Maintain the confidentiality of your health information;
Provide you with this notice of our legal duties and privacy practices;
Abide by the terms of the current notice; and
Notify you in case of a breach of your unsecured protected health information (PHI).
Treatment:
We use your health information to provide and coordinate care, including sharing it with other healthcare professionals involved in your treatment. For example:
Sharing reports with referring or consulting physicians;
Coordinating care with specialists or other healthcare facilities;
Communicating with family members or caregivers with your consent.
Payment:
We may use and disclose your information to obtain payment for services provided. This includes:
Submitting claims to insurance carriers or other payers;
Verifying coverage and obtaining prior authorizations for treatments; and
Responding to inquiries from insurance providers or billing entities.
Healthcare Operations:
Your information may be used for administrative purposes to ensure you and others receive quality care. Examples include:
Quality assessment and improvement activities;
Training of staff and compliance reviews; and
Business management and planning.
Appointment Reminders and Follow-Up:
We may contact you to remind you of upcoming appointments or provide information about treatment alternatives or other health-related benefits and services.
Public Health and Safety:
We may disclose your PHI as required by law for public health activities, including:
Reporting diseases or injuries;
Reporting abuse, neglect, or domestic violence; and
Preventing or controlling public health risks.
Legal Requirements
Your PHI may be disclosed to comply with legal processes, such as:
Court orders, subpoenas, or other legal mandates;
Cooperation with law enforcement investigations; and
Reporting deaths to coroners, medical examiners, or funeral directors.
Other Uses and Disclosures
We may use or disclose your PHI:
To military or national security authorities if applicable;
For worker's compensation claims;
For research, when approved by an institutional review board; and
To avert a serious threat to health or safety.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION:
You have the following rights regarding your PHI:
Access and Copies:
You have the right to review and obtain a copy of your health records, including electronic copies. Requests must be submitted in writing. Fees may apply for copying and delivery.
Amendments:
If you believe your records are incorrect or incomplete, you may request an amendment. Submit your request in writing, including a reason for the amendment. We may deny your request under certain circumstances.
Accounting of Disclosures:
You have the right to receive a list of certain disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations.
Restrictions:
You may request that we limit the use or disclosure of your PHI. While we are not required to agree to all requests, we will comply if legally required.
Confidential Communications:
You have the right to request that we communicate with you in a certain way (e.g., only by mail or at a specific phone number).
Paper Copy of Notice:
You may request a paper copy of this notice, even if you agreed to receive it electronically.
BREACH NOTIFICATION:
We are required to notify you if your PHI is accessed, used, or disclosed in a manner not permitted under HIPAA that compromises the security or privacy of your information.
CHANGES TO THIS NOTICE:
We reserve the right to modify this notice at any time. Changes will apply to all PHI we maintain, including information created or received before the changes. The revised notice will be available at our office and on our website.
COMPLAINTS:
If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Contact to File a Complaint:
Privacy Officer: Vihang Dave