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.
You have the right to request a restriction of your protected health information. This means you may ask Intermountain Audiology not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations.
You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described
in this Notice of Privacy Practices. Your request must state the specific restriction requested and to
whom you want the restriction to apply.
Your provider is not required to agree to a restriction that you may request. If provider believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. You then have the right to use another Healthcare Professional.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you agreed to accept this notice alternatively i.e. electronically. You may have the right to have your provider amend your protected health information.
If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. We reserve the right to change the terms of this notice and will inform you by mail of any changes. You then have the right to object or withdraw as provided in this notice.
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.
When You Visit Our Website
When you visit our Website and fill out and submit a form, we collect your personally identifiable information. The information we collect includes your name, email address, phone number, and any other data you provide by visiting our Website and submitting your information via one of our forms. This personally identifiable information is used to contact you and provide you with further details.
By submitting your personal information to our sites, you are hereby granting written permission to us to contact you. You also consent to receive phone calls, emails, mail, or SMS/text messages from us and waive the right to file a claim with the Federal Trade Commission or any other agency in regards to these contacts or calls.
Our Website makes use of log files. The information inside log files includes your Internet Protocol (IP) address, Internet Service Provider (ISP), and type of Web browser. We may utilize programs that collect information including Website referral sources, referring pages, and date/time stamp.
Once on the Website, we collect information about how visitors interact and utilize our Web pages. We track user movement around the site, number of clicks to analyze trends, referring/exit pages, search information, gather demographic information, and track user movement around the Website. This list is not exhaustive. We keep this information for an indefinite amount of time to identify tends and better understand and service our visitors.
Our Website uses small files on your computer known as ‘cookies’ to provide usage information and other helpful statistics about our visitors. Cookies also simplify the user experience by limited the re-entering of information.
There are third-party cookies and beacons on our Website. These third-party servers or networks use technology to the content and links and code that appear on our site and may receive your IP address. This information may be used to advertise to you and to measure the effective of advertising.
If you wish to disable cookies, you may do so through your device browser settings at any time. You can find more detailed information about cookie management on your specific Web browser.
Our marketing is not directed towards individuals under the age of eighteen, nor do we intend to collect the information of minors.
We provide you the opportunity to opt of any communication from us. If you wish opt out, you can contact us via email at email@example.com. If you are receiving our email newsletter, in includes an unsubscribe link for your convenience.
Questions & Comments
Should you have any questions regarding our privacy practices, we invite you to contact us by email at firstname.lastname@example.org.