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Arizona Craniofacial & Plastic Surgery Privacy Policy

Arizona Craniofacial &Plastic Surgery collects information about a patient's medical conditions, histories, medications and family illnesses.  We understand the sensitive nature of this information and collect what is necessary to perform their job.   Arizona Craniofacial &Plastic Surgery physicians and employees must not release the patient's information unless authorized to do so which is required by law.

Generally , Arizona Craniofacial &Plastic Surgery will honor a patient's request to release their medical records to a third party (including a third party payer) only with a release from the patient This release should contain at the minimum: the patient's full name address and birth date; the name and address of the provider who is to release the record; the individual or entity to whom the record is to be released; the specific information being requested; the date the release was signed; and the signature of the patient or the patient's legally authorized representative.

Arizona Craniofacial &Plastic Surgery will release psychiatric records and medical records relating to drug or alcohol treatment received from federally supported programs only when the patient's authorization specifically refers to theses areas.

A subpoena for the production of medical records, called a subpoena duces tectum, does not need to be accompanied by a patient authorization. Arizona Craniofacial &Plastic Surgery will not honor a subpoena requesting psychiatric, psychological, federal substance abuse program and sexually transmitted disease records without a valid patient authorization.

In an emergency situation, Arizona Craniofacial &Plastic Surgery will release a patient's medical record information when requested by an institution or the physician treating  the patient; however Arizona Craniofacial &Plastic Surgery must verify the name of the institution and the person requesting the information as part of of the callback process.

If you should need any more information about our privacy policy you may contact our office manager at 480 905-9211

Simmonds Plastic Surgery Care

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Scottsdale, Arizona

480 905-9211 phone | 480 905-0504 fax

9377 East Bell Road Suite 307

Scottsdale, Arizona 85260

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