Our Privacy Policy

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW THIS NOTICE CAREFULLY.

OUR COMMITMENT TO YOUR PRIVACY

Our practice is dedicated to maintaining the privacy of your health information. In conducting our business, we will create records regarding you and the treatment and services we provide to you. We are required by law to maintain the confidentiality of your health information. We also are required by law to tell you how we may use and disclose your health information; your privacy rights in your health information, and our obligations concerning the use and disclosure of your health information

The terms of this notice apply to all records containing your health information that are created or retained by our practice. We reserve the right to revise or amend this Notice of Privacy Practices. Any revision or amendment to this notice will be effective for all of your records that our practice has created or maintained in the past, and for any of your records that we may create or maintain in the future. Our practice will post a copy of our current Notice in our offices in a visible location and on our website, www.indyplasticsurgery.com, and you may request a paper copy of our current Notice at any time.

Throughout this Notice of Privacy Practices, you may be instructed to contact our Privacy Officer, either by phone or in writing. Written requests or instructions may be mailed to: Privacy Officer, The Gillian Institute, 8455 Clearvista Place, Indianapolis, IN 46256, or by e-mail to dr.short@indyplasticsurgery.com. Questions or concerns may be communicated in writing or by telephoning the Privacy Officer at (317) 913-3260.

WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION WITHOUT YOUR SPECIFIC WRITTEN AUTHORIZATION IN THE FOLLOWING CIRCUMSTANCES:

Treatment: Our practice may use your health information to treat you. For example, we might use your health information to order laboratory or other diagnostic tests, schedule surgery, or to write or phone in a prescription for you. Many of the people who work for our practice—including, but not limited to, Dr. Kimberly Short and our nurses—may use or disclose your health information in order to treat you or to assist others in your treatment, including providing your health information to a physician to whom we have referred you for further care. Additionally, we may disclose your health information to others who may assist in your care, such as your spouse, children, or parents.

Payment: Our practice may use and disclose your health information in order to bill and collect payment for the services and items you may receive from us. For example, we may contact your health insurer to certify that you are eligible for benefits (and for what range of benefits), and we may provide your insurer with details regarding your treatment to determine if your insurer will cover, or pay for, your treatment. We also may use and disclose your health information to obtain payment from third parties that may be responsible for such costs, such as family members.

Health Care Operations: Our practice may use and disclose your health information in the business operations of our practice. These activities include, but are not limited to, quality assessment reviews, employee reviews, and the preparation and recording of your treatment in our practice. An example of the use of your health information for operations is that our practice may contact you and remind you of an appointment.

Other Services: We may use your health information to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may use your name and address to send you a newsletter about our practice and the services we offer. You may write our Privacy Officer to request that these materials not be sent to you.

Special Circumstances: The following categories describe unique scenarios in which we may use or disclose your health information:

  • * To public health authorities and health oversight agencies that are authorized by law to collect information.
    * Lawsuits and similar proceedings in response to a court or administrative order.
    * If required to do so by a law enforcement official.
    * When necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the       public. We will only make disclosures to a person or organization able to help prevent the threat.
    * If you are a member of U.S. or foreign military forces (including veterans) and if required by the appropriate authorities.
    * To federal officials for intelligence and national security activities authorized by law.
    * To correctional institutions or law enforcement officials if you are an inmate or under the custody of a law enforcement official.
    * For Workers Compensation and similar programs.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

Right to Provide an Authorization for Other Uses and Disclosures: Our practice will obtain your written authorization for uses and disclosures that are not identified by this notice or permitted by applicable law. Any authorization you provide to us regarding the use and disclosure of your health information may be revoked at any time in writing. After you revoke your authorization, we will no longer use or disclose your health information for the reasons described in the authorization.

Confidential Communications: You have the right to request that our practice communicate with you about your health and related issues in a particular manner or at a certain location. For instance, you may ask that we contact you at home, rather than work. Unless you instruct us to the contrary, we may leave messages reminding you of an appointment at your home with a relative or on your answering machine and allow your spouse, parent, or child to schedule or change your appointments. To request a type of confidential communication, write the Privacy Officer, specifying the requested method of contact, or the location where you wish to be contacted. We will accommodate reasonable requests.

Requesting Restrictions: You have the right to request a restriction in our use or disclosure of your health information for treatment, payment, or health care operations. Additionally, you have the right to request that we restrict our disclosure of your health information to only certain individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your request; however, if we do agree, we are bound by our agreement except when otherwise required by law, in emergencies, or when the information is necessary to treat you. To request a restriction in our use or disclosure of your health information, write our Privacy Officer and describe in a clear and concise fashion the information you wish restricted; whether you are requesting to limit our practice’s use, disclosure, or both; and to whom you want the limits to apply.

