TARAL SHARMA, MD, PC
120 PELHAM LN
Phone: (864) 844 – 9432
Fax: (864) 844-9430
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
INFORMATION. PLEASE REVIEW IT CAREFULLY.
If you have any questions about this Notice, please contact:
Drew Hedden at 864-844-9432, Extension-309
WHO WILL FOLLOW THIS NOTICE?
- Dr. Taral R. Sharma & Dr. Ralph McKenzie. Jr.
- Mr. William Hendricks
- All Taral Sharma, M.D., P.C.s’ employees
We understand that medical information about you and your health is personal and are
committed to protecting this information. When you receive care at Taral Sharma, MD,
PC, a record of the care and services you receive is made. Typically, this record contains your
treatment plan, history and physical, test results, and billing record. This record serves as a:
- Basis for planning your treatment and services;
- Means of communication among the physicians and other health care providers involved in your care;
- Means by which you or a third-party payor can verify that services billed were actually provided;
- Source of information for public health officials; and
- Tool for assessing and continually working to improve the care rendered.
This Notice tells you the ways we may use and disclose your Protected Health Information (referred
to herein as “medical information”). It also describes your rights and our obligations regarding
the use and disclosure of medical information.
Taral Sharma, MD, PC shall:
- Make every effort to maintain the privacy of your medical information;
- Provide you with notice of our legal duties and privacy practices with respect to
information we collect and maintain about you;
- Abide by the terms of this notice;
- Notify you if we are unable to agree to a requested restriction; and
- Accommodate reasonable requests you may have to communicate health information by
alternative means or at alternative locations.
- Taral Sharma, MD, PC will notify you, and the Department of Health & Human Services,
of any unauthorized acquisition, access, use or disclosure of your unsecured medical
information that presents a significant risk of financial, reputational or other harm to you,
to the extent required by law. Unsecured medical information means medical
information not secured by technology that renders the information unusable, unreadable,
or indecipherable as required by law.
THE METHODS IN WHICH WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU.
The following categories describe different ways we may use and disclose your medical
information. The examples provided serve only as guidance and do not include every possible use
- For Treatment. We will use and disclose your medical information to provide, coordinate,
or manage your health care and any related service. For example, we may share your
information with your primary care physician or other specialists to whom you are referred for
- For Payment. We will use and disclose medical information about you so that the treatment
and services you receive may be billed and payment may be collected from you, an insurance
company, or a third party. I understand that Taral Sharma, MD, PC, will file for insurance and
that all monies for services rendered are due on the day of service.
- For Health Care Operations. We may use and disclose medical information about you for
office operations. These uses and disclosures are necessary to run Taral Sharma, MD, PC in an
efficient manner and provide that all patients receive quality care. For example, your medical
records and health information may be used in the evaluation of services, and the
appropriateness and quality of health care treatment. In addition, medical records are audited
for timely documentation and correct billing.
- Appointment Reminders. We may use and disclose medical information in order to remind
you of an appointment. For example, Taral Sharma, MD, PC may provide a written or
telephone reminder that your next appointment with Taral Sharma, MD, PC is coming up.
- Research. Under certain circumstances, we may use and disclose medical information about
you for research purposes. All research projects, however, are subject to a special approval
process. Prior to using or disclosing any medical information, the project must be approved
through this research approval process. We will ask for your specific authorization if the
researcher will have access to your name, address, or other information that reveals who you
are, or will be involved in your care.
- As Required by Law. We will disclose medical information about you when required to do
so by federal or South Carolina laws or regulations.
- To Avert a Serious Threat to Health or Safety. We may use and disclose medical
information about you to medical or law enforcement personnel when necessary to prevent a
serious threat to your health and safety or the health and safety of another person.
- Sale of Practice. We may use and disclose medical information about you to another health
care facility or group of physicians in the sale, transfer, merger, or consolidation of our
- Military and Veterans. If you are a member of the armed forces, we may release medical
information about you as required by military command authorities.
- Workers’ Compensation. We may release medical information about you for workers’
compensation or similar programs. These programs provide benefits for work-related injuries
- Qualified Personnel.. We may disclose medical information for management audit, financial
audit, or program evaluation, but the personnel may not directly or indirectly identify you in
any report of the audit or evaluation, or otherwise disclose your identity in any manner.
- Public Health Risks. We may disclose medical information about you for public health
activities. These activities generally include the following activities:
All such disclosures will be made in accordance with the requirements of South Carolina
and federal laws and regulations.
- To prevent or control disease, injury, or disability;
- To report reactions to medications or problems with products;
- To notify people of recalls of products they may be using;
- To notify a person who may have been exposed to a disease or may be at risk for contracting
or spreading a disease or condition; and
- To notify the appropriate government authority if we believe you have been the victim of
abuse, neglect, or domestic violence.
- Health Oversight Activities. We may disclose medical information to a health oversight
agency for activities authorized by law. Health oversight agencies include public and private
agencies authorized by law to oversee the health care system. These oversight activities
include, for example, audits, investigations, inspections, and licensure. These activities are
necessary for the government to monitor the health care system, government programs,
eligibility or compliance, and to enforce health-related civil rights and criminal laws.
- Lawsuits and Disputes. If you are involved in certain lawsuits or administrative disputes, we
may disclose medical information about you in response to a court or administrative order.
