HIPPA Privacy Statement

THE MEDICAL AND NURSING STAFF OF THIS FACILITY ARE COMMITTED TO SERVING OUR PATIENTS AND FAMILIES THE HIGHEST STANDARD OF CARE. PATIENTS ARE PROVIDED WITH THIS LIST OF RIGHTS AND RESPONSIBILITIES SO THAT THEY MAY PARTICIPATE IN THEIR CARE IN THE MOST EFFECTIVE MANNER.

PATIENT’S RIGHTS AS A PATIENT:

1. You have the right to know the ownership of this facility: Harry Marshak, MD, A Professional Corporation.
2. You have the right to be free from all forms of abuse and/or harassment.
3. You have the right to exercise your rights without fear of discrimination or reprisal.
4. You have the right to privacy and confidentiality regarding your office visits and records.
5. You have the right to adequate education and counseling regarding your medical condition.
6. You have the right to have all procedures, risks, benefits and alternatives explained, and your questions answered in laymen’s language.
7. You have the right to have medications’ effectiveness and possible side effects explained to you.
8. You have the right to see results of tests and have the meanings of these tests explained to you.
9. You have the right to participate in decisions made regarding treatments, medications, procedures and surgery.
10. You have the right to refuse treatment to the extent permitted by law and the right to receive information on alternatives and consequences of refused treatment.
11. You have the right to review your medical records and have them explained.
12. You have the right to have all fees explained.
13. You have the right to decide whether or not to participate in clinical research studies.
14. You have the right to know what we do not accept Advanced Directives. 
15. You have the right to know that we will provide to you this document and all documents in a language you clearly and fully understand or will provide you with a translator for the same.
16. You have the right to know that if you wish to file a complaint against Harry Marshak, MD, A Professional Corporation, you may contact a local California representative at: 415-744-3605. Also, you may contact the Office if the Medicare Beneficiary Ombudsman.asp.
17. You have the right to know that you may file a grievance with Harry Marshak, MD, A Professional Corporation. Harry Marshak, MD, A Professional Corporation will investigate and evaluate your grievance and report back to you with a written response within 30 days.