Robert R. Kester, M.D., P. A. is required by law to protect the privacy of patient information and to provide notice to individuals of our privacy practices. We must abide by the terms of this notice. -We reserve the right to change this notice. -If we make changes to this notice, we will provide patients with a revised notice. Practice Privacy Policy At Robert R. Kester, M.D.'s office, your privacy is one of our top priorities. Our doctor and staff are bound to honor and respect the patient information entrusted to us. We must commit to protecting your privacy by abiding by the policies we have established. This brochure outlines how we will use or disclose your protected health information. Patient Health Care Information Use & Disclosure Your protected health information will be used to treat you, to work with your insurance company for payment purposes, and to carry out healthcare operations. Healthcare operations may include managing referrals if you are part of a managed care plan. Otherwise we will not release your health information to other people, unless you specifically authorize us to do so, in writing. You may revoke this authorization at any time. We will contact you in order to carry out efficient healthcare. (We may call to remind you of your appointment, or we may send patient education materials to you at home). To review the more comprehensive version of this notice, please contact the office at 207-782-5105. Effective Date of this notice is April 14, 2003. Practice Duties Regarding Your Health Care Information Robert R. Kester, M.D. is required by law to maintain the privacy of protected health information and to provide patients with notice of its legal duties and privacy practices with respect to protected health information. Robert R. Kester, M.D. is required to abide by the terms of the notice in effect. We reserve the right to change these policies and we must inform you of these changes when you arrive at our practice for treatment. If you have a concern about how your protected health information has been handled by our practice, your complaint will be reviewed by the executive committee. You will receive written notification informing you of the action taken in response to your concern. There will be no retaliation against a patient for filing a complaint. If you feel your complaint is not resolved, you may file a complaint with the Secretary of Health and Human Services. Patient's Rights Regarding Their Health Care Information
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Central Maine Urology
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