Patient Privacy We take your right to privacy very seriously, which is why we comply with all HIPAA (Health Insurance Portability and Accountability Act) regulations. We do not release any medical information to your friends or family without your written consent. To insure that you receive the best possible care however, we will communicate thoroughly with your primary physician. Our official privacy practices are listed below.

Minnesota Vascular Clinic Patient Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed by our office and also how you may access and control your health information. Your Health Information may be used for the following purposes:

Treatment:  We will use your information to provide, coordinate and manage care and treatment. For example we will release films and reports to another medical provider who is involved in your care.

Payment:   We will use information to receive payment for services we provide. For example we will disclose information in order to submit bills or claims to insurance companies and/or Medicare or State funded plans. When a patient neglects to make timely payments on balance due, Minnesota Vascular Clinic (MVC) may use a collection agency.

Health Care Operations:  We will use information for certain activities related to business functions of MVC. For example, we may use or disclose information for quality assurance activities.

Family Members or Individuals Involved in Your Care:  You may agree to have verbal information about your treatment or diagnosis shared with a family member or designee. If you are unable to make health care decisions, MVC may disclose relevant medical information to family members or other responsible individuals involved in your care. For example, you may give verbal consent for a physician to share with your designee information about your procedure.

Other Uses or Disclosures:  We may disclose or use information in the following situations: for public health activities; as it relates to victims of abuse/neglect/domestic violence; for health oversight activities; for judicial and administrative proceedings to the extent permitted by law; for law enforcement purposes, as permitted or required by law; to coroners/medical examiners/funeral directors, as permitted by law; for organ donation purposes; for research purposes under certain circumstances; to avert a serious threat to health or safety; for certain specialized government functions, such as military discharge, national security and intelligence; and for workers’ compensation purposes.

Your individual Privacy Right as a patient include the following:

Inspection and Copy:  You may make a request in writing to review or order a copy of your medical record, with the exception of information protected by law. However, we ask that you obtain your report from your ordering physician before we will make a copy available to you. We have the right to ask you for this request in writing and we will respond within a reasonable time frame. There may also be a reasonable charge for copies.

Confidentiality:  You have the right to make a request in writing that MVC provide you with your medical information in a confidential manner. For example, if you request that we mail information to another address, we will agree to your request to the extent we are able to assure accuracy in doing so.

Restrict Use and Disclosure:  You have the right to make a request in writing that MVC not use medical information in certain ways or for certain purposes. You may also request that we not provide medical information to certain individuals. However, MVC has the right to refuse your request, particularly when the law requires it.

Change Information or Amend Medical Records:  You have the right to request in writing that we correct information in your medical record if we were the originator of such information. If your request is denied, you may write a statement of disagreement with the denial that we will keep with your medical information.

Accounting of Disclosures:  You have the right to make a request in writing for an accounting of disclosures of health information that was made without your signature. Requests for accountings will not include disclosures made prior to April 14, 2003. Your request can go back six years after April 14, 2009.

Paper Copy of MVC’s Patient Notice of Privacy Practices:  If you have received this notice of the medical information privacy rights electronically, you may ask us to provide you with a paper copy.

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