Services
Comfort. Confidence. Peace of Mind. A woman’s
concerns are just as important as how she feels physically.
That’s why women are so careful about the care they
choose. Since 1972, Augusta GYN has provided sound medical
services to women throughout Georgia and South Carolina. Our
staff spans three generations and has over 200 years of combined
medical experience. We put that experience to work treating
the individual needs of each patient ~ medically, personally
and professionally.
We offer a variety of services including Gynecology, Obstetrics,
Urogynecology, Infertility, Ultrasound, 4D Ultrasound, Mammography
(with computer-aided diagnosis) and Bone Density.
Ten of our twelve physicians are board certified by the American
Board of Obstetrics and Gynecology and two are board eligible
as they are new to private practice and our office. We are
certified by the American College of Radiology, American Registry
of Radiologic Technicians and the Fetal Medicine Foundation
for 1st Trimester Screening.
Our office hours are Monday through Friday from 8:30 AM to
5:00 PM. We are conveniently located in the University Hospital
Women’s Center, Suite 4100, one floor above Labor and
Delivery. We are also located in the University Medical Office
Building in Columbia County, 465 N. Belair Road, Evans.
Our telephone number is 706.722.1381 and will be answered
by our Telephone Receptionist during office hours.
After regular hours or on weekends, your call will be received
by our answering service and can be accessed by dialing our
office number. Your call will be relayed to the physician
on call who will be able to assist you. Non-emergency calls
are best handled during office hours when your record is available.
Please phone our office to make an appointment. We would
be happy to answer any questions you might have. We look forward
to serving your medical needs.
We abide by all Occupational Safety and Health Administration
(OSHA) regulations and the Health Insurance Portability and
Accountability Act of 1996 (HIPAA). Following is our HIPAA
policy:
AUGUSTA GYN, P.C.
1348 WALTON WAY SUITE 4100
AUGUSTA, GEORGIA 30901
NOTICE OF PRIVACY PRACTICES
As Required by the Privacy Regulations Created as a Result
of the Health Insurance Portability and Accountability Act
of 1996 (HIPAA)
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU (AS
A PATIENT OF THIS PRACTICE ) MAY BE USED AND DISCLOSED, AND
HOW YOU CAN GET ACCESS TO YOUR INDIVIDUALLY IDENTIFIABLE HEALTH
INFORMATION.
A. OUR COMMITMENT TO YOUR PRIVACY
Our practice is dedicated to maintaining the privacy of your
individually identifiable health information (IIHI). In conducting
our business, we will create records regarding you and the
treatment and services we provide to you. We are required
by law to maintain the confidentiality of health information
that identifies you. We also are required by law to provide
you with this notice of our legal duties and the privacy practices
that we maintain in our practice concerning your IIHI. By
federal and state law, we must follow the terms of the notice
of privacy practices that we have in effect at the time.
We realize that these laws are complicated, but we must provide
you with the following important information:
• How we may use and disclose your IIHI
• Your privacy rights in your IIHI
• Our obligations concerning the use and disclosure
of your IIHI
The terms of this notice apply to all records containing your
IIHI that are created or retained by our practice. We reserve
the right to revise or amend this Notice of Privacy Practices.
Any revision or amendment to this notice will be effective
for all of your records that our practice has created or maintained
in the past, and for any of your records that we may create
or maintain in the future. Our practice will post a copy of
our current Notice in our offices in a visible location at
all times, and you may request a copy of our most current
Notice at any time.
B. IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE
CONTACT:
Mike Duckworth, Privacy Official, 1348 Walton Way, Suite 4100,
Augusta, Georgia 30901
C. WE MAY USE AND DISCLOSE YOUR INDIVIDUALLY IDENTIFIABLE
HEALTH INFORMATION (IIHI) IN THE FOLLOWING WAYS
The following categories describe the different ways in which
we may use and disclose your IIHI.
