Karen S. Harkaway, MD LLC | HIPAA Privacy Policy

The following is a summary of our Privacy Policy. A complete copy is available as outlined below.

Karen S. Harkaway, MD LLC has developed a Privacy Policy to address the following:

1.We will use and disclose your health care information for the purposes of treatment, payment, and to support other related, defined health care operations.

We will keep your health care information confidential, releasing it only according to our policies. In general, we will release your information to others only if we are referring you for care, or if you direct us to do so. However, there are exceptions to that general limitation. (An example would be a release of information that is required by State or Federal law.)

2.You have the right to request to inspect and copy the health care information we keep regarding you, or regarding someone for whom you are the guardian.

3.You have the right to request that we amend the health care information we keep regarding you, or regarding someone for whom you are the guardian.

4.You have the right to request a list of non-routine disclosures to other parties we have made of your health care information, or that of someone for whom you are a guardian.

5.You have the right to request that we limit the disclosures we make of your health care information. We are not required to accept that limit but, if we do so, we will be bound by that agreement.

6.You have the right to request specific confidential communications within our office. Again, we are not required to agree to that limitation but, if we do so, we will be bound by that agreement.

Our Privacy Policy is subject to change from time to time. If we change our policy, you may obtain a copy of the revised notice by contacting us in our office or by calling (856) 461-1400.

You have the right to revoke this consent in writing, except to the extent we already have used or disclosed your protected health information in reliance on your consent previously granted

Contact Information

If you have questions about this policy, contact our Privacy Officer. As of the adoption of this policy, the Privacy Officer is Patricia A. Miller, and can be contacted at (856) 461-1400.

Patricia A. Miller

8001 Route 130 South

Delran, NJ 08075

This notice is effective as of March 10, 2003.

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8001 ROUTE 130 SOUTH • DELRAN, NEW JERSEY 08075 | TEL: 856-461-1400 • FAX: 856-461-2366 | OPEN MONDAY- FRIDAY WITH SATURDAY & EVENING HOURS