All phone messages will not be completed until after 3 p.m. each day unless it is urgent. Please be sure and tell us when you call if you have an urgent need. For medical emergencies, always proceed to the nearest ER instead of leaving a phone message for the nurse. If the call is received after 3 p.m., it will be addressed the following afternoon.
We ask that you address your medication refill needs at the time you see the doctor rather than when they expire. You may also have your pharmacy fax a prescription refill request as well. Prescription refills will not be completed until after 3 pm each day unless it is urgent. Due to regulatory practices in the State of Arkansas, as well as physician best-practice guidelines, some medications may not be sent in as refills and require a clinic visit with the physician. On-call physicians are for emergent medical issues only and will not call in courtesy refills. Prescription refills are not considered a medical emergency.
There is a $20 fee charged for all returned checks
Because the health and safety of our patients and staff are the top priority, Little Rock Gynecology and Obstetrics generally follows the inclement weather closure policy of the Little Rock City Schools. If your appointment is cancelled due to weather, anticipate a call from one of our staff after we re-open to reschedule. For specific closure information, check your local news source or our Facebook page.
Our providers are not in-network with Tricare, Champus or ChampVA.
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.
To Our Patients: The physicians and staff of Little Rock Gynecology and Obstetrics have always been committed to the absolute protection of every patient’s health information. The Health Insurance Portability and Accountability Act, requires that we provide notice to each of our patients of how this information is used.
We safeguard information about your health and person (Protected Health Information, “PHI”).
We collect information from you and store it in a medical record, which may be electronically stored on computer. Our medical record charts are stored in a secure area and are available only to designated staff and only for specific reasons. If your record is computerized, we use security measures to protect it.
How We May Use and Disclose Your Protected Health Information.
We use your PHI in many ways to help in treatment, payment and clinic operations. Some examples include:
Our business associates that may have access to PHI are required to sign a written agreement protecting any use or disclosure of your PHI, in order to protect your privacy. For example, our medical record copying services, medical waste disposal services and transcriptionist services.
We may be required by law to use or share your PHI, without your written authorization, for the following:
How to direct us to use and disclose your PHI: Written Authorization.
Other uses and disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law. YOU MAY REVOKE YOUR WRITTEN AUTHORIZATION AT ANY TIME, IN WRITING. If you revoke your written authorization, it will apply to any future actions relating to the release of your PHI. There may be cases where we have already released your PHI prior to receiving your revocation.
Your Patient Privacy Rights.
You have the right to:
If you want to exercise any of these rights and would like assistance, please contact our Clinic Privacy Officer in person or in writing during our normal clinic hours.
We reserve the right to make changes to this Notice, which will affect the PHI we maintain at that time. Our duty, as your healthcare provider, is to maintain your privacy in accordance with law, abide by the terms of this privacy Notice, accommodate reasonable requests or notify you if we cannot, and provide you with a revised copy of this Notice. You can obtain a copy of any revised Notice by calling our clinic or visiting our clinic and picking up a copy.
If you believe your privacy rights have been violated, you may complain by providing a written statement to our clinic and to the Secretary of Health and Human Services (HHS) at: Office of Civil Rights, US Department of Health and Human Services, 200 Independence Ave., S.W., Room 509F, HHH Building, Washington, D.C. 20201 . We will not retaliate against you for filing a complaint. We will not require you to waive the right to file a complaint with HHS as a condition to receive treatment from us. You may also contact our Privacy Official if you have questions or comments about our privacy practices.
Effective Date: April 14, 2003
Thank you for allowing us to provide your healthcare and for your confidence in the strict privacy procedures we have established to protect your PHI.
FMLA & Disability Paperwork
Returned Check Fee
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