This notice contains important information about our privacy practices which were revised pursuant to the Health Insurance Portability and Accountability Act of 1996 and related regulations. This notice describes how your Protected Health Information may be used and disclosed, and indicates how you get access to this information. Please review it carefully.
Contact Information
You can contact us anytime if you have questions or concerns. Our Privacy Officer is <name>. You may reach her at <phone number> or by email at<email>.
How We Use Your Information
We may use your PHI for treating you, getting paid, running our practice, and reminding you of appointments.For treatment, we may share information with doctors, labs, and specialists involved in your care. For payment, we may use your PHI to bill insurance and confirm your coverage. For healthcare operations, we may use it for quality improvement, training, or sharing with business associates under written agreements. We may also contact you to provide appointment reminders.
Other Required Disclosures
Sometimes we must share your PHI if required by law. These cases may include emergencies, public health reporting, abuse or neglect, lawsuits or legal proceedings, law enforcement requests, workers’ compensation, organ donation, government functions, or oversight agency reviews.
Family and Caregivers
We may share information with people involved in your care, unless you tell us not to. This applies when you agree, are present and do not object, or when we reasonably assume your consent. It may also apply in emergencies or if you are unable to communicate your wishes.
Your Rights
You have the right to limit or control how your PHI is used and shared. You may request restrictions on certain uses or disclosures of PHI, though we are not always required to agree. You may also request confidential communications by a preferred method or location. You have the right to inspect and receive copies of your records, subject to legal limits, and fees may apply. You may request amendments to your records, which we must respond to, even if we deny the request. You have the right to receive an accounting of certain disclosures made in the past six years. You may also request a paper copy of this notice at any time. Finally, you may file a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.
Changes to This Notice
We may update this notice as needed. Any updates will apply to all records we maintain, and you may request the most current version at your visits.
Authorization Required
For any other use of your PHI not described here, we will ask for your written permission. You may revoke your authorization at any time in writing.