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Boston Sports & Shoulder Center Notice of Patient Privacy Practices

This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Introduction

At Boston Sports & Shoulder Center, we are committed to treating and using protected health information about you responsibly. This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is effective February 1st, 2006, and applies to all protected health information as defined by federal regulations.

Understanding your health record/information

Each time you visit Boston Sports & Shoulder Center; a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:

  • Basis for planning your care and treatment
  • Means of communication among the many health professionals who contribute to your care
  • Legal document describing the care you received
  • Means by which you or a third-party payer can verify that services billed were actually provided
  • A tool in educating heath professionals
  • A source of data for medical research
  • A source of information for public health officials charged with improving the health of this state and the nation
  • A source of data for our planning and marketing
  • A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve

Understanding what is in your record and how your health information is used helps you to: ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and make more informed decisions when authorizing disclosure to others.

Your health information rights

Although your health record is the physical property of Boston SPorts & Shoulder center, the information belongs to you. You have the right to:

  • Obtain a paper copy of this notice of information practices upon request
  • Inspect and copy your health record as provided for in 45 CFR 164.524
  • Amend your health record as provided in 45 CFR 164.528
  • Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528
  • Request communications of your health information by alternative means or at alternative locations
  • Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522, an
  • Revoke your authorization to use or disclose health information except to the extent that action has already been taken

Our Responsibilities

Boston Sports & Shoulder is required to:

  • Maintain the privacy of your health information
  • Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
  • Abide by the terms of this notice
  • Notify you if we are unable to agree to a requested restriction, and
  • Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will mail a revised notice to the address you’ve supplied us, or if you agree, we will email the revised notice to you.

We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.

Contact Us

840 Winter Street
Main Level
Waltham, MA 02451

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40 Allied Drive
suite 108 and 110
Dedham, MA 02026

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New England Baptist Hospital
125 Parker Hill Ave Brigham 560
Boston, MA 02120

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Westborough Whittier Rehabilitation Hospital
150 Flanders Road
Westborough, MA 01581

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800 West Cummings Park
Suite 2250
Woburn, MA 01801

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