Notice of Privacy Practices

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.

At Moran, Rowen & Dorsey, Inc. we combine imaging expertise with a patient-centered approach to care. We believe in treating each patient with respect and dignity. We understand that medical information is personal. We make every effort to ensure that the protected health information of our patients is used only for appropriate reasons. This individualized attention and responsiveness to patient concerns represent the hallmark of our practice.

All Moran, Rowen & Dorsey, Inc. physicians, staff members and volunteers, as well as any business associates or partners with whom we share your health information, will follow the practices as outlined in this Notice.

What is protected health information?
Protected health information is any health information that identifies you, including demographic data such as your name, date of birth, and Social Security Number.

We keep a record of the services our patients receive in order to provide the best possible care. We maintain strict adherence to state and federal laws when working with patient information.

Explanation of your rights regarding your personal health information - In most cases, you have the right to:

  • View and copy your health and billing records.
  • Amend your health record, if you believe it is inaccurate or missing important information.
  • Accounting of disclosures. Upon your request, we will provide you with an accounting of the times, if any, when we have disclosed your health information for reasons other than for treatment, payment or health care operations.
  • Request restrictions on disclosures. You may also request certain restrictions on how we use your health information. We will notify you if we are unable to agree to your request.
  • Confidential communications. You may specify the manner in which we communicate with you, e.g., by e-mail or calling you at work.

To exercise any of these rights simply submit a request in writing to:
Privacy Officer
PO Box 14005
Orange, CA 92863-1405

A fee may be charged for the costs associated with copying, mailing, or other related expenses that we incur.

Paper version of this notice. If you have received an electronic copy, we will provide you with a paper copy upon request or you may go to our web site, http://www.mrdimaging.com, and print your own.

Changes to this notice may occur at any time and apply to medical information we already hold, as well as new information after the change occurs. Prior to any significant policy changes, we will post the notice in our office and on our Web site found at: http://www.mrdimaging.com.

Complaints. If you believe that your privacy rights have been violated, you may file a complaint with our Privacy Officer by calling (714) 571-5000 or by writing to:
Privacy Officer
PO Box 14005
Orange, CA 92863-1405

You may also file a complaint with the Secretary of Health and Human Services. You will not be retaliated against for filing a complaint.

How is your health information used?

  • For Treatment, such as when we send medical information about you to a referring physician.
  • For Payment, so that services may be billed to and payment collected from you, an insurance company, Medicare, or a third party.
  • For Health Care Operations, so we can conduct quality assessment and improvement activities.

In other instances, such as:

  • For public health risks/purposes
  • Participating in health oversight audits or inspections
  • Cooperating in judicial and administrative proceedings
  • For government health data systems
  • Participating in research studies
  • Assisting coroners and medical examiners
  • For workers' compensation purposes
  • In case of emergency
  • In cases required by law, e.g., helping a patient find a doctor if she referred herself for mammography and needs further consultation
  • Unless the disclosure is for treatment, payment, or health care operations, or a disclosure that is required by law, we will obtain your written authorization before disclosing your health information. You may revoke your authorization at any time.

When we may contact you:

  • Regarding appointments (reminders, scheduling)
  • Regarding treatment (options, alternatives, information, health-related benefits that may be of interest to you).
This notice is effective April 14, 2003.