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Reconstructive Orthopaedics & Sports Medicine, Inc. — Privacy Notice

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

OUR RESPONSIBILITIES

Reconstructive Orthopaedics & Sports Medicine. Inc. (ROI) takes the privacy of your health information seriously. We are required by law to maintain that privacy and to provide you with this Notice of Privacy Practices. This Notice is provided to tell you about our duties and practices with respect to your information. We are required to abide by the terms of this Notice that is currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

The following categories describe different ways that we use and disclose your health information. For each category we explain what we mean and give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

  • For Treatment. We may use health information about you to provide you with treatment. For example, we may disclose your health information to doctors, nurses, aids, technicians or other employees who are involved in your care. We may also disclose your health information to another provider to whom we have referred you for a diagnosis to help in your treatment.
  • For Payment. We may use and disclose your health information to bill and collect for the treatment and services we provide to you. For example, we may send your health information to an insurance company or other third party for payment purposes including to a collection service.
  • For Health Care Operations. We may use and disclose your health Information for health care operations. These uses and disclosures are necessary to run ROI, to make sure you receive competent, quality health care, and to maintain and improve the quality of health care we provide. We may also provide your health information to various governmental or accreditation entities to maintain our license and accreditation. For example, we may use medical information about you to review and evaluate our treatment and services or to evaluate our staff’s performance while caring for you. In addition, we may disclose your health information to third-party business associates who perform billing, consulting, or transcription services for our practice.
  • As Required By Law. We will disclose your health information when required to do so by federal, state or local law.
  • For Public Health Purposes. We may disclose your health information for public health activities. While there may be others, public health activities generally include the following:

    • Preventing or controlling disease, injury or disability;
    • Reporting births and deaths;
    • Reporting defective medical devices or problems with medications; and
    • Notifying a person who may have been exposed to a disease or may be al risk for contracting or spreading a disease or condition.
  • About Victims of Abuse. We may disclose your health information to notify the appropriate government authority if we believe an individual has been the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
  • Health Oversight Activities. We may disclose your health information on to a health oversight agency for activities authorized by law. These oversight activities might include audits, investigations, inspections, and licensure.
  • Judicial Purposes. We may disclose your healthinformation in response to a court or administrativeorder. We may also disclose your health information inresponse to a subpoena, discovery request, or otherlawful process by someone else involved in a dispute, but only if efforts have been made to tell you about the request, in which you were given an opportunity to object to the request, or to obtain an order protecting the information requested.
  • Law Enforcement. We may release health information if asked to do so by a law enforcement official. If such disclosure is:

    • Required by law, or in response to a court order, subpoena, warrant, summons or similar process;
    • To identify or locate a suspect, fugitive, material witness, or missing person;
    • About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;
    • About a death we believe may be the result of Criminal conduct;
    • About criminal conduct at the Covered Entity; or
    • In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
  • Coroners, Medical Examiners and Funeral Directors. In certain circumstances, we may disclose health information to a coroner or medical examiner. We may also release health information about individuals to funeral directors as necessary to carry out their duties.
  • Organ and Tissue Donation. We may disclose your health information to organizations that handle organ procurement or organ, eye or tissue transplantation orto an organ donation bank, as necessary to facilitate organ tissue donation and transplantation.
  • Research. Under certain circumstances, we may use and disclose health information about you for research purposes. Before we use or disclose health information for research approval process. This processincludes evaluating a proposed research project and its use of health information, trying to balance the research needs with your need for privacy of your health information. Additionally, when it is necessary for research purposes and so long as the health information does not leave Reconstructive Orthopaedics, we may disclose your health information to researchers preparing to conduct a research project, for example, to help the researchers look for individuals with specific health needs. Lastly, if certain criteria are met, we may disclose your health information to researchers after your death when it is necessary for research purposes.
  • To Avert a Serious Threat to Health or Safety. We may use and disclose your health information when we believe it is necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent or lessen the threat or to law enforcement authorities in particular circumstances.
  • Military and Veterans. If you are a member of the armed forces, we may release your health information as required by military command authorities. We mayalso release health information about foreign military personnel to the appropriate foreign military authority.
  • National Security and Intelligence Activities. We may release your health information to authorized federal officials for lawful intelligence,counterintelligence, and other national security activities authorized by law.
  • Protective Services for the President and Others. We may disclose your health information to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or for the conduct of special investigations.
  • Custodial Situations. If you are an inmate in a correctional institution and if the correctional institution or law enforcement authority makes certain representations to us, we may disclose your health information to a correctional institution or law enforcement official.
  • Workers’ Compensation. We may disclose your health Information as authorized by and to the extent necessary to comply with workers’ compensation laws or taws relating to similar programs.
  • Treatment Alternatives, Appointment Reminders and Health-Related Benefits. We may use and disclose your health information to tell you about or recommend possible treatment alternatives or health-related benefits or services that may be of interest to you. Additionally, we may use and disclose your health information to provide appointment reminders. If you do not wish us to contact you about treatment alternatives, health-related benefits or appointment reminders, you must notify us in writhing, and state which of those activities you wish to be excluded from.
  • Individuals Involved In Your Care or Payment for Your Care. We may release health information about you to a family member, other relative, or any other person identified by you who is involved in your health care. We may also give information to someone who helps pay for your care. We may also tell your family, friends, personal representative or other person responsible for your health care your condition and that you are at the Hospital.
  • Third Parties. We may disclose your healthinformation to third parties with whom we contract to perform services on our behalf. If we disclose your information to these entities, we will have an agreement by them to safeguard your information.

