Privacy Policy

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOUR BIRD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
 

PLEASE REVIEW IT CAREFULLY. THE PRIVACY OF YOUR BIRD'S HEALTH INFORMATION IS IMPORTANT TO US.
 


OUR LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your bird's health information. We also want to give you this Notice about our privacy practices, our legal duties, and your rights concerning your bird's health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect 1/1/2003 , and will remain in effect until we replace it.
 

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request.
 

You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice.
 


USES AND DISCLOSURES OF HEALTH INFORMATION

We use and disclose health information about your bird for treatment and healthcare operations. For example:
 

Treatment: We may use or disclose your bird's health information with your permission to assist in the care of it's medical condition.
 

Healthcare Operations: We may use and disclose your bird's health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvements activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
 

Your Authorization: In addition to our use of your bird's health information for treatment and healthcare operations, only you may give us written authorization to use your bird's health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocations will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclosed your bird's health information for any reason except those described in this Notice.
 

To Your Family and Friends: We must disclose your bird's health information to you, as described in the Patient Rights section of this Notice. We may disclose your bird's health information to a family member, friend or other person to the extent necessary to help with your bird's healthcare, but only if you agree that we may do so.
 

Persons Involved in Care: We may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your bird's care, general condition, or death. If you are present, then prior to use or disclosure of your bird's health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person's involvement in your bird's healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your bird's best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information.
 

Marketing Health-Related Services: We will not use your bird's health information for marketing communications without your written authorization.
 

Required by Law: We may use or disclose your bird's health information when we are required to do so by law.
 

Abuse or Neglect: We may disclose your bird's health information to appropriate authorities if we reasonably believe that your bird is a possible victim of abuse or neglect. We may disclose your bird's health information to the extent necessary to avert a serious threat to your bird's health or safety or the health or safety of others around the bird (psittacosis).
 

Appointment Reminders: We may use or disclose your bird's health information to provide you with appointment reminders (such as voicemail messages, postcards, or letters).
 


AVIAN OWNERS RIGHTS

Access: You have the right to look at or get copies of your bird's health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practically do so. You must make a request in writing to obtain access to your bird's health information. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a letter to the address at the end of this Notice. Contact us using the information listed at the end of this Notice for a full explanation of our fee structure.
 

Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your bird's health information for purposes, other than treatment, payment, healthcare operations and certain other activities, for the last 6 years, but not before April 14, 2003 . If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests.
 

Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your bird's health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).
 

Alternative Communication: You have the right to request that we communicate with you about your bird's health information by alternative means or to alternative locations. (You must make your request in writing). Your request must specify the alternative means or locations, and provide satisfactory explanation how payment will be handled under the alternative means or location you request.
 

Amendment: You have the right to request that we amend your bird's health information. (Your request must be in writing, and it must explain why the information should be amended.) We may deny your request under certain circumstances.
 

Electronic Notice: If you receive this Notice on our Web Site or by electronic mail (e-mail), you are entitled to receive this Notice in written form.
 


QUESTIONS AND COMPLAINTS

If you want more information about our privacy practices or have questions or concerns, please call us at the number listed below.
 

If you are concerned that we may have violated your bird's privacy rights, or you disagree with a decision we made about access to your bird's health information or in response to a request you made to amend or restrict the use of disclosure of your bird's health information or to have us communicate with you by alternative means or at alternative locations, you may communicate with us using the contact information listed at the end of this Notice. We support your right to the privacy of your bird's health information.
 

Contact Officer: Larry Nemetz, D.V.M.
Address:     2525 North Grand Ave, Suite R
                  Santa Ana, CA 92705-8726
Telephone:  (714) 633 - 2910
Fax:           (714) 633 - 2905

The BIRD Clinic Veterinary Corporation
200 South Tustin Street, Suite E
Orange, CA 92866-2322,
For Appts: (714) 633 - 2910
FAX # : (714) 633 - 2905