1. Treatment. Our practice may use your IIHI to treat you.
For example, we may ask you to have laboratory tests (such
as blood or urine tests), and we may use the results to help
us reach a diagnosis. We might use your IIHI in order to write
a prescription for you, or we might disclose your IIHI to
a pharmacy when we order a prescription for you. Many of the
people who work for our practice – including, but not
limited to, our doctors and nurses – may use or disclose
your IIHI in order to treat you or to assist others in your
treatment. Additionally, we may disclose your IIHI to others
who may assist in your care, such as your spouse, children
or parents.
Finally, we may also disclose your IIHI to other health care
providers for purposes related to your treatment.
2. Payment. Our practice may use and disclose your IIHI in
order to bill and collect payment for the services and items
you may receive from us. For example, we may contact your
health insurer to certify that you are eligible for benefits
(and for what range of benefits), and we may provide your
insurer with details regarding your treatment to determine
if your insurer will cover, or pay for, your treatment. We
also may use and disclose your IIHI to obtain payment from
third parties that may be responsible for such costs, such
as family members. Also, we may use your IIHI to bill you
directly for services and items. We may disclose your IIHI
to other health care providers and entities to assist in their
billing and collection efforts.
3. Health Care Operations. Our practice may use and disclose
your IIHI to operate our business. As examples of the ways
in which we may use and disclose your information for our
operations, our practice may use your IIHI to evaluate the
quality of care you received from us, or to conduct cost-management
and business planning activities for our practice. We may
disclose your IIHI to other health care providers and entities
to assist in their health care operations.
4. Appointment Reminders. Our practice may use and disclose
your IIHI to contact you and remind you of an appointment.
5. Treatment Options. Our practice may use and disclose your
IIHI to inform you of potential treatment options or alternatives.
6. Health-Related Benefits and Services. Our practice may
use and disclose your IIHI to inform you of health-related
benefits or services that may be of interest to you.
7. Release of Information to Family/Friends. Our practice
may release your IIHI to a friend or family member that is
involved in your care, or who assists in taking care of you.
For example, a parent or guardian may ask that a babysitter
take their child to the pediatrician’s office for treatment
of a cold. In this example, the babysitter may have access
to this child’s medical information.
8. Disclosures Required By Law. Our practice will use and
disclose your IIHI when we are required to do so by federal,
state or local law.
D. USE AND DISCLOSURE OF YOUR IIHI IN CERTAIN SPECIAL CIRCUMSTANCES
The following categories describe unique scenarios in which
we may use or disclose your identifiable health information:
1. Public Health Risks. Our practice may disclose your IIHI
to public health authorities that are authorized by law to
collect information for the purpose of:
• maintaining vital records, such as births and deaths
• reporting child abuse or neglect
• preventing or controlling disease, injury or disability
• notifying a person regarding potential exposure to
a communicable disease
• notifying a person regarding a potential risk for
spreading or contracting a disease or condition
• reporting reactions to drugs or problems with products
or devices
• notifying individuals if a product or device they
may be using has been recalled
• notifying appropriate government agency(ies) and authority(ies)
regarding the potential abuse or neglect of an adult patient
(including domestic violence); however, we will only disclose
this information if the patient agrees or we are required
or authorized by law to disclose this information
• notifying your employer under limited circumstances
related primarily to workplace injury or illness or medical
surveillance.
2. Health Oversight Activities. Our practice may disclose
your IIHI to a health oversight agency for activities authorized
by law. Oversight activities can include, for example, investigations,
inspections, audits, surveys, licensure and disciplinary actions;
civil, administrative, and criminal procedures or actions;
or other activities necessary for the government to monitor
government programs, compliance with civil rights laws and
the health care system in general.
3. Lawsuits and Similar Proceedings. Our practice may use
and disclose your IIHI in response to a court or administrative
order, if you are involved in a lawsuit or similar proceeding.