OTHER USES OF HEALTH INFORMATION

Other uses and disclosures of health information not covered by this Notice or the laws that apply to us will be made only With your written authorization. If you provide us authorization to use or disclose your health information, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made under the authorization, and that we are required to retain our records of the care that we provided to you.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights regarding health information we maintain about you. In order to exercise these rights, you must make the request in writing to George W. Nyktas at 8099 Cornell Road, Cincinnati, Ohio 45249.

  • 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. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your care.

    We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
  • 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. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request.
  • Right to Amend. You have the right to ask us to amend your health and/or billing information for as long as the information is kept by us.
  • Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures that we have made of your health information. The first list you request within a twelve-month period will be free. For additional lists, during such twelve-month period, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
  • Right to a Paper Copy of This Notice. You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy of this Notice.

Download a PDF of this Privacy Notice.

To obtain a paper copy of this Notice, contact George W. Nyktas 8099 Cornell Road Cincinnati. Ohio 45249

WHO THIS NOTICE APPLIES TO

This Notice describes Reconstructive Orthopaedics practices and those of:

  • Any health care professional authorized to enter information into or consult your medical record.
  • All departments and units of Reconstructive Orthopaedics.
  • Any member of a volunteer group we allow to help you.
  • All employees, staff and other Reconstructive Orthopaedics personnel.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice. We reserve the right to make the revised Notice effective for 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 a clear and prominent location to which you have access. In addition, if we revise the Notice, we will offer you a copy of the current Notice in effect.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with Reconstructive Orthopaedics or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact George W. Nyktas (513) 793-3933, 8099 Cornell Road, Cincinnati, Ohio 45249. All complaints must be submitted in writing.

You will not be penalized for filing a complaint.

CONTACT

If you have any questions about this Notice, please contact: George W. Nyktas (513) 793-3933, 8099 Cornell Road Cincinnati, OH 45249

EFFECTIVE DATE

The effective date of this Notice is April 14, 2003.

Our website privacy policy explains:

• What information we collect and why we collect it.
• How we use that information

Your privacy matters to Reconstructive Orthopaedics and Sports Medicine. Please do take the time to get to know our practices.

This website uses Google Analytics Demographics and Interest Reporting.

If you prefer, you may opt-out of Google Analytics for Display Advertising and customize Google Display Network ads by using the Ads Settings. You can opt out of interest-based advertising entirely by cookie settings or permanently using a browser plugin. You can also set preferences for how Google advertises to you using the Google Ad Preferences page.

What information do we collect?

We collect information from you when you register on our site or fill out a form.

When registering on our site, as appropriate, you may be asked to enter your: name, e-mail address, mailing address or phone number. You may, however, visit our site anonymously.

What do we use your information for?

Any of the information we collect from you may be used in one of the following ways:

* To improve our website
(we continually strive to improve our website offerings based on the information and feedback we receive from you)

* To improve customer service
(your information helps us to more effectively respond to your customer service requests and support needs)

* To administer a contest, promotion, survey or other site feature

* To send periodic emails

The email address you provide for appointments may be used to send you information and updates pertaining to your appointment, in addition to receiving occasional company news, updates, related product or service information, etc.

Note: If at any time you would like to unsubscribe from receiving future emails, we include detailed unsubscribe instructions at the bottom of each email.

How do we protect your information?

We implement a variety of security measures to maintain the safety of your personal information when you enter, submit, or access your personal information.

Do we use cookies?

Yes (Cookies are small files that a site or its service provider transfers to your computer's hard drive through your Web browser (if you allow) that enables the sites or service providers systems to recognize your browser and capture and remember certain information.

We use cookies to keep track of visitor site interaction so that we can offer better site experiences and tools in the future. We may contract with third-party service providers to assist us in better understanding our site visitors. These service providers are not permitted to use the information collected on our behalf except to help us conduct and improve our business.

Do we disclose any information to outside parties?

We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. This does not include trusted third parties who assist us in operating our website, conducting our business, or servicing you, so long as those parties agree to keep this information confidential. We may also release your information when we believe release is appropriate to comply with the law, enforce our site policies, or protect ours or others rights, property, or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses.

California Online Privacy Protection Act Compliance

Because we value your privacy we have taken the necessary precautions to be in compliance with the California Online Privacy Protection Act. We therefore will not distribute your personal information to outside parties without your consent.

Children's Online Privacy Protection Act Compliance

We are in compliance with the requirements of COPPA (Children's Online Privacy Protection Act), we do not collect any information from anyone under 13 years of age. Our website, products and services are all directed to people who are at least 13 years old or older.

Online Privacy Policy Only

This online privacy policy applies only to information collected through our website and not to information collected offline.

Your Consent

By using our site, you consent to our website's privacy policy.

Changes to our Privacy Policy

Any changes made to our privacy policy will be posted on this page.

Montgomery Office
8099 Cornell Rd.
Suite 100
Cincinnati, OH 45249
513-793-3933
Physical Therapy
Suite 201 • 513-985-2256

Fairfield Office
5900 Boymel Drive
Fairfield, OH 45014
513-793-3933
Physical Therapy
513-870-5342
MRI – 2960 Mack Road
Suite 106 • 513-942-4444

Fort Wright Office
1955 Dixie Highway
Suite K
Fort Wright, KY 41011
513-793-3933

Lebanon Office
100 Arrow Springs Blvd.
Suite #2600
Lebanon, OH 45036
513-793-3933

Lebanon Physical Therapy
Rivers Crossing
Shopping Center • 440 Corwin Nixon Boulevard,
S. Lebanon, Ohio 45065
513-770-0333

Copyright © 2016 Reconstructive Orthopaedics and Sports Medicine, Inc. All Rights Reserved. Privacy Notice