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.

Falls Church Osteopathic Medicine, LLC does not participate with any third party carriers and does no electronic billing, therefore our patients have virtually no risk for their medical records to become part of the public healthcare data bank. We will do everything that we can to protect your privacy.

According to HIPPA, effective April 2003, the following guidelines are to become policy at Falls Church Osteopathic Medicine, LLC to fall within the purview of the law.

When health care information can be used or disclosed without prior authorization:

There are certain situations where Falls Church Osteopathic Medicine, LLC may be forced to release some of your private medical information without your prior authorization, such as the following:

Patient Rights:

All patients have the following rights:

If you have any further or additional questions concerning the privacy policy of this office, or you wish to discuss any related issue, please submit your questions/concerns in writing to:

Privacy Officer
Falls Church Osteopathic Medicine, LLC
313 Park Avenue, Suite G-9
Falls Church, Virginia 22046

Portions of this document were taken from:
Medical Office Manager, Volume XVII, number 3, March 2003
The Sendi Center for Cosmetic Surgery, Inc.
Family Medicine of Clifton/Centreville