Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Our Uses and Disclosures
We typically use your health information in the following ways:
- Treatment We can use your health information and share it with other professionals who are treating you. Example: A doctor treating you for an injury asks another doctor about your overall health condition.
- Run our organization We can use and share your health information to run our practice, improve your care, and contact you when Example: We use health information about you to manage your treatment and services.
- Bill for your services We can use and share your health information to bill and get payment from health plans or other Example: We give information about you to your health plan so it will pay for your services.
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective service
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do
- We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
- You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
- We may say “no” to your but we’ll tell you why in writing within 60 days.
- You can ask us to contact you in a specific way about your medical information (for example, home or office phone) or to send your medical information to a different
- We will say, “yes” to all reasonable
- You can ask us not to use or share certain health information for payment. or our operations. We are not required to agree to your request. and we may say “no” if it would affect your care.
- If you pay for a service or healthcare item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that
- You can ask for a list of the times we’ve shared or disclosed your health information, for up to six years prior to the date your ask, who we shared it with and why.
- We will include all the disclosures except for those about payment. and healthcare operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
- You can also file a complaint with the S. Department of Health and Human Services’ Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201. by calling 877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/
- We will not retaliate against you for filing a complaint
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster relief situation
- Include your information in a hospital directory
- Marketing purposes
- Sale of your protected health information
- Most sharing of psychotherapy notes
- We may contact you for fundraising efforts, but you can tell us not to contact you We will honor your request to not contact you again.
- California. The California Privacy Rights Act of 2020 (CPRA), and California Consumer Privacy Act (CCPA), which grants California residents the right to access, delete, correct, and opt out of the sale or sharing of their personal information, as well as the right to limit the use of their sensitive personal information and the right to non-discrimination for exercising their privacy rights.
- Colorado. The Colorado Privacy Act (CPA), which grants Colorado residents the right to access, delete, correct, and opt out of the processing of their personal information for targeted advertising, sale, or certain other purposes, as well as the right to data portability and the right to non-discrimination for exercising their privacy rights.
- The Connecticut Data Privacy Act (CDPA), which grants Connecticut residents the right to access, delete, correct, and opt out of the sale or sharing of their personal information, as well as the right to data portability and the right to non-discrimination for exercising their privacy rights.
- The Utah Consumer Privacy Act (UCPA), which grants Utah residents the right to access, delete, correct, and opt out of the processing of their personal information for targeted advertising, sale, or certain other purposes, as well as the right to data portability and the right to non-discrimination for exercising their privacy rights.
- The Virginia Consumer Data Protection Act (VCDPA), which grants Virginia residents the right to access, delete, correct, and opt out of the processing of their personal information for targeted advertising, sale, or profiling, as well as the right to data portability and the right to non-discrimination for exercising their privacy rights.
- Our company is fully committed to complying with the laws of Oregon. This includes the Oregon Consumer Privacy Act effective July 2024, which grants consumers the right to access, correct, delete, opt out of processing for profiling/targeted advertising purposes, right to portability, to opt-out of sales, opt in for sensitive data processing and right against automated decision making.
- Our company is fully committed to complying with the laws of Texas. This includes the Texas Data Privacy and Security Act effective July 2024, which grants consumers the right to access, correct, delete, opt out of processing for profiling/targeted advertising purposes, right to portability, to opt-out of sales, opt in for sensitive data processing and right against automated decision making.
- We are required by law to maintain the privacy and security of your protected health
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your