A Plus Pediatrics is required by law to protect the privacy of your child protected health Information (PHI). Please read this document carefully and sign the bottom of the form to acknowledge that you have received it. Uses and Disclosures of Protected Health Information: Your child’s PHI may be used and disclosed by our physician, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to your child, to pay your health care bills, to support the operation of the physician's practice, and any other use required by law. Treatment: Your child’s PHI may be shared with employees and contractors of the provider, or with other health care providers who are treating you or consulting in your child care. Payment: Your PHI may be shared with your insurer or other third-party payer who is responsible for paying all or part of the cost for your child care. Health Operations: A Plus Pediatrics may use and disclose information that is necessary for our operation, such as internal quality assessments, contacting other health care providers about treatment alternatives, licensing, employee review activities, etc. We may use sign in sheet at the registration desk and we may call you by name in the waiting room when the physician is ready to see you. We may use or disclose your child’s PHI In the following situations without your authorization, including: public health issues as required by law, communicable disease, health oversight, abuse or neglect, FDA requirement, legal proceedings, law enforcement, coroners, funeral directors, organ donations, research, criminal activity, military activity, national security, and worker's compensation. We are required by law to make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.