Nobody sees anything without your permission.

When it comes to health and medical care, it’s important that your privacy is protected. We take extreme measures to protect you at Advanced Medical Imaging. Please review the following information carefully to understand under what circumstances your medical information may be used or disclosed, and you can gain access to your information.

What kinds of records do we keep?

Information about the services we provide our patients are retained in secure files. These records allow to provide the best care, and information about you is protected in compliance with state and federal laws. This includes, but is not limited to, all information that identifies a patient, such as names, birth dates, and Social Security numbers.

What do we do with this information?

In normal circumstances, information about you may be provided to referring physicians in the course of treatment. We will, of course, access information about patients for purposes of billing obtaining payment from the patient, an insurance company, Medicare, or a third party. Information about our patients is analyzed as part of our ongoing efforts to assess and improve the quality of the services we provide.

Information about our patients may be released for other authorized purposes, such as:

• Public health purposes and risks
• Public health or government health data systems
• Research studies
• Health oversight audits or inspections
• Judicial and administrative proceedings
• Assisting coroners and medical examiners
• For purposes of workers’ compensation coverage
• In case of medical emergency
• In cases where the law requires it, such as helping a patient find a doctor for consultation concerning a self-referred mammography

Except for billing and payment purposes, operational reasons, or disclosures required by law, written authorization is obtained from patients before disclosing health information. Authorization may be revoked at any time.

When can we contact you?

Advance Medical Imaging will only contact you to schedule or remind you of appointments, and to provide information or discuss your choices regarding treatment.

Your rights:

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.
• Disclosure of any release of your health information for any reasons other than treatment, payment, or operations.
• Request restrictions on disclosures, as well as ask for certain restrictions on
  how we use your health information. We will comply with your request whenever possible and notify you if we are unable to.
• Confidential communications, specifying the manner in which we communicate with you—such as using e-mail or calling you at work.

To exercise your rights:

To exercise any of the aforementioned rights, lodge a complaint (if you believe you privacy rights have been violated), or to receive a printed copy of this information, please call (406) 556-5207or write:

Privacy Officer

Advanced Medical Imaging
905 Highland Boulevard, Suite 4100
Bozeman, MT 59715

It amy be necessary to pay a small fee for copying, mailing, or other related expenses that we incur.

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

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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.