Hear Better, Live Better!
Copyright © Hearing Zone, 2011.
All rights reserved.
Dr. Alan Young Au.D.
Doctor Young is a licensed Doctor of Audiology practicing in Salt Lake City. He earned his Associates Degree from Dixie State University, and his Bachelor Degree at Southern Utah University. He received his Masters Degree from the University of Utah in 1996, and in 2004 he completed a Doctor of Audiology Degree from the Arizona School of Health Sciences.
Dr. Young works with Dr, John Aoki, Ear, Nose and Throat Specialist at Granger Medical Clinic in West Valley. He also works with Dr. Peter Ventura at ENT Surgical Specialists where he sees patients in Tooele. Dr. Young is the staff audiologist for Foothill Family Clinic.
Dr. Young originally opened The Hearing Zone in the Cottonwood Mall. When the mall was torn down, he moved his practice to the current location on 9th East. His philosophy is about taking care of
patients, giving exceptional service and offering the best quality hearing aids. He is very pocket-book conscious, and with each hearing aid he offers life-time follow-up care. He understands hearing loss and the challenges people face when trying to find a trustworthy professional. He has 20 years experience dealing with difficult and challenging hearing losses.
Dr. Young and his wife Teresa live in Herriman. They have five children. His oldest daughter is married and lives in Boise, Idaho.
Salt Lake Hearing Zone’s
Notice of Privacy Practices
January 21, 2016
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.
Hearing Zone’s Privacy Practices
Salt Lake Hearing Zone (the “Clinic”) desires to protect
your privacy and the confidentiality of your medical and health
information. This Notice describes the
privacy practices of the Clinic. The
Clinic refers to its doctors and employees.
“Affiliated Providers” are doctors and other health care practitioners
who are not employed by the Clinic, but are either authorized to provide
services to patients or have a contractual relationship with the Clinic.
The Clinic maintains the privacy of medical and health
information about you as required by law.
The law refers to your medical and health information about you as
“Protected Health Information” (“PHI”).
One requirement of the law is to give you this Notice to describe the
way we may use and disclose your PHI.
Disclosures of PHI Permitted by Law
The law permits us to use your PHI for treating you, billing
for our services provided to you and for health care operations necessary to
operate our clinics. Some health records, including confidential communications
with mental health professionals, substance abuse treatment records, and
genetic test results, may have additional restrictions for use and disclosure
under state and federal laws. We may use
and/or disclose your PHI for the following purposes:
To provide treatment and other services to you. For example, diagnosing and treating your
injury or illness, sending you appointment reminders or information about
treatment alternatives or other health-related benefits, and services that may
be of interest to you.
To obtain payment for services provided to you. For example, disclosures
to submit claims to and obtain payment from your health insurer.
Health Care Operations. To conduct health
care operations. For example, to conduct the business of and evaluate the
quality of treatment and services provided by our physicians, nurses, and other
health care workers.
Individuals Involved in Your Care or Payment for
Your Care. To a family member, a close personal friend, or any other
person identified by you if we obtain your consent. Please let us know if you would like to allow
someone access to your PHI and we will provide you with the appropriate consent
form to sign.
Records to Schools. If a state or
other law requires a school to have immunization records on a student before
the student can be enrolled, we can disclose the student’s immunization records
to the school with a parent’s consent.
We can obtain a parent’s consent over the phone or in writing.
Health Care Communications. To identify
health-related services and products that may be beneficial to you, and then
contact you about the services and products.
Public Health Activities. To report: (a) health
information to public health authorities for the purpose of preventing or
controlling disease, injury, or disability; (b) child, adult, or elder abuse
and neglect, domestic violence, to public health authorities, government authorities,
or other services authorized by law to receive such reports; (c) information
about products under the jurisdiction of the U.S. Food and Drug Administration;
(d) communicable disease risks to a person who may have been exposed or be at
risk of contracting or spreading a disease or condition; and (e) information to
your employer as required under laws addressing work-related illnesses and
injuries or workplace medical surveillance.
Health Oversight Activities. To a health
oversight agency that oversees the health care system and ensures compliance
with the rules of government health programs, such as Medicare or Medicaid.
Judicial and Administrative Proceedings. In the
course of a judicial or administrative proceeding in response to a legal order
or other lawful process.
Threat to Health and Safety. To reduce or
prevent a serious threat to public health and safety.
Law Enforcement Officials; Specialized Government
Functions. To: (a) the police or other law enforcement officials as
required by law or in compliance with a court order; (b) military authorities
for the personal and health information of armed forces personnel under certain
circumstances; or (c) authorized federal officials for personal and health
information required for lawful intelligence, counterintelligence, and other
national security activities.
Decedents. To a coroner, medical examiner, or
funeral director as authorized by law.
We may also disclose a deceased patient’s PHI to close family members of
the deceased if the disclosure is related to the treatment immediately prior to
death or for payment purposes, and the disclosure is not inconsistent with any
prior restriction requested by you.
Organ and Tissue Procurement. To organizations
that facilitate organ, eye, or tissue procurement, banking, or transplantation.