We also may disclose your IIHI in response to a discovery
request, subpoena, or other lawful process by another party
involved in the dispute, but only if we have made an effort
to inform you of the request or to obtain an order protecting
the information the party has requested.
4. Law Enforcement. We may release IIHI if asked to do so
by a law enforcement official:
• Regarding a crime victim in certain situations, if
we are unable to obtain the person’s agreement
• Concerning a death we believe has resulted from criminal
conduct
• Regarding criminal conduct at our offices
• In response to a warrant, summons, court order, subpoena
or similar legal process
• To identify/locate a suspect, material witness, fugitive
or missing person
• In an emergency, to report a crime (including the
location or victim(s) of the crime, or the description, identity
or location of the perpetrator)
5. Deceased Patients. Our practice may release IIHI to a medical
examiner or coroner to identify a deceased individual or to
identify the cause of death. If necessary, we also may release
information in order for funeral directors to perform their
jobs.
6. Organ and Tissue Donation. Our practice may release your
IIHI to organizations that handle organ, eye or tissue procurement
or transplantation, including organ donation banks, as necessary
to facilitate organ or tissue donation and transplantation
if you are an organ donor.
7. Research. Our practice may use and disclose your IIHI for
research purposes in certain limited circumstances. We will
obtain your written authorization to use your IIHI for research
purposes except when an Institutional Review Board or Privacy
Board has determined that the waiver of your authorization
satisfies the following: (i) the use or disclosure involves
no more than a minimal risk to your privacy based on the following:
(A) an adequate plan to protect the identifiers from improper
use and disclosure; (B) an adequate plan to destroy the identifiers
at the earliest opportunity consistent with the research (unless
there is a health or research justification for retaining
the identifiers or such retention is otherwise required by
law); and (C) adequate written assurances that the PHI will
not be re-used or disclosed to any other person or entity
(except as required by law) for authorized oversight of the
research study, or for other research for which the use or
disclosure would otherwise be permitted; (ii) the research
could not practicably be conducted without the waiver; and
(iii) the research could not practicably be conducted without
access to and use of the PHI.
8. Serious Threats to Health or Safety. Our practice may use
and disclose your IIHI when necessary to reduce or prevent
a serious threat to your health and safety or the health and
safety of another individual or the public. Under these circumstances,
we will only make disclosures to a person or organization
able to help prevent the threat.
9. Military. Our practice may disclose your IIHI if you are
a member of U.S. or foreign military forces (including veterans)
and if required by the appropriate authorities.
10. National Security. Our practice may disclose your IIHI
to federal officials for intelligence and national security
activities authorized by law. We also may disclose your IIHI
to federal officials in order to protect the President, other
officials or foreign heads of state, or to conduct investigations.
11. Inmates. Our practice may disclose your IIHI to correctional
institutions or law enforcement officials if you are an inmate
or under the custody of a law enforcement official. Disclosure
for these purposes would be necessary: (a) for the institution
to provide health care services to you, (b) for the safety
and security of the institution, and/or (c) to protect your
health and safety or the health and safety of other individuals.
12. Workers’ Compensation. Our practice may release
your IIHI for workers’ compensation and similar programs.
E. YOUR RIGHTS REGARDING YOUR IIHI
You have the following rights regarding the IIHI that we maintain
about you:
1. Confidential Communications. You have the right to request
that our practice communicate with you about your health and
related issues in a particular manner or at a certain location.
For instance, you may ask that we contact you at home, rather
than work. In order to request a type of confidential communication,
you must make a written request to Mike Duckworth, Privacy
Official, 706.722.1381 specifying the requested method of
contact, or the location where you wish to be contacted. Our
practice will accommodate reasonable requests. You do not
need to give a reason for your request.
2. Requesting Restrictions. You have the right to request
a restriction in our use or disclosure of your IIHI for treatment,
payment or health care operations. Additionally, you have
the right to request that we restrict our disclosure of your
IIHI to only certain individuals involved in your care or
the payment for your care, such as family members and friends.
