Bangor Audiology
546 Broadway, Bangor, ME 04401
207-814-0588
bangoraudiologyme.com
PATIENT PRIVACY NOTICE (HIPAA)
This notice describes how your health care information will be used for the purpose of diagnosing and treating hearing disorders as required by the Privacy Regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Your personal information will be disclosed only for the purpose of treatment and health care operations (such as ordering a hearing instrument). Disclosures of your personal health information for any use other than the above-mentioned purposes will require your written authorization except as required by law.
- Our office routinely makes reminder telephone calls to confirm appointments. If we reach an answering machine, we will leave a message with our practice name and the time and date of your appointment. If you do NOT want us to leave you a message, please contact the front desk.
- Any information you send to us (pictures, stories, letters, biographies, thank-you notes, etc.) becomes the exclusive property of Bangor Audiology. We reserve the right to use non-identifying information about our clients for promotional purposes directly related to our mission. Patients will not be compensated for the use of this information. Patients may specifically request, in writing, that no information be used for promotional purposes; however, we are not responsible for purchased mailing lists to random databases. We reserve the right to release information regarding your treatment to your physician or referring agency.
- You have the right to restrict our use and disclosure of your personal information. You may request to make changes and amendments at any time.