Privacy Policy

Patient Privacy Notice

Quinnipiac Internal Medicine, P.C.

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.

Your privacy is important to Quinnipiac Internal Medicine, P.C.  We respect your right to privacy, and we want you to feel as comfortable as possible about how we handle your information.  This Privacy Notice will tell you the methods in which Quinnipiac Internal Medicine, P.C. may use and/or disclose personally identifiable health information (“PIHI”) about you, your rights with respect to such information, and other important facts related to your health information.  We urge you to read this Privacy Notice carefully so that you will understand our both our commitment to you and your privacy, and how we collect and use information. 

Uses and Disclosures

  • For purposes other than treatment, payment, or healthcare operations, Quinnipiac Internal Medicine, P.C. will not disclose your health information to outside parties without your written consent or authorization, except as provided by law. If you do provide authorization to allow disclosure of your health information to a person or in a manner not prescribed herein, you may revoke that authorization provided that we have not relied on your authorization or that such authorization is not a condition of your insurance provider.   Examples of permitted uses and disclosures are:
  • For the purposes of treatment, Quinnipiac Internal Medicine, P.C. may use or disclose your PIHI to help manage health care related services for you such as in forwarding electronic prescriptions to a selected pharmacy.
  • For the purposes of payment, Quinnipiac Internal Medicine, PC may use or disclose your PIHI to help determine matters such as eligibility and proper amount of payment.
  • For the purposes of healthcare operations, Quinnipiac Internal Medicine, P.C. may use or disclose your PIHI to help in conducting quality assessment and improvement activities.
  • Quinnipiac Internal Medicine, P.C. is required by law to release PIHI without your consent or authorization when: a) presented with a court order, b) we reasonably belief that such disclosure will prevent further instances of abuse, neglect, or domestic violence, or c) required to comply with law enforcement efforts.  There may be other limited circumstances in which Quinnipiac Internal Medicine, P.C. may be required to disclose your health information without your consent or authorization.  These circumstances include:
  • Public health activities related to the spread of infectious diseases, child abuse, or neglect.
  • Investigations by the FDA
  • Audits of our facility by a health oversight agency
  • Identification of persons by a coroner or medical examiner
  • Facilitation of funeral director activities
  • Facilitation of organ donation
  • Prevention or lessening of a serious and imminent threat to the public or the person
  • For specialized government functions, such as military operations, veteran benefits, national security, presidential security, medical suitability determinations, care of inmates or individuals in a correctional facility or institution, and coordination of public healthcare benefits or administrative programs.
  • Workers’ compensation claims.

Individual Rights

  • You have the right to request restrictions on certain uses and disclosures of your PIHI as allowed by law.  However, Quinnipiac Internal Medicine, P.C. is not required to agree to further restrictions on use and disclosure requested by users.
  • You have the right to receive confidential communications of your PIHI as allowed by law.
  • You have the right to inspect and copy your PIHI records as allowed by law.
  • You have the right to request an amendment of your PIHI records as allowed by law.
  • You have the right to receive an accounting of disclosures of your PIHI as allowed by law.
  • You have the right to receive a response to request to inspect or copy your records within 30 calendar days of your request.
  • You have the right to review any denials to your request to inspect or copy your records.
  • You have the right to obtain a paper copy of this notice upon request.  If you would like a paper copy, ask the receptionist for a copy of this notice OR send your written request, along with your name and complete mailing address to:

Privacy Officer
Quinnipiac Internal Medicine, P.C.
2440 Whitney Avenue
Hamden, CT 06518

Security & Data

  • All your information is maintained in our office.  During working hours, only employees of Quinnipiac Internal Medicine, P.C. are allowed in the patient care area of the office.  After hours, the office is locked and secured with an alarm system. 
  • Only a limited number of Quinnipiac Internal Medicine, P.C. employees are authorized to access your health information.  All Quinnipiac Internal Medicine,PC employees must abide by our Privacy Policy.  Those employees that violate our Privacy Policy are subject to disciplinary action, up to and including termination.

 

Other Information

  • Quinnipiac Internal Medicine, P.C. is required by law to maintain the privacy of PIHI.
  • Quinnipiac Internal Medicine, P.C. is required by law to provide you a notice of our legal duties and privacy practices regarding PIHI.
  • Quinnipiac Internal Medicine, P.C. is required by law to abide by the terms of this privacy policy.
  • Quinnipiac Internal Medicine, P.C. reserves the right to change the terms of this privacy policy without notice to you.  It is recommended that prior to each time you this visit you read this Privacy Notice to ensure that its terms have not changed.
  • Quinnipiac Internal Medicine, P.C  may not retaliate against users for filing complaints.

If you would like more information, or have a concern or complaint about Quinnipiac Internal Medicine, P.C. regarding this Privacy Notice, please contact:

Privacy Officer
Quinnipiac Internal Medicine, P.C.
2440 Whitney Avenue
Hamden, CT 06518


You may also contact the Secretary of the U.S. Department of Health and Human Services to file a complaint.

This notice is effective: April 14, 2003