Lewis Weber & Associates
Protecting Your Health Information and Your Privacy

This Notice of Privacy Practices describes how we may use and disclose your protected health information.

Treatment: We will use and disclose your protected health information to provide, coordinate or manage your health care and related services. This includes the coordination or management of your health care with a third party that has already obtained your permission to have access to your protected health information such as a insurance company, a therapist we may refer you to, or your primary care physician.

Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include determining eligibility and benefits from your insurance company or other third party and filing claims for provider compensation, and will be done by provider or Barbara Coleman, billing agent (434 286-4341) for Dr. Lewis Weber & Associates. This may include mailing monthly statements to an address provided by you. In the event of delinquent account status, this may include preparing your account for submission to a debt recovery agency.

Other: Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law.

Emergencies: We may use or disclose your protected health information in an emergency treatment situation.

Required by Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law, and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.

Your Rights: You have the right to inspect and copy your protected health information that is contained in a designated record set. You have the right to request a restriction of your protected health information. You have the right to request to receive confidential communications from us by alternative means or at an alternative location. Any such request will need to be in writing to provider. You may have the right to have your provider amend your protected health information. You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. The right to receive this information is subject to certain exceptions, restrictions, and limitations. You have the right to obtain a paper copy of this notice from us.

Complaints: You may complain to us or the Secretary of Health and Human Services if you believe your privacy rights have been violated by us.

This notice was published and became effective April 14, 2003.