Notice of Privacy Practices

ANESTHESIA ASSOCIATES OF GAINESVILLE, LLC
AMBULATORY ANESTHESIA OF NORTH GEORGIA, LLC

As a patient of Anesthesia Associates of Gainesville, LLC (AAG) or Ambulatory Anesthesia of North Georgia, LLC (AANG) we want you to know that the confidentiality and privacy of your medical information provided to us is protected under federal and state laws. We are providing you with a summary of our official Notice of Privacy Practices that became effective April 1, 2013. Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information.

In the normal course of our business, we may share your protected health information (PHI) with others to the extent necessary to facilitate your treatment, streamline payment and conduct quality improvement efforts. Examples of others who may need access to your PHI include your insurer(s), our billing software vendor, our attorneys and outside consultants.

Except disclosures and uses permitted or required under federal and state law or for the purposes of treatment, payment   or healthcare operations, all other disclosures of your PHI require your written authorization. You have the right to revoke any written authorization you have provided to us to the extent that we have not taken action in reliance upon your written authorization.

To the extent provided under applicable federal and state law you have the right to (1) request restrictions on certain uses and disclosures of your PHI, (2) inspect and copy your PHI, (3) request amendments to your PHI, (4) receive an accounting of certain disclosures of PHI, (5) request confidential communication of PHI, and (6) obtain a copy of our Notice of Privacy Practices upon request. You may request a copy of our Notice of Privacy Practices by calling our office at (770) 532-7179 or directing your request to our Privacy Officer at AAG or AANG, 1488 Jesse Jewell Parkway, Suite 201, Gainesville, Georgia 30501.

Our Notice of Privacy Practices is subject to change in the future and any change will be effective for medical information we already have about you as well as any information we may obtain in the future. If you have any questions, you may contact our Privacy Officer. Any complaints should also be directed to our Privacy Officer at (770) 532-7179 or the Office of Civil Rights at 1-877-696-6775.