Notice of Private Practice form

Notice_of_Privacy_Practices.pdf

About

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What is an independent clinic?
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Why choose an independent clinic?
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How does NWFP cost compare to other clinics?
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How does NWFP quality compare to other clinics?

Insurance & Billing

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How do I know if you accept my insurance?
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Why do I have to show my insurance card at each visit?
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Why do you need a copy of my photo ID?
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If I have insurance, why did I get a bill?
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What is the difference between a copay and coinsurance?
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What is a deductible?
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If I don't have insurance, can I still be seen?
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Can I be billed for my copays?
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Who should I call if I have questions about my bill?

Privacy

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What is HIPAA?
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What is personal health information (PHI)?
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How do I authorize others to have access to my PHI?
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How do I request a copy of my medical records?
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How do I transfer medical records from my previous provider?

General

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What immunization(s) am I due to receive?
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How do I request a refill of my medication(s)?
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What should I do if I become sick in the middle of the night or on a weekend?
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What is a health maintenance (physical) exam?
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Why did I have addional charges at my health maintenance exam?
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