Notice of Privacy Practices for Colorectal Surgery

[Practice Name] Colorectal Surgery

Effective Date: [Date]

Your Information. Your Rights. Our Responsibilities.

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.

Your Rights

You have the right to:

• Get a copy of your paper or electronic medical record
• Request corrections to your medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we've shared your information
• Obtain a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

Special Considerations for Colorectal Surgery

Due to the sensitive nature of colorectal conditions and procedures, we take additional measures to protect your privacy:

1. Enhanced security measures for sensitive imaging and procedure documentation
2. Strict protocols for handling diagnostic test results
3. Limited access to operative notes and post-surgical care information

Our Uses and Disclosures

We may use and share your information as we:

• Treat you
• Run our organization
• Bill for your services
• Comply with the law
• Address workers' compensation, law enforcement, and other government requests
• Respond to lawsuits and legal actions

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information
• We will notify you promptly if a breach occurs that may have compromised your information
• We must follow the duties and privacy practices described in this notice

Contact Information

Privacy Officer: [Name] Phone: [Phone Number] Address: [Address]

This template complies with HIPAA requirements and should be customized for your specific practice.