We are not required to agree to your request; however, if
we do agree, we are bound by our agreement except when otherwise
required by law, in emergencies, or when the information is
necessary to treat you. In order to request a restriction
in our use or disclosure of your IIHI, you must make your
request in writing to Mike Duckworth, Privacy Official, 706.722.1381.
Your request must describe in a clear and concise fashion:
(a) the information you wish restricted;
(b) whether you are requesting to limit our practice’s
use, disclosure or both; and
(c) to whom you want the limits to apply.
3. Inspection and Copies. You have the right to inspect and
obtain a copy of the IIHI that may be used to make decisions
about you, including patient medical records and billing records,
but not including psychotherapy notes. You must submit your
request in writing to Mike Duckworth, Privacy Official, 706.722.1381
in order to inspect and/or obtain a copy of your IIHI. Our
practice may charge a fee for the costs of copying, mailing,
labor and supplies associated with your request. Our practice
may deny your request to inspect and/or copy in certain limited
circumstances; however, you may request a review of our denial.
Another licensed health care professional chosen by us will
conduct reviews.
4. Amendment. You may ask us to amend your health information
if you believe it is incorrect or incomplete, and you may
request an amendment for as long as the information is kept
by or for our practice. To request an amendment, your request
must be made in writing and submitted to Mike Duckworth, Privacy
Official, 706.722.1381. You must provide us with a reason
that supports your request for amendment. Our practice will
deny your request if you fail to submit your request (and
the reason supporting your request) in writing. Also, we may
deny your request if you ask us to amend information that
is in our opinion: (a) accurate and complete; (b) not part
of the IIHI kept by or for the practice; (c) not part of the
IIHI which you would be permitted to inspect and copy; or
(d) not created by our practice, unless the individual or
entity that created the information is not available to amend
the information.
5. Accounting of Disclosures. All of our patients have the
right to request an “accounting of disclosures.”
An “accounting of disclosures” is a list of certain
non-routine disclosures our practice has made of your IIHI
for non-treatment, non-payment or non-operations purposes.
Use of your IIHI as part of the routine patient care in our
practice is not required to be documented. For example, the
doctor sharing information with the nurse; or the billing
department using your information to file your insurance claim.
In order to obtain an accounting of disclosures, you must
submit your request in writing to Mike Duckworth, Privacy
Official, 706.722.1381. All requests for an “accounting
of disclosures” must state a time period, which may
not be longer than six (6) years from the date of disclosure
and may not include dates before April 14, 2003. The first
list you request within a 12-month period is free of charge,
but our practice may charge you for additional lists within
the same 12-month period. Our practice will notify you of
the costs involved with additional requests, and you may withdraw
your request before you incur any costs.
6. Right to a Paper Copy of This Notice. You are entitled
to receive a paper copy of our notice of privacy practices.
You may ask us to give you a copy of this notice at any time.
To obtain a paper copy of this notice, contact Mike Duckworth,
Privacy Official, 706.722.1381.
7. Right to File a Complaint. If you believe your privacy
rights have been violated, you may file a complaint with our
practice or with the Secretary of the Department of Health
and Human Services. To file a complaint with our practice,
contact Mike Duckworth, Privacy Official, 706.722.1381. All
complaints must be submitted in writing. You will not be penalized
for filing a complaint.
8. Right to Provide an Authorization for Other Uses and Disclosures.
Our practice will obtain your written authorization for uses
and disclosures that are not identified by this notice or
permitted by applicable law. Any authorization you provide
to us regarding the use and disclosure of your IIHI may be
revoked at any time in writing. After you revoke your authorization,
we will no longer use or disclose your IIHI for the reasons
described in the authorization. Please note, we are required
to retain records of your care.
Again, if you have any questions regarding this notice or
our health information privacy policies, please contact Mike
Duckworth, Privacy Official, 706.722.1381.
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