Lake Jackson Endoscopy Surgery Center
What is an ASC?
NOTICE OF PRIVACY PRACTICES
Public Health Activities: As required by law, we may disclose your PHI to public health or official authorities charged with preventing or controlling disease, injury or disability, including suspected physical abuse, neglect or domestic violence. We may also disclose your PHI to the Food and Drug Administration for purposes or reporting adverse events associated with product defects, problems, tracking and other activities. We may also, when authorized by the law to do so, notify a person who may have been exposed to a communicable disease or otherwise be at risk or contracting or spreading a disease or condition.
YOUR RIGHTS:
- The right to inspect and copy your PHI, via written request to the Privacy Officer. We may deny your request, if in our professional judgment, we determine that the access requested will endanger your life or another’s.
- The right to request a restriction on uses and disclosures of your PHI.
- The right to request to receive confidential communications from us by alternative means or locations.
- The right to request amendments to your PHI in writing with reasons to support such a request. In certain cases, we may deny your request for an amendment.
- The right to receive an accounting of certain disclosures for purposes of treatment, payment or health care operations. These written requests must be submitted to our Privacy Officer. Requests may not be for a period more than 6 years. We will provide the first request within any 12-month charge. Subsequent accounting requests may be subject to a reasonable cost-based fee.
- The right to request that Lake Jackson Endoscopy Center not disclose your PHI to your health plan for the purposes of payment or healthcare operations, and if you are paying for your treatment out of pocket in full, then the facility must honor your requested restriction.
- The right to obtain a paper copy of this notice.
- The right to revoke your authorization of PHI release at any time.
Contact Person:
Attn: Privacy Officer
Lake Jackson Endoscopy Center
219 Oak Drive South, Suite B
Lake Jackson, TX 77566
The Privacy Officer can be contacted by telephone at (979) 529-2270.
Joint Commission approved and recognized statewide for advancements in endoscope technology.Our New Facility has Advanced Technology and an Experienced, Friendly Staff to address all your GI needs
Our wellness program extends helpful choices to the community to regain and maintain healthy lifestyles
Lake Jackson Endoscopy Center is the leading surgery center in the area with FUSE technology. Insist on FUSE.