Inspection and Copies: You have the right to inspect and obtain a copy of the health information we maintain on you, including patient medical records and billing records. Write the Privacy Officer in order to inspect and/or obtain a copy of your health information. We may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of our denial. Another licensed health care professional chosen by us will conduct reviews.

Amendment: You may ask us to amend your health information if you believe it is incorrect or incomplete, and you may request an amendment for as long as the information is kept by or for our practice. To request an amendment, write the Privacy Officer. You must provide us with a reason that supports your request for amendment. We may deny your request if it is not in writing or if you ask us to amend information that is in our opinion: (a) accurate and complete; (b) not part of the health information kept by or for the practice; or (c) not created by our practice, unless the individual or entity that created the information is not available to amend the information.

Accounting of Disclosures: All of our patients have the right to request a list of any disclosures our practice has made of your health information for reasons other than treatment, payment, or operations or which were not authorized by you. In order to obtain an accounting of disclosures, you must submit your request in writing to the Privacy Officer and state a time period for which you are requesting the accounting, which may not be longer than six (6) years from the date of disclosure and may not include dates before April 14, 2003. The first list you request within a 12-month period is free of charge, but our practice may charge you for additional lists within the same 12-month period. Our practice will notify you of the costs involved with additional requests, and you may withdraw your request before you incur any costs.

Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with our practice, with the Secretary of the Department of Health and Human Services, or with the Office of Civil Rights. To file a complaint with our practice, write our Privacy Officer. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

What Patients Are Saying

I had a face lift, eyes upper and lower, neck. To this day I still get the comment. “You look so good” What did you do? It was the best thing I ever did and would recommend it to anyone. No pain, No problems. Thanks to Dr. Short and her team, they make you feel at home. They are the BEST !!!! * 

 

 

Penny O

I would refer Dr.Short to all of my friend and family. She are her staff was very professional and was willing to answer any question that I had. My surgery was a breast augmentation, I was a size A and went to a cup size D. I am very pleased and so happy with the out come. Dr.Short is the best there is. I would never even consider going any place else. *

Jennifer K

I came to Dr. Short for a Breast Augmentation and tummy tuck about 3 1/2 years ago. I was a mother of 5 children and had spent the past 15 years giving birth and taking care of kids. Even before the kids though, I struggled with a poochy tummy. I decided for my 40th birthday that I was finally going to do something about it. I searched the internet extensively and finally found Dr. Short. The results she was showing on her website were exactly what I was looking for. I flew out from Washington State for my consultation and immediately liked her and her entire staff. They put me at ease and answered all my questions.

I was thrilled with the results of the surgery. I went immediately from a size 12 to a size 4. I couldn’t believe it. The surgery got me so motivated that I continued to diet and exercise and have now dropped another 13 pounds and now wear a size 0. In addition to the fantastic results, Dr. Short and her staff made me feel like a girlfriend. I felt that they truly understood what my needs were, not just clinically, but from a woman’s perspective. I can’t recommend Dr. Short and her office enough for any cosmetic procedure. Thank you so much. It’s the best thing I’ve ever done for myself. *

Allissa S

I went to Dr. Short 2 years ago with an A cup breast size. She gave me a low C cup, and i get compliments on my breasts daily. They are very natural looking and feeling. A lot of people do not even believe me when I tell them I have had breast augmentation. Shes the best and I’m very very pleased with the outcome of the surgery. *

Deborah M

I used Dr.Short for a breast enlargement. I was more then impressed with the results. They did a great job and I recommend her all the time to people who ask for a Dr. I went in with a lot of questions and attended a seminar that helped me feel at ease. The surgery was not as bad as everyone makes it out to be. I was back to normal in no time. The scars left are not even visible unless you look really hard. I highly recommend Dr.Short. They made me feel comfortable by having proper follow up appointments to make sure that everything was ok with surgery. I have nothing bad to say about my whole experience. It is going on three years now and I have had no complications at all. Dr. Short does a great job of giving you a natural look and making sure she keeps the look proportional to your body type. She really does a great job. *

Amy B
* Disclaimer: The claims made on this website are not intended to represent the results that every patient can expect. Surgical results vary greatly from patient to patient and are not guaranteed.

Northside Location

Plastic & Cosmetic Surgery
8455 Clearvista Place
Indianapolis, IN 46256

317.913.3260

Downtown Location

Plastic & Cosmetic Surgery
317 S Delaware St
Indianapolis, Indiana 46204

317.787.3260

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