Patient Privacy

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.

This Notice of Privacy Practices describes how Metro Foot Specialists, LLC. (“Practice” or “us/we”) may use and disclose your PHI (protected health information) to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI. PHI is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. This Notice complies with the requirements of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).

Our Responsibilities: We are required to:
  • Maintain the privacy of your health information in accordance with our Privacy Policies and Procedures and in accordance with federal and state law;
  • Provide you with this Notice as to our legal duties and privacy practices, and your rights with respect to information we collect and maintain about you;
  • Abide by the terms of this Notice;
  • Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations; and
  • Notify you if we are unable to agree to a requested restriction.
We will promptly revise this Notice whenever there is a material change to the uses or disclosures, our Patient’s rights, the Practice’s rights, our legal duties or other privacy practices stated in this Notice. We may change the terms of our notice, at any time. We reserve the right to make any changes in its privacy practice effective for all PHI maintained by us. A copy of this policy may be requested by calling our office and requesting that a revised copy be sent to you in the mail. A copy of this Notice will also be posted in a clear and prominent location at our office(s).


Uses and Disclosures of PHI. Your PHI may be used and disclosed by the Practice, office staff and others outside of our office that are involved in the provision of and payment for health care services provided to you and support certain health care operations of the Practice. The following are examples of the types of uses and disclosures of your PHI:

Treatment. We will use and disclose your PHI to provide, coordinate, or manage your health care and any related services. For example, we may disclose your PHI to other physicians treating you to ensure they have the necessary information to diagnose or treat you.

Payment. Your PHI will be used, as needed, to facilitate and coordinate payment for your health care services. For example, we may provide your PHI to your health plan in order to obtain approval for a hospital admission. Health Care Operations. We may use or disclose, as-needed, your PHI in order to support our health care operations. For example, we may use information about you to assess the quality of the services provided by us. We may also use a sign-in sheet at the registration desk, may call you by your name when your physician is ready to see you, or contact you to remind you of your appointment.

Business Associates. We will share your PHI with third party “business associates” that perform various activities (e.g., legal, accounting services) for us. We will have a written contract that contains terms that will protect the privacy of your PHI.

Treatment Alternatives and Other Services. We may use or disclose your PHI, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Uses and Disclosures of PHI Based upon Your Written Authorization. Uses and disclosures of your PHI other than for treatment, payment and health care operations will be made only with your written authorization, unless otherwise permitted or required by law as described below. With certain exceptions, you may revoke this authorization, at any time, by providing written notice of the revocation to the Practice’s Privacy Officer.


Disclosure of Information to Legal Guardians, Family Members, Friends and Other Individuals. Unless you object or request additional privacy restrictions or alternative communications that are accepted by us, we may, in the exercise of professional judgment, disclose to your legal guardian, family member, other relative, or close personal friend, PHI directly relevant to such person’s involvement with your care or payment related to such care.


Permitted and Required Uses and Disclosures That May Be Made Without Your Authorization or Opportunity to Object. We may use or disclose your PHI in the following situations without your consent or authorization. These situations include:

Personal Representatives. You may exercise your rights through a personal representative who will be required to produce evidence of his/her authority to act on your behalf before that person will be given access to your PHI or allowed to take any action for you. We retain the discretion to deny access to your PHI to a personal representative who may be subject to abuse or neglect. This also applies to personal representatives of minors.

Complaints/Contact Information. If you believe your privacy rights have been violated, you may contact or submit your complaint in writing to our Privacy Officer, Dr. Julia A. Partin, 62 E. North Street Suite 101, Eureka, MO 63025, 636-587-3668. You also have the right to file a written complaint with the Secretary of the U.S. Department of Health and Human Services: Regional Manager, Region VII, Office for Civil Rights, 601 E. 12th St., Rm. 248, Kansas City, MO 64106.

The Practice will not intimidate, threaten, coerce, discriminate against you for filing a complaint or otherwise exercising legal rights set forth in this Notice, our Privacy Policy or applicable law.