Total Vein Care

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Privacy Policy

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Our office is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment and health care operations. Protected health information (PHI) is the information we create and obtain in providing our services to you. Such information may include documenting your symptoms, examination, and test results, diagnoses, treatment, and applying for future care or treatment. It also includes billing documents for those services.

Examples of Uses of Your Health Information for Treatment Purposes are:

  • A nurse obtains treatment information about you and records it in a health record.
  • We may use and disclose PHI to contact you as a reminder that you have an appointment or to inform you of a lab result. Please let us know if you do not wish to have us contact you concerning your appointment or lab results.

Example of Use of Your Health Information for Payment Purposes:

We submit requests for payment to your health insurance company. The health insurance company (or other business associate helping us obtain payment) requests information from us regarding medical care given. We will provide PHI to them about you and the care given.

Example of Use of Your Information for Health Care Operations:

We may use or disclose your PHI to evaluate the quality of care you received from us, or evaluate the performance of those involved in your care. We may also provide PHI to our attorneys, accountants or other consultants to make sure we are complying with the laws that affect us.

Your Health Information Rights

The health and billing records we maintain are the physical property of the office. The information in it, however, belongs to you. You have a right to:

  • Request a restriction on certain uses and disclosures of your health information by delivering the request to our office - we are not required to grant the request, but we will comply with any request granted;
  • Obtain a paper copy of the current Notice of Privacy Practices for Protected Health Information ("Notice") by making a request at our office;
  • Request that you be allowed to inspect and copy your health record and billing record - you may exercise this right by delivering the request to our office;
  • Appeal a denial of access to your protected health information, except in certain circumstances;
  • Request that your health care record be amended to correct incomplete or incorrect information by delivering a request to our office. We may deny your request if the information to amend was not created by us, is not part of the PHI we keep about you, or is not part of the PHI you would be allowed to see or copy. If your request is denied, you will be informed of the reason for the denials and will have an opportunity to submit a statement of disagreement to be maintained with your records.
  • Request that communication of your health information be made by alternative means or at an alternative location by delivering the request in writing to our office;
  • Obtain an accounting of disclosures of your health information as required to be maintained by law by delivering a request to our office.
  • Revoke authorizations that you made previously to use or disclose information by delivering a written revocation to our office, except to the extent information or action has already been taken.

If you want to exercise any of the above rights, please contact our practice administrator at (970) 498-8346 - 1136 E. Stuart Street, Suite 4102 - Fort Collins, CO - 80525 -- in writing, during regular business hours. You will be informed of the steps that need to be taken to exercise your rights.

Our Responsibilities

The Office is required to:

  • Maintain the privacy of your health information as required by law;
  • Provide you with a notice as to our duties and privacy practices as to the information we collect and maintain about you;
  • Abide by the terms of this notice;
  • Notify you if we cannot accommodate a requested restriction or request; and
  • Accommodate your reasonable requests regarding methods to communicate health information with you.

We reserve the right to amend, change or eliminate provisions in our privacy practices and access practices, and to enact new provisions regarding the protected health information we maintain. If our information practices change, we will amend our Notice. You are entitled to receive a revised copy of the Notice by calling and requesting a copy of our "Notice" or by visiting our office and picking up a copy.

Other Disclosures and Uses

Communication with Family

  • Using our best judgment, we may disclose to a family member, other relative, close personal friend, or any other person you identify, health information relevant to that person's involvement in your care or in payment for such care if you do not object or in an emergency.

Medical Photographs

  • We may maintain in our files medical photographs. We may disclose medical photographs for diagnostic purposes and/or continuity of care. We may disclose medical photographs in order to obtain insurance payment.

Research

  • We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

Public Health and Government Requests

If you consent, the law allows us to disclose PHI without your further written authorization in the following circumstances:

  • When required by law (federal, state, local)
  • for public health activities (reported child abuse, occurrence of certain reportable diseases)
  • for reports of victim abuse, neglect, domestic violence
  • for requests to government agencies who have authority to audit or investigate our operations
  • in response to a subpoena or other lawful request, but only if efforts have been made to contact you about the request and get your authorization
  • to law enforcement in response to a subpoena, court order, warrant, summons
  • to law enforcement to identify or locate a suspect, fugitive, material witness, missing person, or criminal conduct situations
  • to coroners, medical examiners or funeral directors
  • to avert a serious threat to your health and safety or the health and safety of another person
  • we may disclose a minor patient's PHI to a parent or a guardian, but we may deny access to the minor's PHI in certain situations
  • additional restrictions on use and disclosure of PHI in cases where treatment involves drug and alcohol abuse, HIV test results, mental health information -- these situations are given greater protections under Colorado laws.

Other Uses

  • Other uses and disclosures, besides those identified in this Notice, will be made only as otherwise required by law or with your written authorization and you may revoke the authorization as previously provided in this Notice under "Your Health Information Rights."

Website

  • If we maintain a website that provides information about our entity, this notice will be on the website.

To Request Information or File a Complaint

If you have questions, would like additional information, or want to report a problem regarding the handling of your information, you may contact our office manager at 970-498-8346.

Additionally, if you believe your privacy rights have been violated, you may file a written complaint at our office by delivering the written complaint to our office manager.

You may also file a complaint by mailing it to the Secretary of Health and Human Services, whose street address and email address is: Office for Civil Rights - U.S. Department of Health and Human Services - 200 Independence Avenue S.W. - Room 509F, HHH Building - Washington, D.C. 20201.

  • We cannot, and will not, require you to waive the right to file a complaint with the Secretary of Health and Human Services (HHS) as a condition of receiving treatment from the office.
  • We cannot, and will not, retaliate against you for filing a complaint with the Secretary of Health and Human Services.

How Our Process Works

1

Listen To Other's Successes

Not only are we confident that our procedure is the most effective, least invasive, and most effective, but our patients can back us up!  Listen to other's who have been through exactly what you're going through and have come out on the other side, pain free!

2

Come See Us

Your road to pain-free legs will start with a one-on-one consultation with Dr. Kaufman.  He will review your medical history with you, conduct a physical examination, and discuss the next steps.

3

Free Your Legs

On the day of your procedure you will be able to drive yourself home!  Your procedure will be quick and painless, lasting only an hour, including preparation time!

4

Live With No Pain

Most patients see an improvement in their symptoms almost immediately. A success rate of 97.2% has been reported for patients treated with the ClosureFast® system.

Click here to contact us and begin your road to pain-free legs.

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