Our Obligations We are required to provide you with our Notice of Privacy Practices and to abide by its terms. We may amend the Notice from time to time. All amendments apply retroactively.


Summary Notice of Privacy Practices We are required by federal law to provide a Notice of


Privacy Practices that describes how health information that we maintain about you may be used or disclosed. Te Notice describes each use and disclosure that we are per- mitted to make, and provides a description of your rights and our obligations under federal and state privacy laws.


Uses and Disclosures We are permitted to use and disclose your health information under a variety of circumstances. Sometimes we must obtain your authorization before we use or disclose that information, but in other circumstances we may use your information without your authorization and without informing you of the use or disclosure. Some of the reasons


that we may use or disclose your information include: n to provide information about your health condition to others who may treat you;


n to provide information about the treatment that we pro- vided in order to obtain payment from your health plan;


n to report a communicable disease, domestic violence or criminal activity; or


n to comply with a court order requiring the disclosure of your medical record.


Tese examples are merely illustrative. For a full description of the uses and disclosures that we are permitted to make, consult the Notice of Privacy Practices.


Your Rights While the records that we maintain about you belong to us, under the federal privacy law, you have a variety of rights with respect to the information maintained in those records. For instance, you have the right to access and copy the health information that we maintain about you and to request that we amend any of the information that you believe is incomplete or incorrect. Also, you may request that we provide you with a list of each disclosure that we have made of your health information. All of these rights are subject to some exceptions that are described fully in the Notice of Privacy Practice.


30 : www.tgmc.com (985) 873-4141


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48