HIPAA Notice of Privacy Practices
This Notice describes how your Protected Health Information (PHI) may be used and disclosed and how you can access this information. Please review it carefully.
1. Our Responsibilities
We are required by law to:
- Maintain the privacy of your PHI
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of this Notice currently in effect
2. How We May Use and Disclose Your PHI
We may use or share your PHI for the following purposes:
- Treatment: To provide, coordinate, or manage your healthcare (e.g., sharing with specialists).
- Payment: To bill and collect payment from you or your insurance provider.
- Healthcare Operations: For internal functions like quality improvement and training.
- As Required by Law: For law enforcement, court orders, or regulatory purposes.
- Public Health Activities: For disease prevention, reporting abuse, etc.
- With Your Authorization: For any use or disclosure not described in this Notice.
3. Your Rights
You have the right to:
- Request a copy of your health records
- Request corrections to your records
- Request a list of disclosures
- Request restrictions on how we use or share your PHI
- Choose how we contact you
- File a complaint if you believe your privacy rights have been violated
To exercise any of these rights, contact us at the information below.
4. Confidential Communications
You may request that we contact you at a specific address or phone number or use a specific method of communication.
5. Changes to This Notice
We reserve the right to update this Notice. Any changes will apply to all PHI we maintain and will be posted on our website and available upon request.
6. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
- Our Privacy Officer
- The U.S. Department of Health and Human Services
We will not retaliate against you for filing a complaint.
7. Contact Information
To learn more about this Notice or to contact our Privacy Officer:
Email: DrMichel@LKMWellness.com