PRIVACY POLICIES and PROCEDURES

Delaware Urologic Associates
H-50 Omega Drive
Newark, Delaware 19713

These Privacy Policies and Procedures describe our obligations to protect the privacy of individually identifiable health information that we create, receive or maintain on our patients. The policies and procedures address how we protect their privacy interests and comply with our legal obligations under the Health Insurance Portability and Accountability Act of 1986 (HIPAA). This written plan addresses our legal responsibilities under HIPAA regulations 45 CFR parts 160 and 164 (54 Federal Regulation 82462 (12/28/2000)) (also referred to as the “Privacy Rules”), as amended (67 Federal Regulations 53182 (8/14/2002)) and state privacy laws that may be more stringent than the federal law.

We require all employees, other members of our workforce and Business Associates to follow our Privacy Policies and Procedures. Failure to faithfully follow the rules of our Privacy Plan can result in disciplinary action up to, and including, termination of employment or affiliation with us. All employees and members of our workforce have been trained on our Privacy Plan and are required to sign a Confidentiality Statement.

These written Policies and Procedures address the way HIPAA Privacy Rules apply to this practice and do not cover the entire Rule. In addition to the following Policies and Procedures, we use forms, agreements, contracts, logs, and other documentation to support and comply with our legal obligations. We have elected to use the word “patient” interchangeably with the word “individual,” which HIPAA uses in their Privacy Rule. When “patient” is used, it has the same meaning as “individual,” which HIPAA uses in their Privacy Rule. When “patient” is used, it has the same meaning as “individual” and refers to former patients, prospective patients, patients of record and their organized representatives.

Any questions about our Privacy Plans, the use and/or disclosure of any individually identifiable health information, any of our obligations under the Privacy Rule, or other federal or state laws regarding the privacy of rights of our patients, consult or Privacy Officer.

Name of Privacy Officer: Peter J. Muench, M.D.
Telephone: 302-226-7577
Effective Date: 6/18/07