How We Use and Disclose Your Health Information

We use and disclose health information about you for treatment, payment, and healthcare operations. Here are examples of each category:

For Treatment

We use medical information about you to provide you with medical treatment or services. We disclose medical information to doctors, nurses, technicians, or other personnel who are involved in taking care of you.

For Payment

We use and disclose medical information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.

For Health Care Operations

We may use and disclose medical information about you for our healthcare operations. These activities include quality assessment, employee review, training programs, accreditation, certification, licensing, or credentialing activities.

Special Situations

We may also use or disclose your health information in the following situations:

Your Rights Regarding Medical Information About You

Right to Inspect and Copy

You have the right to inspect and copy medical information that may be used to make decisions about your care. To inspect and copy medical information, you must submit your request in writing. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, or other supplies associated with your request.

Right to Amend

If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our practice. Your request must be in writing and must provide a reason that supports the request.

Right to an Accounting of Disclosures

You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of medical information about you other than our own uses for treatment, payment, and health care operations.

Right to Request Restrictions

You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. We will not ask you the reason for your request and will accommodate all reasonable requests.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy.

Telehealth Services

For telehealth services, we may use and disclose your health information:

• Through secure video conferencing platforms
• Via encrypted messaging systems
• Through secure patient portals
• For electronic prescription transmission

Changes to This Notice

We reserve the right to change this notice and to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice at our facilities and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact our Privacy Officer using the information below. You will not be penalized for filing a complaint.