This Notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review carefully.
Our Responsibilities
Maintain the privacy of your protected health information (PHI)
Provide you with this Notice of our legal duties and privacy practices
Avid by the terms of this Notice currently in effect
Notify you following a breach of unsecured PHI as required by law
How We May Use and Disclose PHI
Treatment We may use and disclose PHI to provide, coordinate, or manage your healthcare and related services.
Payment We may use and disclose PHI to obtain payment for healthcare services, including billing and insurance claims.
Healthcare Operations We may use and disclose PHI for quality assessment, staff training, licensing, compliance, and other healthcare operations.
Appointment Reminder and Communications We may contact you with appointment reminders, care information, or service-related communications.
As Required by Law We may disclose PHI when required by federal, state, or local law, including public health reporting and law enforcement requests.
Business Associates We may share PHI with vendors or contractors who perform services on our behalf and are required to protect your information.
Uses Requiring Your Authorization
Other uses and disclosures not described above will generally require your written authorization. You may revoke an authorization in writing at any time, except to the extent action has already been taken.
Your Rights
You have the right to:
Access and obtain a copy of your PHI
Request amendments to your PHI
Request an accounting of certain disclosures
Request restrictions on certain uses or disclosures
Request confidential communications
Receive a paper copy of this Notice
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact
Questions or requests regarding this Notice should be directed to the contact information provided on our website.