- Law Enforcement. We may release medical information if asked to do so by a law
- In response to a court order or subpoena; or
- If Taral Sharma, MD, PC determines there is a probability of imminent physical injury
to you or another person, or immediate mental or emotional injury to you.
- Coroners, Medical Examiners and Funeral Directors. We may release medical information
to a coroner or medical examiner when authorized by law (e.g., to identify a deceased person
or determine the cause of death). We may also release medical information about patients to
- Inmates. If you are an inmate of a correctional facility, we may release medical information
about you to the correctional facility for the facility to provide you treatment.
- Other Uses or Disclosures. Any other use or disclosure of PHI will be made only upon your
individual written authorization. You may revoke an authorization at any time provided that
it is in writing and we have not already relied on the authorization.
YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU.
You have the following rights regarding medical information collected and maintained about you:
- Right to Inspect and Copy. You have the right to inspect and copy medical information that
may be used to make decisions about your care. Usually, this includes medical and billing
To inspect and copy medical information that may be used to make decisions about you, you
must submit your request in writing to the Privacy Officer for Taral Sharma, MD, PC. If you
request a copy of the information, Taral Sharma, MD, PC may charge a fee established by the
South Carolina Medical Board for the costs of copying, mailing, or summarizing your records.
Taral Sharma, MD, PC may deny your request to inspect and copy in certain very limited
circumstances. If you are denied access to medical information, you may request that the
denial be reviewed. Another licensed health care professional chosen by Taral Sharma, MD,
PC will review your request and denial. The person conducting the review will not be the
person who denied your request. Taral Sharma, MD, PC will comply with the outcome of the
- Right to Amend. If you feel that medical information maintained about you is incorrect or
incomplete, you may ask Taral Sharma, MD, PC to amend the information. You have the right
to request an amendment for as long as the information is kept by Taral Sharma, MD, PC.
To request an amendment, your request must be made in writing and submitted to Taral
Sharma, MD, PC. In addition, you must provide a reason that supports your request. Taral
Sharma, MD, PC may deny your request for an amendment if it is not in writing or does not
include a reason to support the request. In addition, Taral Sharma, MD, PC may deny your
request if you ask us to amend information that:
- Was not created by Taral Sharma, MD, PC, unless the person or entity that created the
information is no longer available to make the amendment;
- Is not part of the medical information kept by Taral Sharma, MD, PC;
- Is not part of the information which you would be permitted to inspect and copy; or
- Is accurate and complete.
- Right to an Accounting of Disclosures. You have the right to request an “accounting of
disclosures.” This is a list of the disclosures made of your medical information for purposes
other than treatment, payment, or health care operations.
To request this list you must submit your request in writing to Jennifer Broadwell. Your
request must state a time period, which may not be longer than six (6) years. Your request
should indicate in what form you want the list (for example, on paper or electronically). The
first list you request within a 12-month period will be free. For additional lists within the
12-month period, you may be charged for the cost of providing the list. Taral Sharma, MD,
PC will notify you of the cost involved and you may choose to withdraw or modify your
request at that time before any costs are incurred.
- Right to Request Restrictions. You have the right to request a restriction or limitation on the
medical information Taral Sharma, MD, PC uses or discloses about you for treatment, payment
or health care operations. You also have the right to request a limit on the medical
information Taral Sharma, MD, PC discloses about you to someone who is involved in your
care or the payment for your care.
Taral Sharma, MD, PC is not required to agree to your request, unless the request pertains
solely to a healthcare item or service for which Taral Sharma, MD, PC has been paid out of
pocket in full. Should Taral Sharma, MD, PC, LLC agree to your request, Taral Sharma, MD,
PC will comply with your request unless the information is needed to provide you
To request restrictions you must make your request in writing to Taral Sharma, MD, PC. In
your request, you may indicate: (1) what information you want to limit; (2) whether you
want to limit Taral Sharma, MD, PC’s use and/or disclosure; and (3) to whom you want the
limits to apply.
- Right to Request Confidential Communications. You have the right to request that Taral
Sharma, MD, PC communicate with you about medical matters in a certain way or at a certain
location. For example, you can ask that Taral Sharma, MD, PC contact you only at work or
To request that Taral Sharma, MD, PC communicate in a certain manner, you must make
your request in writing to the Privacy Officer. You do not have to state a reason for your
request. Taral Sharma, MD, PC will accommodate all reasonable requests. Your request
must specify how or where you wish to be contacted.
CHANGES TO THIS NOTICE.
We reserve the right to change our practices and to make the new provisions effective for all PHI
we maintain. Should our information practices change, we will post the amended Notice of Privacy
Practices in our office and on our website. You may request that a copy be provided to you by
contacting the Privacy Officer.
If you believe your privacy rights have been violated, you may file a complaint
with Taral Sharma, MD, PC or with the Office for Civil Rights, U.S. Department of Health
and Human Services. To file a complaint with Taral Sharma, MD, PC, contact the Privacy
Officer at 864-844-8112, Extension-700. Your complaint must be filed within 180 days of
when you knew or should have known that the act occurred. The address for the Office of Civil
Secretary of Health & Human Services
Office for Civil Rights
U.S. Department of Health and Human Services
P. O. Box 8206, Columbia, SC 29202-8206
All complaints should be submitted in writing.
You will NOT be penalized for filing a complaint.