Privacy Statement

NOTICE OF PRIVACY PRACTICES

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. 

Our goal is to take appropriate steps to attempt to safeguard any medical or other personal information that is provided to us. The Privacy Rule under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) requires us to: (i) maintain the privacy of medical information provided to us; (ii) provide notice of our legal duties and privacy practices; and (iii) abide by the terms of our Notice of Privacy Practices currently in effect. 

WHO WILL FOLLOW THIS NOTICE

This notice describes the practices of our pathologists and employees at The Pathology Laboratory, as well as the hospitals, clinics and physician offices that use our services. This notice applies to each of these individuals and locations. In addition, these individuals and locations may share medical information with each other for treatment, payment and health care operation purposes described in this notice. 

INFORMATION COLLECTED ABOUT YOU

In the ordinary course of receiving treatment and health care services from us, you will be providing us with personal information such as:

Your name, address, and phone number.
Information relating to your medical history.
Your insurance information and coverage.

In addition, we will gather certain medical information about you and will create an electronic record of the services provided to you. Some information also may be provided to us by other individuals or organizations that are part of your “circle of care”- such as the referring physician, your other doctors, hospitals and clinics, your health plan, and outside laboratories that are used as reference facilities.

HOW WE MAY USE AND DISCLOSE INFORMATION ABOUT YOU

We may use and disclose personal and identifiable health information about you for a variety of purposes. All of the types of uses and disclosures of information are described below, but not every use or disclosure in a category is listed. 


Required Disclosures. We are required to disclose health information about you to the Secretary of Health and Human
Services, upon request, to determine our compliance with HIPAA and to you, in accordance with your right to access
and right to receive an accounting of disclosures, as described below:

For Treatment. We may use health information about you in your treatment. For example, we may use information
provided by your doctor to assist in making a diagnosis on your biopsy sample.

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

For Health Care Operations. We may use and disclose information about you for the general operation of our
business. For example, we sometimes arrange for auditors or other consultants to review our practices,
evaluate our operations, and tell us how to improve our services. Or, for example, we may use and
disclose your health information to review the quality of services provided to you.

Public Policy Uses and Disclosures. There are a number of public policy reasons why we may disclose
information about you which are described below.

We may disclose health information about you when we are required to do so by federal, state, or local law.

We may disclose protected health information about you in connection with certain public health reporting activities. For
instance, we may disclose such information to a public health authority authorized to collect or receive PHI for the
purpose of presenting or controlling disease, injury or disability, or at the instruction of a public health authority, to
an official of a foreign government agency that is acting in collaboration with a public health authority. Public health
authorities include state health departments, the Center for Disease Control, the Food and Drug Administration,
the Occupational Safety and Health Administration and the Environmental Protection Agency, to name a few.

We are also 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. Additionally 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, or biological product deviations; to track products; to enable product recalls, repairs or
replacements; or to conduct post marketing surveillance. We may also disclose a patient’s health information to a person
who may have been exposed to a communicable disease or to an employer to conduct an evaluation relating to medical
surveillance of the workplace or to evaluate whether an individual has a work-related illness or injury.

We may disclose a patient’s health information where we reasonably believe a patient is a victim of abuse, neglect
or domestic violence and the patient authorizes the disclosure or it is required or authorized by law.

We may disclose health information about you in connection with certain health oversight activities of licensing and other
health oversight agencies which are authorized by law. 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 the oversight of 1) the health care system, 2) governmental benefit programs for which health information is relevant
to determining beneficiary eligibility, 3) entities subject to governmental regulatory programs for which health information
is necessary for determining compliance with program standards, or 4) entities subject to civil rights laws for which
health information is necessary for determining compliance.

We may disclose your health information as required by law, including in response to a warrant, subpoena, or other
order of a court or administrative hearing body or to assist law enforcement identify or locate a suspect, fugitive, material
witness or missing person. Disclosures for law enforcement purposes also permit use to make disclosures about victims
of crimes and the death of an individual, among others.

We may release a patient’s health information (1) to a coroner or medical examiner to identify a deceased person or
determine the cause of death and (2) to funeral directors. We also may release your health information to organ
procurement organizations, transplant centers, and eye or tissue banks, if you are an organ donor.

We may release your health information to workers’ compensation or similar programs, which provide benefits
for work-related injuries or illnesses without regard to fault.

