Northern Rockies Neurosurgeons takes seriously the trust you place in us in providing health care for you and your family. This statement describes some of the measures we have taken and are taking to ensure our commitment to keeping your personal and medical information secure. We will protect your medical information and we will use information as necessary to perform treatment, secure payment, and to conduct healthcare operations.

Confidentiality Procedures

We will limit the amount of information we share to the minimum required to provide you with a quality service.

We will ned to share some limited information with your insurance provider. We will only allow authorized employees access to your personal and medical information. Each employee also signs a confidentiality statement, which stresses the importance of safeguarding our patients' personal and medical information.

We will: provide necessary information to insurance companies to process claims, share appropriate information with other physicians when referred or transfer of care occurs, in the event that you request and consent to sending information to a third party, or as required by law. This information may include medical claims, medical reports, social security number, address, date of birth, and telephone number. While this list is not all-inclusive, it should give you an idea of the type of information to which we are referring in this statement.

You may write to Northern Rockies Neurosurgeons requesting to:

• Access your records
• Request an amendment to your information
• Request an accounting or restriction of non-routine disclosures
• Complain about our privacy practices Disclosure of Information

We will disclose personal and medical information:

• To third parties upon your written request
• As required or permitted by law or law enforcement or for public health reasons
• To comply with peer review for the purpose of reviewing the service or conduct of any of our medical care professionals or our medical facility