Privacy Policy

Notice of Privacy Practices for Protected Health Information

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.

I. Legal Duty to Safeguard Your Protected Health Information (PHI): Protecting your PHI is paramount to us. PHI includes information that can identify you and relates to your health or healthcare services provided to you. As healthcare professionals covered under the federal “HIPAA” law we are required to give you this notice and to abide by its terms. (We reserve the right to change the terms of this notice, and if that happens we will provide you with an updated copy with the changes.)

II. Uses and Disclosures of PHI: Your PHI may be used for treatment, payment, and healthcare operations. We strive to limit disclosures to the minimum necessary without your written authorization, except where permitted or required by law.

A. Use and Disclosure for Purposes of Treatment, Payment, and Health Operations: We may disclose PHI for treatment purposes or to coordinate care with other healthcare providers. For payment and operations, disclosures may be made as necessary, including to health plans.

B. Situations Where Consent Is Not Required: Certain circumstances allow disclosure without your consent, such as for public health activities, law enforcement, and to prevent harm.

C. Certain Uses and Disclosures Require You to Have the Opportunity to Object: You may object to the disclosure of PHI to individuals involved in your care.

Special Notice Regarding Mobile and Text Messaging Information: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. Message and Data Rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP.

III. Your Individual Rights

A. The request restrictions on how we use and disclose your PHI, though we are not required to agree except in certain circumstances.

B. The Right to See and Get Copies of Your PHI: You have the right to access and obtain copies of your PHI, typically within 5 days of your request. We may charge a reasonable fee.

C. The Right to Choose How We Send Your PHI to You: You may request alternative methods for receiving your PHI.

D. The Right to Get a List of the Disclosures We Have Made: You can request an accounting of disclosures made, with some exceptions.

E. The Right to Amend Your PHI: If you believe your PHI is incorrect, you may request amendments, which we will consider within 60 days.

F. Right to Alternative Forms of Communication: You may request alternative methods of communication if disclosing information to you at your usual address could endanger you.

G. The Right to Get This Notice by Email: You can request to receive this notice via email.

IV. Right to Lodge A Complaint about Disclosure: If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.

V. Notification of Breaches: In the event of a breach of your PHI, we will notify you as required by law.

VI. PHI After Death: Your PHI is protected even after death, with limited exceptions for disclosures related to care or payment.

AS A PATIENT, YOU WILL BE PROVIDED A PRIVACY POLICY AGREEMENT AT YOUR PROVIDER VISIT. WITH A SIGNATURE, YOU AS THE PATIENT ARE INDICATING THAT YOU HAVE READ THIS NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION AND AGREE TO THE USES AND DISCLOSURES OF YOUR HEALTH INFORMATION DESCRIBED HEREIN.

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