HIPAA Notice of
Privacy Practices

Dr. Michael K. Newman, MD, FACS ("the Practice") is required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information.

How We May Use and Disclose Your Health Information

Treatment. We may use or disclose your health information to provide, coordinate, or manage your health care and any related services. For example, we may disclose your health information to another physician to whom you have been referred for treatment.

Payment. We may use and disclose your health information to obtain payment for services we provide to you. For example, we may need to give your health plan information about your surgery so your health plan will pay us or reimburse you for the surgery.

Health Care Operations. We may use and disclose your health information in connection with our health care operations. Health care operations include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, and other business-related activities.

Other Uses and Disclosures

We may also use or disclose health information about you without your authorization in the following circumstances: as required by law; for public health activities; to prevent a serious threat to health or safety; for specialized government functions; and for workers' compensation purposes.

Your Rights

You have the following rights regarding health information we maintain about you:

• Right to Inspect and Copy. You have the right to inspect and copy health information that may be used to make decisions about your care.
• Right to Amend. If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information.
• Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we make of health information about you.
• Right to Request Restrictions. You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations.
• Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
• Right to a Copy of This Notice. You have the right to a paper copy of this notice.

Changes to This Notice

We reserve the right to change this notice and make the new notice apply to health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our office and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with the Practice or with the Secretary of the Department of Health and Human Services. To file a complaint with the Practice, contact our Privacy Officer at the address below. We will not retaliate against you for filing a complaint.

Contact Information

For more information about our privacy practices or to exercise your rights, please contact:

Privacy Officer
Dr. Michael K. Newman, MD, FACS
416 N. Bedford Drive, Suite 403
Beverly Hills, CA 90210
Phone: 310.859.0010
Email: info@drnewmanbeverlyhills.com