Northeast Indianapolis:
8150 Oaklandon Rd., Suite 111
Indianapolis, IN 46236 (map)

317.823.8400 Office
877.723.BACK (2225)
317.823.8402 Fax
info@integra-spine.com

Download a .pdf copy of
our privacy policy.

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.

Integra Spine and Musculoskeletal Specialists is required by law to maintain
the privacy of individually identifiable health information about you, to provide
this Notice of our legal duties and privacy practices, and to abide by the terms
of this Notice.

We may use or disclose health information about you for the purpose of your
treatment, and also to the extent necessary to obtain payment for treatment
and for certain administrative purposes, including evaluation of the quality of
care that you receive.

We may also use or disclose identifiable health information about you without
your authorization in certain other circumstances. For example, subject to
certain requirements, we may give out health information without your
authorization for public health purposes, for auditing purposes, for research
studies, and for emergencies.  We also provide health information when
required by law.

Except as otherwise provided in this Notice of Privacy Practices, we will only
use or disclose identifiable health information about you pursuant to your
written authorization.

We may change our privacy policies at any time and the new policies will
apply to all information we maintain.

You may also request a copy of the Notice in effect at any time. In most
cases, you have the right to look at or make a copy of health information
that we use to make decisions about you.

We may charge our reasonable costs for copies. You may request that we
add to or change your health information if you think it is incorrect or
incomplete.

Generally, you have the right to receive a list of instances where we have
disclosed health information about you, except where the disclosure was for
treatment, payment, administrative purposes, or pursuant to your authorization
or if another exception applies.

You may request restrictions on certain uses and disclosures of information,
although we are not required to agree to them. You have the right to receive
confidential communications in a alternate manner or location if we can
reasonably accommodate your request. You should carefully review the
pages attached to this summary.

For additional information, or to make a complaint with respect to your
privacy rights, you may contact our Privacy Officer at the address and
number listed below.

You may also send a written complaint to the U.S. Department of Health
and Human Services. Our Privacy Officer can provide you with the
appropriate address. For questions or complaints, please contact:

Office Coordinator
Integra Spine and Musculoskeletal Specialists
8150 Oaklandon Rd., Suite 111, Indianapolis, Indiana  46236
Phone:  317-823-8400

© All Rights Reserved by Integra Spine and Musculoskeletal Specialists 2009 •  Privacy Policy •  Legal Notice