Comprehensive Cancer Care Services

Privacy Policy

Your rights
When it comes to your health information, you have the following rights.
The following section explains your rights relating to your Protected Health information.

Obtain a current paper copy of this notice
  • You have the right to ask for and obtain a copy of this notice.

Inspect or obtain a copy of your records, in paper or electronic form.
  • You may be charged a reasonable fee for the cost of copying, mailing or other supplies.
  • We are allowed to deny this request under certain circumstances. In some situations, you have the right to have the denial of your request reviewed by a licensed healthcare professional identified by HOG who was not involved in the original denial decision. We will comply with the outcome of this review.

Request that we amend your record
  • If you feel the information is incomplete or incorrect.
  • We are allowed to deny this request in certain circumstances and may ask you to put these requests in writing and provide a reason that supports your request.

Request in writing a restriction on certain uses and disclosures of your information
  • We are not required to agree to the requested restrictions, unless you are requesting to restrict certain information from your health plan and you have paid for your HOG services in full.

Request HOG not to use or share certain health information for treatment, payment, or our operations.
  • We are not required to agree to your request and the request may be denied if would affect your care.
  • If you pay for a service or health care item out-of-pocket in full, you can ask HOG not to share that information for the purpose of your payment or our operation with your health insurer.
  • We will comply with the request unless a law requires us to share that information.

Obtain a record of the disclosures of your Protected Health information by HOG
  • You have the right to obtain a record of the disclosures of your Protected Health Information.

Make a reasonable request to have confidential communications for your Protected Health Information
  • Sent to you by alternative means or at alternative locations.

Provide us with written permission for uses and disclosures
  • Provide us with written permission for uses and disclosures of your Protected Health Information that are not covered by the Notice or permitted by law.
  • Except to the extent that the use or disclosure has already occured, you may cancel this permission.
  • This request to cancel must be put in writing.

Submit any written requests to inspect, copy or amend your records to the medical records department
  • You have the right to submit any written requests to inspect, copy, or amend your records to the medical records department.

HOG will not share your information unless you provide written permission
  • For marketing purposes, sale of your information or psychotherapy notes.

You have the right to “opt out” of communication
  • You have the right to “opt out” of receiving communications regarding fundraising.

For Treatment
  • HOG will use your Protected Health Information for treatment.
  • Certain information obtained by a nurse, doctor, therapist, or other healthcare worker will be put into your record and used to plan and manage your treatment.
  • We may provide reports or other information to your doctor or other authorized persons who are involved in your care.

For Payment
  • We will use your Protected Health Information for payment.
  • A bill will be sent to you and/or your insurance company with information about your diagnosis, procedures and supplies used.
  • We may also disclose limited information about your bill to others, such as a collection agency, to obtain payment.

For Health Care Operations
  • We will use your Protected Health Information for regular healthcare operations.
  • HOG may use and share your health information to run our practice, improve quality of care, and contact you when necessary.
  • Patient telephone calls may be recorded for quality assurance purposes.

Business Associates
  • We may share some of your Protected Health Information with outside people or companies who provide services for us.

Individuals involved in Your Care
  • HOG may use or disclose your Protected Health Information to notify a family member or other person involved in your care, your location and general condition unless you tell us not to do so.

Research
  • Your Protected Health Information may be used for research purposes in certain circumstances with your permission, or after we receive approval from a special review board whose members review and approve the research project.

Coroners, Medical Examiners, Funeral Directors
  • In the event of your death, we may disclose your Protected Health Information to these people, to the extent allowed by law, so that they may carry out their duties.

Organ Donor Organizations
  • We may share your Protected Health Information with the organ donation agency for the purpose of tissue or organ donation in certain circumstances and as required by law.

Appointment Reminders
  • Highlands Oncology Group will contact you by telephone,email, or by texting you, to remind you of your scheduled appointments.
  • If you do not wish to have these reminders sent to you using these methosds, please contact the receptionist.

Workers Compensation
  • We may disclose your Protected Health Information for workers’ compensation claims.

Public Health
  • Highlands Oncology Group may disclose medical information about you for public health activities such as control of disease, injury, or disability, reporting of births and deaths, reporting of child abuse or neglect, reporting of medication adverse events, and in situations related to defective medical products.

Correctional Institution
  • If you are an inmate of a correctional institution, we may disclose your Personal Health Information to the institution or law enforcement as needed for your health or the health and safety of others.

Law Enforcement
  • We must disclose your Protected Health Information for law enforcement purposes as required by law.

As Required by Law
  • We must disclose your Protected Health information for law enforcement purposes as required by law.

Health Oversight
  • We must disclose your Protected Health Information to a health oversight agency for activites authorized by law, such as investigations and inspections.
  • Oversight agencies are those that oversee the healthcare system, government benefit programs, such as Medicaid, and other government regulatory programs.

Legal Proceedings
  • We may disclose your Protected Health Information in the course of any judicial or administrative proceeding or in response to a court order, subpoena, discovery request or other lawful process, as allowed by law.

Required Uses and Disclosures
  • We must make disclosures when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the HIPAA Privacy Regulations.

National Security
  • Highlands Oncology Group may disclose medical information to federal officials for intelligence and other national security activities as required by law.

For Specific Government Functions
  • In certain situations, we may disclose Protected Health Information of military personnel and veterans.
  • We may disclose your Protected Health Information for national security activities required by law.

Your choices
For certain health information, you can tell us choices aboutwhat we share. If you have a clear preference for how we shareyour information in the situation described below, share your preferencewith HOG.
In these cases, you have both the right and choice to tell us to:

Share Information
  • With your family, close or personal friend, or any other person identified by you involved in your care.
  • In a disaster relief situation.

If you are not able to tell us your preference, we may share information if we believe it is in your best interest. We may also share your information whenneeded to lessen a serious and imminent threat to health and safety.

File a complaint if you feel your rights have been violated

To File A Complaint With The U.S. Department Of Health And Human Services:

Address:
Centralized Case Management Operation U.S. Department of Health and Human Services
200 Independence Avenue, SW Room 509F HHH Bldg. Washington, D.C. 20201

Phone: 1-877-696-6775

Email: OCRcomplaint@hhs.gov

To File A Complaint With Highlands Oncology Group:

Address:
Highlands Oncology Group
Privacy/Security Officer
3232 N. North Hills Blvd.
Fayetteville, AR 72703

Phone: 479-587-1700

Email: Compliance@hogonc.com

This notice applies to the following HOG locations:

808 S. 52nd Street, Rogers, AR 72758 (479) 936-9900
237 E. Millsap Suite 8, Fayetteville, AR 72703 (479) 587-1700
688 E. Millsap Suite 101, Fayetteville, AR 72703 (479) 587-1700
60 E. Monte Painter Dr., Fayetteville, AR 72703 (479) 361-2585
3232 N. North Hills Blvd., Fayetteville, AR 72703 (479) 587-1700

This notice is e ective on January 1, 2003
Reviewed & Revised: September 2013
Reviewed & Revised: June 2016


There will be no retaliation against you for filing a complaint.

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