Summary Statement

 

Dubuque Internal Medicine, P.C.

1515 Delhi Street, Suite 100

Dubuque, Iowa 52001-6389

563/557-9111

Internal Medicine

R.S. Bartsch, M.D.

J. M. Compton, M.D.

W. J. Dall, M.D.

M. E. Hermann, M.D.

R. A. Iverson, M.D., F.A.C.P.

M. J. Kirkendall, M.D.

C. J. Konz, M.D.

P. J. Leeson, M.D., F.A.C.P.

R. W. Lengeling, M.D.

M. O. Liaboe, M.D.

C. A. Longo, M.D.

A. G. Meurer, M.D.

B. D. Moran, M.D.

G. M. Moran, M.D.

D. K. Mozena, M.D.

G. V. Ridgley, Jr., M.D.

H. A. Salas, M.D.

R. W. Schope, M.D.

D. L. Sorenson, M.D.

J. P. Viner, M.D., F.A.C.P.

Travel Medicine

R. J. Fairley, M.D., M.P.H.

Cardiology

C. A. Longo, M.D.

T. W. Martin, M.D., F.A.C.C.

Endocrinology

R. A. Iverson, M.D., F.A.C.P.

Gastroenterology

I. M. Koontz, M.D.

R. W. Lengeling, M.D.

Infectious Diseases

J. P. Viner, M.D., F.A.C.P.

Medical Oncology

D.W. Zenk, M.D.

Nephrology

J. E. Whalen, M.D.

Neurology

M. W. Fortson, M.D.

R. S. Sims, M.D.

Pulmonary Medicine

R. W. Schope, M.D.

Medical Director

R. J. Fairley, M.D., M.P.H.

Valued patients:

In 1996, Congress passed and the President signed the Health Insurance Portability and Accountability Act-HIPAA. This legislation included a provision for health care providers to develop procedures and policies to assure protection of your personal health information.

The physicians and staff at Dubuque Internal Medicine, P.C. have always respected the importance of maintaining your health information confidentially. HIPAA requires that we notify you of the privacy practices currently in force at Dubuque Internal Medicine, P.C. This legislation also provides you with certain rights regarding your medical records. These rights are outlined in our NOTICE OF PRIVACY PRACTICES (attached).

The NOTICE OF PRIVACY PRACTICES contains information regarding:

* how we use and disclose your health information.

* your rights, including your right to access your medical record, your right to amend your medical record, your right to an accounting of disclosures we make and your right to receive communications by alternative means.

* our duty to protect your privacy and to notify you of our privacy policies.

* how to submit a complaint if you believe your privacy has been violated.

If you have any questions about the privacy of your personal health information, please ask.

Thank you for trusting Dubuque Internal Medicine with your health care.

Sincerely,

 

Richard J. Fairley, MD, MPH

Medical Director