105 Sugar Camp Circle, Suite 221, Dayton, Ohio 45409 937.227.3174 Monday - Friday 8am - 6pm Schedule an Appointment

Notice of our Privacy Policy

We respect our legal obligation to keep health information that identifies you personally as private. This notice of privacy practices informs you as the patient how we protect your health information and what rights you have as a patient regarding it.

How does Orion protect my information?

In accordance with federal and state laws and our policy, Orion has a responsibility to protect the privacy of your information. We protect your information in several ways:

  • Limiting the access of who may see your information
  • Limiting how we use or disclose your information
  • Requesting approval from you for any potential situations here your private information would be used for reasons other than treatment, scheduling, payment, filing insurance claims, the referring physician, the primary physician (if different), and health care operations.

How does Orion use and disclose my information?

We routinely use your health information inside our office for the purposes stated above without any special permission. In certain situations we must used and disclose your information:

  • To you or someone who has the legal right to act on your behalf;
  • When required by state or federal law that certain health information be reported for specific purposes;
  • Disclosures to governmental authorities about victims of suspected abuse, neglect or domestic violence;
  • Disclosures for judicial and administrative proceedings, such as in response to subpoenas or orders of courts or administrative agencies.

What are my rights concerning my information?

The following are your rights with respect to your information:

  • Access – You have the right to review and obtain a copy of your health information. You will be able to review or a have a copy of your health information within 30 days from the date of the written request. If you wish to review or get photocopies of your health information, a written request must be submitted to the office shown at the bottom of this Notice.
  • Amendment – You have the right to request an amendment of your health information. If we agree, we will amend the information within 60 days from when the written request was made. If we deny your request, we will provide you a written explanation of the denial.
  • Disclosure – You have the right to receive a listing of instances in which we have disclosed your information for purposes other than treatment, payment, health care operations within the past six (6) years. You are entitled to one list per year without charge.

How do I exercise my rights or obtain a copy of this notice?

You may request additional copies of this Notice of Privacy Practices upon request. If you would like to request additional copies, send a written request to the office at the address at the bottom of this Notice.

What should I do if I believe my privacy has been violated?

If you believe your privacy has been violated, you may contact us or the U.S. Department of Health and Human Services, Office of Civil Rights (OCR). You also have the option to e-mail your complaint to OCRComplaint@hhs.gov. We will not retaliate in any way if you elect to file a complaint with us or with the US Department of Health and Human Services.