Notice of Privacy Practices

This notice explains the ways in which your medical information may be utilized and shared, and how you can access this information. Please review it attentively.

Quick Overview

Your Rights:

You have the following rights:

1. Obtain an electronic or paper copy of your medical record.

2. Request corrections to your medical record.

3. Opt for confidential communications.

4. Request limitations on the information we use or share.

5. Obtain a list of individuals with whom your information has been shared.

6. Receive a copy of this privacy notice.

7. Designate a representative.

8. File a complaint if you believe your privacy rights have been infringed.

Your Choices:

You have options in how we use and disclose information about you in various scenarios, such as informing family and friends about your condition or participating in disaster relief efforts.

Our Uses and Disclosures:

We may use and disclose your information for treatment, organizational operations, billing, public health matters, research, legal compliance, and other purposes outlined in this notice.

A Closer Look at Your Rights:

Regarding your health information, you possess certain entitlements:

1. The right to access your medical record in electronic or paper format.

2. The right to request corrections to your medical record.

3. The right to opt for specific communication methods.

4. The right to request limitations on the use or sharing of your information.

5. The right to receive an accounting of disclosures.

6. The right to obtain a copy of this privacy notice.

7. The right to designate a representative.

8. The right to file a complaint if your rights are violated.

Your Choices:

You can specify your preferences for sharing health information in certain situations. If you're unable to express your preferences, we may share information if we believe it's in your best interest or necessary to mitigate a serious threat to health or safety. Additionally, we require your written permission to share information for marketing purposes, sale of information, or most disclosures of psychotherapy notes.

Our Uses and Disclosures:

We primarily utilize or disclose your health information for treatment, organizational operations, and billing purposes. We may also share information for public health, research, legal compliance, organ donation, medical examinations, workers' compensation, law enforcement, government requests, and responses to legal actions.

Our Commitments:

We are mandated by law to uphold the privacy and security of your protected health information. We will promptly inform you of any breaches that may jeopardize your information's privacy or security. Additionally, we will adhere to the duties and privacy practices outlined in this notice and provide you with a copy. We will not use or share your information beyond what is described here unless you provide written consent. You have the option to revoke this consent at any time by informing us in writing.

For further information, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to this Notice:

We reserve the right to modify the terms of this notice, with the changes applicable to all information we hold about you. The updated notice will be available upon request, in our office, and on our website.