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Patient Privacy

CLICK HERE to view our Patient Privacy Practices



Our staff understands that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a medical record that details the care and services you receive. We refer to this as protected health information (PHI). We need that record in order to provide you with quality care and to comply with certain legal requirements. This notice applies to any medical records generated by our office. While we may sometimes care for you during a hospital stay the hospital may have different policies and/or procedures and a separate notice about your medical information.


The most common reason why we use or disclose your health information is for treatment, payment or health care operations. Examples of how we use or disclose information for treatment purposes are: setting up an appointment for you; performing a physical examination; performing therapeutic or diagnostic tests; referring you to another doctor or clinic for additional or specialist services; or getting copies of your health information from another professional that you may have seen before us. Examples of how we use or disclose your health information for payment purposes are: asking you about your health insurance coverage or other sources of payment; preparing and sending bills or claims; and collecting unpaid amounts (either ourselves or through a collection agency or attorney). “Health care operations” mean those administrative and managerial functions that we have to do in order to run the Practice or the Center more efficiently and make sure that all of our patients receive quality care. Examples of how we use or disclose your health information for health care operations are: financial or billing audits; internal quality assurance; reviewing our treatment and services to evaluate the performance of our staff; participation in managed care plans; defense of legal matters; business planning; and outside storage of our records.

In order to maintain the communications that allow for quick, effective, and high quality health care, we may release medical information about you to a family member or friend who accompanies you to your appointment unless you tell us not to.

Under most circumstances, we are not required to obtain a signed consent for Treatment, Payment, or Operations. However, we will ask you to sign an authorization for certain purposes such as release of PHI to a referring provider or for claims payment in order to comply with regulations.

We routinely use your health information inside the Practice and/or the Center for these purposes without any special permission. We will ask for special written permission in the following situations: research, legal requests, and marketing. We will also ask for your written authorization before we disclose PHI that pertains to HIV, AIDS, mental health treatment or substance abuse.


In some limited situations, the law allows or requires us to use or disclose your health information without your permission. Not all of these situations will apply to us; some may never come up at our office or Center at all. Such uses or disclosures are:


We may call, write, or email to remind you of scheduled appointment that it is time to make a routine appointment or to follow up after a procedure. We may also call or write to notify you of other treatments or services available at our Center that might help you. Unless you object, this contact may be on an answering machine or other method, which could (potentially) be received or intercepted by others. This call or message may be to a home or work number. In writing, you can ask us to use other methods and we will consider your request and determine our ability to comply.


We will not make any other uses or disclosures of your health information unless you sign a written “authorization form.” Federal law determines the content of an “authorization form”. Sometimes, we may initiate the authorization process if the use or disclosure is our idea. Sometimes, you may initiate the process if it is your idea for us to send your information to someone else. Typically, in this situation you will give us a properly completed authorization form or you can use one of ours.

If we initiate the process and ask you to sign an authorization form, you do not have to sign it. If you do not sign the authorization, we cannot make the use or disclosure. If you do sign the authorization, you may revoke it at any time unless we have already acted in reliance upon it. Revocations must be in writing. Send them to the contact person named at the beginning of this Notice.


The law gives you many rights regarding your health information.


By law, we must abide by the terms of this Notice of Privacy Practices. We reserve the right to change this notice at any time as allowed by law. If we change this Notice, the new privacy practices will apply to your health information that we already have as well as to such information that we may generate in the future. If we change our Notice of Privacy Practices, we will post the new notice in our Center, have copies available in our office and post it on our website.


If you think that we have not properly respected the privacy of your health information, you are free to complain to us or to the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you if you make a complaint. If you want to complain to us, send a written complaint to the contact person at the address shown at the beginning of this Notice. If you prefer, you can discuss your complaint in person or by phone.


If you want more information about our privacy practices, call or visit the contact person at the address or phone number shown at the beginning of this Notice.

Web Site Privacy Policy

Effective Date: April 8, 2010

Our Commitment to Privacy

San Francisco Ear, Nose, and Throat Medical Group, Inc. is committed to maintaining the privacy of those who use our Web site. This Web Site Privacy Policy is designed to assist you in understanding how we collect and use the personal information you provide to us and to assist you in making informed decisions when using our Web site. Additionally, our Web site is hosted by MedFusion, which has its own Web Site Privacy Policy posted at

Information We Collect

When you visit our Web site, you may provide us with two types of information: 1) personal information you knowingly choose to disclose and 2) Web site use information.

Personal information is any information you’ve provided us through our Web site that uniquely identifies you, such as name, social security number, health plan ID number, medical record number, date of birth, telephone number, address, or email address, to name a few.

Web site use information is information that is gathered automatically by San Francisco Ear, Nose, and Throat Medical Group, Inc. to track Web site activity, including the number of users and the pages visited. Web site use information includes, but is not limited to, internet protocol (IP) addresses, browser type, internet service provider (ISP), referring/exit pages, operating system, and date/time stamp. Web site use information does not identify individual users.

To access the secure services on our Web site, “cookies” must be enabled. Cookies are pieces of information stored on a user’s computer which allow us to recognize repeat users, track usage patterns and better serve you when you return to our site.

How We Use Information

San Francisco Ear, Nose, and Throat Medical Group, Inc. uses the personal information that you submit to us via our Web site to administer our business activities and to respond to your inquiries. We will not sell, lease, rent, or license your personal information to a third party, unless you authorize us to do so. We may provide your personal information to entities involved in providing health care to you, such as, for example, your health plan and/or medical group. In such cases, San Francisco Ear, Nose, and Throat Medical Group, Inc. will disclose personal information in compliance with all applicable laws and regulations.

Our Commitment to Security

The security of your personal information is important to San Francisco Ear, Nose, and Throat Medical Group, Inc. To prevent unauthorized access, maintain data security, and ensure the correct use of information, San Francisco Ear, Nose, and Throat Medical Group, Inc. has adopted stringent security standards. These standards include physical, electronic, and procedural safeguards to protect and secure the information that we collect from you. While we follow generally accepted industry standards to protect the personal information submitted to us, no method of transmission over the Internet is 100% secure.

We, therefore, cannot guarantee absolute security. If you wish, you may contact us, instead, via telephone at (415) 751-4914.

Health Information on Our Web Site

The health information provided on this Web site is intended to provide general information only. This information is not intended to substitute for the exercise of a physician’s professional judgment, or the consultation with an expert physician.

Links to Other Web Sites

This Web site contains links to other Web sites that are not owned or controlled by San Francisco Ear, Nose, and Throat Medical Group, Inc. Please be aware that San Francisco Ear, Nose, and Throat Medical Group, Inc. is not responsible for the privacy practices, content or accuracy of such other Web sites.

San Francisco Ear, Nose, and Throat Medical Group, Inc. encourages you to be aware when you leave our Web site and to read the privacy policies of every Web site that collects your personal information.

Changes to Our Web Site Privacy Policy

San Francisco Ear, Nose, and Throat Medical Group, Inc. reserves the right to change this Web Site Privacy Policy at any time without advance notice to our users.

Contact Us

If you have questions regarding our Web Site Privacy Policy, your personal information maintained by San Francisco Ear, Nose, and Throat Medical Group, Inc., or other general questions, please contact us at:

San Francisco Ear, Nose, and Throat Medical Group, Inc.
Office Phone: (415) 751-4914
Office Fax: (415) 751-1414