We ask for your permission. We do not allow others outside IMBB to access your medical information unless we have the appropriate authorization to do so. We will request your authorization to release information at your first visit or admission. In addition, some laws prevent certain types of patient information from being released without specific patient permission. Examples include, but are not limited to: ¨ Confidential details of: o Psychotherapy (from records of my treatment by a psychiatrist, licensed psychologist or psychiatric clinical nurse specialist) o Other professional services of a licensed psychologist o Social Work Counseling/Therapy o Domestic Violence Victims' Counseling o Sexual Assault Counseling ¨ HIV test results (Patient authorization required for EACH release request.) ¨ Records pertaining to Sexually-Transmitted Diseases ¨ Alcohol and Drug Abuse Records.

Please note, however, that the law requires some information to be disclosed in certain circumstances. This includes mandatory reports of abuse of children or elderly or disabled persons. Also, subpoenas or court orders may compel the disclosure of confidential or privileged health information in the context of a lawsuit or administrative proceeding. Medical records are sometimes used for reasons other than patient care. For example, records are periodically reviewed to evaluate the quality of care, or to be sure that IMBB follows the rules of regulatory agencies for the efficient and effective utilization of care such as Medicare, Department of Public Health, or Department of Mental Health. Your insurance company may request information that we are required to submit in order to provide and bill for your care. Anyone reviewing records must follow the same confidentiality laws and rules required of all health care providers. Patient records are valuable tools used by researchers in finding the best possible treatments for diseases and medical conditions. All researchers must follow the same rules and laws that other health care workers are required to follow to insure the privacy of patient information. Information that may identify you will not be released to anyone outside IMBB without your written approval. In all research conducted within IMBB, concern for your privacy and well-being is our first priority.

Your medical information is private and confidential. You, or anyone to whom you give written permission, or your legal representatives, have the right to read or get a copy of your medical information. Your medical record is the physical property of IMBB.

How do we assure your privacy? IMBB has put in place detailed policies regarding access to medical records by our staff and employees and has carefully outlined the circumstances under which your medical information may be released to parties outside IMBB. These policies conform with state and federal law and are designed to safeguard your privacy. Our staff and employees are trained in the appropriate use of medical information and know that it is available to them only to continue to provide care to you or for other limited but legitimate reasons. A violation of confidentiality or the failure of an employee to protect your information from accidental or unauthorized access will not be tolerated. This may include the employee being fired from his or her job.

If you have questions . . . If you have questions about the privacy of your medical records, please speak with your physician (privacy officer) or member of his or her office staff, as appropriate. We will be happy to help you. A copy of this privacy notice is available upon request and posted on our website www.drquinonez.com. Internal Medicine of Boynton Beach 1700 W. Woolbright Rd. Suite 5 Boynton Beach, Fl 33426