• Your name, address, and phone number.
• Information relating to your medical history.
• Information concerning your doctor, nurse or other medical providers.

Treatment
We will use your protected health information to furnish health care services to you in accordance with our policies and procedures. For example, we will use your medical history, such as any presence or absence of heart disease, to assess your health and perform requested ultrasound or other diagnostic services. In addition, we may use your protected health information to remind you by phone or email of your appointment date and time. If you do not answer, we may leave a message with the person who answers the phone or a voice message at the telephone number you provided to us.

Payment
We will use and disclose your protected health information as necessary to collect payment from you or your insurance company for the healthcare services we rendered to you. For example, we may need to give a payer information about your current medical condition so that it will pay us for the ultrasound examinations or other services we furnished to you. We may also need to inform your payer of the tests that you are going to receive in order to obtain prior approval or to determine whether the service is covered.

Health Care Operations
We may use or disclose your protected health information for the general operation of our business. For example, we sometimes arrange for accreditation organizations, auditors or other consultants to review our practice, evaluate our operations, and tell us how to improve our services.

Public Policy Uses and Disclosures
There are a number of public policy reasons why we may disclose your protected health information when we are required to do so by federal, state, or local law.

We may disclose your protected health information in connection with certain public health reporting activities. For instance, we may disclose protected health information to a public health authority authorized to collect or receive such information for the purpose of preventing or controlling disease, injury, or disability or, at the direction of a public health authority. Public health authorities include but are not limited to state health departments, the Center for Disease Control, the Food and Drug Administration, the Occupational Safety and Health Administration and the Environmental Protection Agency.

We are permitted to disclose protected health information to a public health authority or other government authority authorized by law to receive reports of child abuse or neglect, elder abuse or domestic violence.

We may disclose protected health information to a person subject to the Food and Drug Administration’s power for the following activities: to report adverse events, product defects or problems; to report biological product deviations; to track products; to enable product recalls, repairs or replacements; or to conduct post marketing surveillance.

We may disclose protected health information in connection with certain health oversight activities of licensing and other agencies, such as Medicare and Medicaid. Health oversight activities include audit, investigation, inspection, licensure or disciplinary actions, and civil, criminal, or administrative proceedings or actions or any other activity necessary for determining compliance. We may release protected health information to a coroner or medical examiner to identify a deceased person or determine the cause of death.

We may release protected health information to organ procurement organizations, transplant centers, and eye or tissue banks.

We may release protected health information regarding work-related illness or injuries to your employer, worker’s compensation, or other federal and state government agencies as required by law.

We may disclose your protected health information when necessary to prevent a serious threat to your health and/or the safety of others.

We may use or disclose certain protected health information to research study if an Institutional Review Board or a similar body referred to as a Privacy Board determines that your privacy interests will be adequately protected in the study.

In addition, we may use and disclose your protected health information to prepare or analyze a research protocol and for other research purposes.

If you are a member of either the United States Armed Forces or a foreign military organization, we may release protected health information about you as required by military command authorities.

We may disclose your protected health information for legal or administrative proceedings that involve you.

We may release your protected health information upon order of a court or administrative tribunal.

In the absence of such an order, we may release protected health information in response to a discovery or other lawful request, if efforts have been made to notify you or secure a protective order.

If you are an inmate, we may release protected health information about you to a correctional institution where you are incarcerated or to law enforcement officials.

Finally, we may disclose protected health information for national security and intelligence activities and for the provision of protective services to the President of the United States and other officials or foreign heads of state.