NOTICE FOR PRIVACY PRACTICES
We are committed to protecting your privacy. When required by law, we:
• Maintain the privacy of protected health information (PHI).
• Provide notice of our legal duties and privacy practices.
• Notify affected individuals following a breach of unsecured PHI.
This notice explains how we may use and disclose your medical information, your rights, and our legal obligations. If you have any questions about this notice, please contact us.
YOUR RIGHTS
You have the right to:
• Access Your Records – Get a copy of your paper or electronic medical record. We will respond within 30 days of your request. A reasonable, cost-based fee may apply.
• Request Confidential Communication – You may request that we contact you in a specific way or location. We will honor all reasonable requests.
• Request Restrictions – You may ask us not to use or share your information for treatment, payment, or operations. We will comply unless otherwise required by law.
• Appoint a Representative – If someone has medical power of attorney or is your legal guardian, that person can exercise your rights and choices.
YOUR CHOICES
For certain health information, you have the right to make decisions about how we share it. You may tell us whether to share with your family, friends, or others involved in your care. We will follow your preferences to the extent we are able.
OUR USES AND DISCLOSURES
We may use and share your health information in the following ways:
• Treatment- Share with other professionals involved in your care
• Operations – Improve our services and manage our practice
We may not use your information for:
• Marketing purposes
• Selling your information without your explicit written permission.
ADDITIONAL DISCLOSURES WE MAY MAKE (WHEN REQUIRED OR PERMITTED BY LAW)
• Public health and safety (e.g., disease control, abuse reporting).
• Health research.
• Organ and tissue donation.
• Medical examiners or funeral directors.
• Workers’ compensation, law enforcement, and government agencies.
• Legal proceedings (e.g., lawsuits, subpoenas).
OUR RESPONSIBILITIES
• We maintain the privacy and security of your health information.
• We will notify you promptly in the event of a privacy breach.
• We are required to follow the terms outlined in this notice.
• We will not use or share your information outside what’s listed here without your written permission. You may revoke that permission in writing at any time.
CHANGES TO THIS NOTICE
We may change the terms of this notice at any time. Changes will apply to all your information. The latest version will be: available upon request, posted in our office, and published on our website.