Notice of Privacy Practices (HIPAA)
Effective Date: January 1, 2024
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.
Your health record contains personal information about you and your health. This information may identify you and relates to your past, present, or future physical or mental health condition and related health care services. This information is referred to as Protected Health Information (PHI). This Notice of Privacy Practices describes how we may use and disclose your PHI in accordance with applicable law, including the Health Insurance Portability and Accountability Act (HIPAA), and your rights regarding how you may gain access to and control your PHI.
Uses and Disclosures of Protected Health Information
We may use and disclose your PHI for treatment, payment, and health care operations purposes with your consent.
Examples include:
- Treatment: Sharing information with other health care providers involved in your care.
- Payment: Submitting claims to your insurance provider.
- Operations: Administrative functions such as scheduling and billing.
Other Uses and Disclosures Without Consent
We may also use or disclose information without your consent in certain situations including:
- Required by law
- Public health concerns
- Judicial or administrative proceedings
- To prevent serious threats to health or safety
Your Rights Regarding Your PHI
- You have the right to request restrictions on uses/disclosures.
- You have the right to receive confidential communications.
- You have the right to inspect and copy your health record.
- You have the right to request amendments to your health record.
- You have the right to receive an accounting of disclosures.
Complaints
If you believe your privacy rights have been violated, you can file a complaint with our office or with the Secretary of Health and Human Services. You will not be penalized for filing a complaint.
Contact Information
If you have questions about this Notice or wish to file a complaint, please contact us.