Política de privacidad y condiciones de servicio
¡Bienvenido! A continuación encontrará una copia de nuestros Términos y Condiciones. Tenga en cuenta que nuestros formularios de registro se envían en formato electrónico durante el proceso de registro.
RECONOCIMIENTO DE HIPAA
A) Entiendo que, según la Ley de Portabilidad y Responsabilidad del Seguro Médico de 1996 (HIPAA), tengo ciertos derechos a la privacidad con respecto a mi información médica protegida. Entiendo que esta información puede y será utilizada, pero no es obligatorio que firme para: Realizar, planificar y dirigir mi tratamiento y seguimiento entre los diversos proveedores de atención médica que puedan participar en dicho tratamiento, directa e indirectamente; obtener pagos de terceros pagadores, procesar la facturación y las operaciones financieras habituales; y realizar las operaciones normales de atención médica, como evaluaciones de calidad y certificaciones de salud.
B) Me han informado sobre su Aviso de Prácticas de Privacidad, el cual contiene una descripción más completa de los usos y divulgaciones de mi información médica. Recibí una copia de dicho Aviso antes de firmar este consentimiento. Entiendo que esta oficina tiene el derecho de modificar su Aviso de Prácticas de Privacidad ocasionalmente y que puedo comunicarme con ella en cualquier momento a la dirección antes mencionada para obtener una copia actualizada del mismo.
C) Entiendo que puedo solicitar por escrito que restrinjan el uso o la divulgación de mi información privada para realizar tratamientos, pagos u operaciones de salud. También entiendo que no están obligados a aceptar las restricciones que solicito, pero si las aceptan, están obligados a cumplirlas.
D) Entiendo que puedo revocar este consentimiento por escrito en cualquier momento, excepto en la medida en que usted haya tomado medidas basándose en este consentimiento.
Fecha de entrada en vigor Este aviso entra en vigor a partir del 29 de septiembre de 2014.
Text Message Terms and Conditions
Alliance Clinics Text Message Terms and Conditions
By opting into our text message service, you agree to the following terms and conditions:
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Service Description
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Alliance Clinics may send you appointment reminders, health-related updates, billing information, or other important notifications via text messages.
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Consent
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By providing your mobile phone number and opting in, you consent to receive text messages from Alliance Clinics. Your consent is not a condition of receiving services.
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Message Frequency
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Message frequency may vary based on your healthcare needs and interactions with the clinic.
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Fees and Charges
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Standard message and data rates may apply depending on your mobile carrier and plan.
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Opt-Out
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By providing your phone number you agree to receive text messages from Alliance Foot & Ankle Clinics. Message & data rates may apply. Message frequency varies. Reply HELP for help and STOP to cancel. View Terms of Service and Privacy Policy.
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Help and Support
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For assistance, contact our office directly.
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Privacy
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Your privacy is important to us. We will never share or sell your information for marketing purposes. However, we may share your information as permitted under HIPAA regulations. Please note that text messages may not be fully secure, so contact the clinic directly for sensitive matters.
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Disclaimer
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Alliance Clinics is not responsible for any delays or failures in message delivery caused by your mobile carrier or other factors.
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Changes to Terms
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Alliance Clinics reserves the right to modify these terms and conditions at any time. Updates will be communicated through our website or other appropriate means.
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By continuing to use this service, you acknowledge and agree to these terms and conditions.
Service and Privacy Policy
Alliance Foot & Ankle Clinics
Effective Date: 09/29/2014
Service Policy
Scope of Services
At Alliance Foot & Ankle Clinics, we are committed to providing comprehensive care for all foot and ankle conditions. Our services include but are not limited to:
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Diagnostic evaluations and imaging
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Podiatric surgeries
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Wound care management
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Biomechanical assessments and orthotic fittings
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Treatment of nail and skin conditions
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Diabetic foot care
We strive to deliver high-quality care tailored to each patient’s needs, ensuring patient safety, comfort, and satisfaction.
Appointment Policies
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Scheduling: Appointments can be scheduled via phone, online portal, or in person at any of our clinics.
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Cancellations: Patients must notify us at least 24 hours in advance if they need to cancel or reschedule an appointment. Repeated no-shows may result in a cancellation fee. Please refer to our financial Policy.
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Late Arrivals: Patients arriving more than 15 minutes late may need to reschedule, depending on the clinic’s schedule availability.
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Emergency Care: We offer priority scheduling for urgent foot and ankle conditions. Please contact us directly for emergency appointments.
Financial Policy Summary. (Refer to our complete Financial Policy at time of registration)
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Insurance Coverage: We accept most major insurance plans. Patients are responsible for verifying their coverage prior to their appointment.
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Co-Payments and Deductibles: Co-pays, deductibles, and any out-of-pocket expenses are due at the time of service.
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Payment Plans: Payment plans may be available for uninsured or underinsured patients. Please speak with our billing department for more details.
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Outstanding Balances: Failure to pay outstanding balances may result in referral to a collection agency.
Patient Responsibilities
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Provide accurate and complete medical history and information.
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Follow the treatment plan and notify the clinic of any changes in symptoms or conditions.
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Treat staff and other patients with respect.
Privacy Policy
Purpose
Alliance Foot & Ankle Clinics are dedicated to protecting the privacy of your health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws.
Information We Collect
We may collect the following types of personal and medical information:
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Personal identification information (e.g., name, address, date of birth, contact details)
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Insurance and billing information
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Medical history and treatment information
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Diagnostic imaging and test results.
How We Use Your Information
Your information is used for:
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Treatment: To provide, coordinate, and manage your care.
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Payment: To process billing and insurance claims.
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Healthcare Operations: To ensure quality and improve the efficiency of our services.
Sharing Your Information
We may share your health information with:
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Healthcare providers involved in your care
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Insurance companies for claims processing
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Public health authorities when required by law
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Third-party vendors who support our operations (e.g., billing services) under strict confidentiality agreements
We will not sell your personal or medical information to any third parties.
Your Rights
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Access to Records: You may request a copy of your medical records at any time.
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Correction of Information: You can request corrections to inaccurate or incomplete information.
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Restriction Requests: You may request limitations on the use or disclosure of your information.
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Confidential Communications: You can specify how you prefer to be contacted (e.g., phone, email, or mail).
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Complaint Filing: If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Department of Health and Human Services.
Data Security
We use secure systems and protocols to protect your information, including:
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Encrypted electronic health record systems
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Password-protected access for authorized staff only
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Regular audits of data security protocols.
Retention of Records
We retain medical records as required by state and federal laws and securely dispose of them when no longer needed.
Updates to This Policy
We reserve the right to modify this policy at any time. Any updates will be communicated to patients via our website and posted notices in our clinics.
Contact Information
If you have questions about our Service or Privacy Policy, please contact us:
Alliance Foot & Ankle Clinics
Address: 6510 W Layton Ave. Ste 102 Greenfield, WI 53220
Phone: (414) 282-7209
Info@allianceclinics.com
Thank you for choosing Alliance Foot & Ankle Clinics for your podiatric care.
