical history. (3) Your insurance information and coverage. (4) Information concerning your doctor, nurse or other medical providers. In addition, we will gather certain medical information about you and will create a record of the care provided to you. Some information also may be provided to us by other individuals or organizations that are part of your circle of care– such as your doctors, your health plan, and close friends or family members.

We reserve the right to make changes to this notice at any time. We reserve the right to make the revised notice effective for personal health information we have about you as well as any information we receive in the future. In the event there is a change to this Notice, the change will be posted in our office. You may request a copy of the revised Notice at any time.