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You may object to these disclosures. If you do not object to these disclosures or we can infer from the circumstances that you do not object or we determine, in the exercise of our professional judgment, that it is in your best interests for us to make disclosure of information that is directly relevant to the person's involvement with your care, we may disclose your protected health information as described.

Your name, location and general condition may be put into our patient directory for use by callers or visitors who ask for you by name, provided we inform you about the disclosure in advance and you do not object.

  IV.   Uses and Disclosures Which You Authorize

Other than as stated above, we will not disclose your protected health information other than with your written Authorization. A written Authorization is designed to inform you of a specific use or disclosure, other than those set forth above, that we plan to make of your health information. The Authorization describes that particular health information to be used or disclosed and the purpose of the use or disclosure. Where applicable, the written Authorization will also specify the name of the person to whom we are disclosing the health information. The Authorization will also contain an expiration date or event. You may revoke an Authorization in writing at any time except to the extent that we have taken action in reliance upon the Authorization.

  V.   Your Rights

You have the following rights regarding your protected health information:

  A. The right to inspect and copy your protected health information. You may inspect and obtain a copy of your protected health information that is contained in a designated record set for as long as we maintain the protected health information. A “designated record set” contains medical and billing records and any other records that your surgeon and that we use for making decisions about you. Under federal law, however, you may not inspect or copy psychotherapy notes that may be contained in the records we maintain.

We may deny your request to inspect or copy your protected health information if, in our professional judgment, we determine that the access requested is likely to endanger your life or safety or that of another person, or that it is likely to cause substantial harm to another person referenced within the information. You have the right to request a review of this decision. This review would be performed by a licensed health care professional designated by us who did not participate in the decision to deny such access.

To inspect and copy your medical information, you must submit a written request to the Privacy
Officer whose contact information is listed on the last page of this Privacy Notice. If you request a copy of your information, we may charge you a fee for the costs of copying, mailing or other costs incurred by us in complying with your request. Under Connecticut law, if we make a copy of your medical record, we will not charge more than 65 cents per page, plus postage, plus a
reasonable fee if you want x-ray films or tissue samples.

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