Our Pledge to Protect Your Privacy
3D Medical Diagnostic Services (3D Medical) knows that medical information about you is personal and is committed to protecting the privacy of your information. As a patient of the 3D Medical, the care and treatment you receive is recorded in a medical record. So that we can best meet your medical needs, we share your medical record with all the health care providers involved in your care. We share your information only to the extent necessary to conduct our business operations, to collect payment for the services we provide you and to comply with the laws that govern health care. We will not use or disclose your information for any other purpose without your permission.
Your Rights Regarding Medical Information About You
An important part of the 3D Medical Diagnostic Services's Notice is the section that explains your rights regarding your medical information. Our Notice explains that you (or your personal representative) have the right to:
- Inspect or Obtain a Copy of Your Medical Record : You have the right to inspect or obtain a copy of the medical records that the 3D Medical Diagnostic Services uses to make decisions about you and your treatment, subject to certain limitations. This information includes your medical and billing records, but may not include some mental health information. If you request a copy of your records, the 3D Medical Diagnostic Services may charge a fee for the cost of providing your records to you.
Request a Correction or Add an Addendum to Your Medical Record : If you believe that medical information the 3D Medical Diagnostic Services has on file about you is incorrect or incomplete, you may ask us to correct the medical information in your records. If your medical information is accurate and complete, or if the information was not created by the 3D Medical Diagnostic Services, we may deny your request; however, if we deny any part of your request, we will provide you with a written explanation of our reasons for doing so. Requests to make a correction to your records must be in writing. Your written request must describe each item that you want changed (for example: History and Physical on 3/1/2003 and Clinic Visit Note on 4/14/2003) and the reason your are requesting the change.
In addition, an adult patient of the 3D Medical Diagnostic Services who believes that an item or statement in his/her medical record is incorrect or incomplete has the right to provide the 3D Medical Diagnostic Services with a written addendum to his/her record. The addendum is limited to 250 words per incorrect or incomplete item, and must clearly indicate that the patient wishes it to be made a part of his/her record. Requests to add an addendum must be in writing.
Please send your request to Medical Records - Release of Information, 304 East Lemon Ave. Glendora, CA 91741 or fax your request to (562)-946-3673.