Health information about you also may be disclosed when necessary to prevent a serious threat to your health and
safety or the health and safety of others.

We may use or disclose certain health information about your condition and treatment for research purposes where 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. We may also use and disclose your health information to prepare or analyze a
research protocol and for other research purposes. If you are a member of the Armed Forces, we may release health
information about you for activities deemed necessary by military command authorities. We also may release health
information about foreign military personnel to their appropriate foreign military authority.

We may disclose your protected health information for legal or administrative proceedings that involve you. We may release
such information upon order of a court or administrative tribunal. We may also release protected health information in the
absence of such an order and 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 in certain situations such as where the information is necessary for your
treatment, health or safety, or the health or safety of others.

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.

Our Business Associates. We sometimes work with outside individuals and businesses that help us operate our business
successfully. We may disclose your health information to these business associates so that they can perform the tasks
that we hire them to do. Our business associates must promise that they will respect the confidentiality of your
personal and identifiable health information.

Disclosures to Persons Assisting in Your Care or Payment for Your Care. We may disclose information to individuals
involved in your care or in the payment for your care. This includes people and organizations that are part of your
“circle of care” — such as your spouse, your other doctors, or an aide who may be providing services to you. We
may also use and disclose health information about a patient for disaster relief efforts and to notify persons responsible
for a patient’s care about a patient’s location, general condition or death. Generally, we will obtain your verbal
agreement before using or disclosing health information .in this way. However, under certain circumstances, such
as in an emergency situation, we may make these uses and disclosures without your agreement.

We are required to obtain written authorization from you for any other uses and disclosures of medical information other
than those described above. If you provide us with such permission, you may revoke that permission, in writing, at any
time. If you revoke your permission, we will no longer use or disclose personal information about you for the reasons
covered by your written authorization, except to the extent we have already relied on your original permission.

INDIVIDUAL RIGHTS

You have the right to ask for restrictions on the ways we use and disclose your health information for treatment, payment
and health care operation purposes. You may also request that we limit our disclosures to persons assisting your care or
payment for your care. We will consider your request, but we are not required to accept it. 

You have the right to request that you receive communications containing your protected health information from us
by alternative means or at alternative locations. For example, you may ask that we only contact you
at home or by mail.

If you believe that information in your records is incorrect or incomplete, you have the right to ask
us to correct the existing information or add missing information. Under certain circumstances, we may deny
your request, such as when the information is accurate and complete.

In circumstances where you would like a copy of tests or procedures performed at the Pathology Lab, we ask that you
direct your request to your physician. We are not able to provide copies of these results to you for one or more of
the following reasons: government regulations; the Pathology Lab, its physicians and employees are not a direct
provider of health care to individual patients; and because your physician is best qualified to discuss your results
as they relate to your medical condition.

You have a right to receive a list of certain instances when we have used or disclosed your medical information. We are
not required to include in the list uses and disclosures for your treatment, payment for services furnished to you, our
health care operations, disclosures to you, disclosures you give us authorization to make and uses and disclosures
before April 14, 2003, among others. If you ask for this information from us more than once every twelve
months, we may charge you a fee.

You have the right to a copy of this notice in paper form. You may ask us for a copy at any time. This notice is also
available on our website.

To exercise any of your rights, please contact us in writing at The Pathology Laboratory, 830 Bayou Pines Dr., Lake Charles, LA, attn: Anne Rose, Privacy Officer. When making a request for amendment, you must state a reason
for making the request. 

CHANGES TO THIS NOTICE

We reserve the right to make changes to this notice at any time. We reserve the right to make the revised notice
effective for personal health information we have about you as well as any information we receive in the future.
In the event there is a material change to this notice, the revised notice will be posted. In addition, you may
request a copy of the revised notice at any time. 

COMPLAINTS/COMMENTS

If you have any complaints concerning our privacy practices, you may contact the Secretary of the Department of
Health and Human Services, at 200 Independence Avenue, S.W., Room 509F, HHH Building, Washington, D.C.
20201 (e-mail: ocrmail@hhs.gov). You also may contact us at The Pathology Laboratory, 830 Bayou
Pines Dr., Lake Charles, LA, attn: Anne Rose, Privacy Officer.

YOU WILL NOT BE RETALIATED AGAINST OR PENALIZED BY US FOR FILING A COMPLAINT.
This notice is effective as of April 14, 2003.