Workers’ Compensation. To comply with workers’
Uses and Disclosures with
The Clinic cannot use your PHI for anything other than the
reasons mentioned above, without your signed “Authorization.” An Authorization is a written document signed
by you that permits the Clinic to use your PHI for a specific purpose. You may
revoke your Authorization by delivering a written revocation statement to the
Clinic. If you revoke your Authorization, the Clinic will no longer use or
disclose your PHI as permitted by your Authorization. Of course, your
revocation of Authorization will not reverse the use or disclosure of your PHI
while your Authorization was in effect, nor will it disallow us from use or
disclosure of your information as described in item III above. The following uses and disclosures of your
PHI will be made only with your written authorization:
1. Most uses and disclosures of
2. Uses and disclosures for marketing
3. Uses and disclosures that may
constitute the sale of PHI; and
4. Other uses and disclosures not
described in this Notice.
Right to Receive Paper
Copy of This Notice. Upon request, you may obtain a paper copy of this
Notice, even if you agreed to receive such notice electronically. We will make
this Notice available at our reception desk and will post the Notice in our
Right to Access Your
Protected Health Information. You may request access to our records that we
use for decision-making purposes about you that contain your PHI. You may request access in order to inspect
and ask for copies of the records. You may request an electronic copy of your
PHI if it is maintained in an electronic format. Under limited circumstances, we may deny you
access to a portion of your records. If your request is denied, you will
receive a written response and may request that the denial be reviewed. If you
desire access to your records, please ask the receptionist for the appropriate
documentation. If you request copies of your records, we are allowed to charge
a fee for the costs of copying, mailing, or other services associated with your
request. Determination of the fee will be made at the time your request is
processed. A period of time may be necessary to complete your request.
Right to Request Amendment to Your Records.
You have the right to request an amendment to your PHI that we created and used
for decision-making purposes. If you desire to amend your records, please ask
the receptionist for the appropriate documentation. We will comply with your
request unless we believe that the information that would be amended is
accurate and complete or other circumstances apply. In such cases, we are not
required to grant your request.
Right to Receive
Confidential Communications. You may request, and we will accommodate, any
reasonable written request for you to receive PHI by alternative means of
communication, or at alternative locations such as by mail to an address other
than your home.
Right to Request
Additional Restrictions. You may submit a written request for restrictions
on our use and disclosure of PHI: (1) for treatment, payment, and health care
operations; (2) to individuals (such as a family member, other relative, close
personal friend, or any other person identified by you) involved with your care
or with payment related to your care; or (3) to notify or assist in the
notification of such individuals regarding your location and general condition.
We will consider all requests for additional restrictions carefully but are not
required to agree to a requested restriction. To request additional
restrictions, please ask the receptionist for the appropriate documentation.
Right to Request Restriction on Uses and Disclosures Related to
Treatment/Services Paid for by You Out-of-Pocket. If you paid in full for a specific treatment,
item or service out-of-pocket, you have the right to ask that your PHI related
to that specific treatment, item or service not be disclosed to a health plan
for purposes of payment or health care operations, and we will honor your
Right to Receive an
Accounting of Disclosures. You may request in writing an accounting of
certain disclosures of PHI made by us or by our business associates. Your
request must state the period of time desired for the accounting, which must be
within the six (6) years prior to the date of your request and exclude dates
prior to April 14, 2003. If you desire to receive an accounting of disclosures,
please ask the receptionist for the appropriate documentation. We may charge a
fee based on the cost of fulfilling your request. You will be notified of the
fee at the time of your request and will be given the opportunity to withdraw
or modify your request.
Right to Receive a Notice of Breach of Your PHI. In the rare event that the security of your
PHI is compromised or “breached,” we will notify you of the breach, provide you
with information regarding the breach and what steps you can take to protect
yourself from harm.
Right to Opt
Out of Fundraising Communications.
In the rare event that we contact you to solicit funds for the Clinic,
you have the right to opt out of receiving any such communications. We will notify you of our intent to
distribute any fundraising communications prior to their distribution to
provide you with the opportunity to opt out.
Right to Complain About
our Policy Practices. Please contact us if you desire further information
about your privacy rights, are concerned that your privacy rights have been
violated, or disagree with a decision that we made about access to your PHI. You
may also file written complaints with the Director of the Office of Civil
Rights of the U.S. Department of Health and Human Services. Be assured that no
retaliation or diminution of service will result if you file a complaint with
the Director or the Clinic.
Effective Date and Duration
of This Notice
Effective Date. This
Notice describes privacy policies of the Clinic that will become effective on January
21, 2016. For services prior to that date, the Clinic will continue to protect
your PHI appropriately.
Right to Change Terms of
This Notice. We may change this Notice at any time. If we do, the new
Notice may apply to any information (including PHI) created or received prior
to issuing the new Notice.
If you have any questions regarding
this Notice or would like additional information on the uses and disclosures of
your PHI, please contact Lisa Hammel at the address, phone number, fax number and/or email below:
Salt Lake Hearing Zone
5642 S. 900
City, UT 84121