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.

“We,” “us,” and “our” refers to, and this Notice applies to, medical groups that provide healthcare services and laboratories. These medical groups may employ or contract with physicians, allied health professionals, and mental health professionals who offer certain healthcare and/or mental health services.

 

1. Your Rights

You have the following rights regarding your protected health information (PHI). Please contact us by email to exercise these rights or ask questions.

• Request a copy of your records: You may request copies of your test results and other PHI collected during registration or testing.

• Request a correction: You may ask us to correct your health and claims records if you believe they are incomplete or inaccurate.

• Request confidential communications: You can request that we contact you in a specific way (for example, home or office phone) or send mail to a different address.

• Restriction request: We may decline such requests unless they involve disclosure to a health plan and you have paid for the services out of pocket.

• Provide access to a trusted party: A person with medical power of attorney or legal guardianship may exercise your rights and make decisions about your health information.

• Request a list of disclosures: You may request a written list of the times we shared your health information during the past six years, including who it was shared with and why.

• Request a copy of this notice: You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.

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2. Our Uses and Disclosures

The Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) govern how we use and protect your health data. We may use or share your information for the following purposes:

• Treatment: To help manage and coordinate the healthcare you receive from professionals.

• Payment: To process payment for your health services.

• Legal and safety compliance: To comply with federal or state laws, including disclosure to the Department of Health and Human Services for compliance checks.

• Lawsuits and legal actions: To respond to court orders, subpoenas, or other lawful requests.

• Research: To use or share your information for approved health research purposes.

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3. Our Responsibilities

• We are legally required to maintain the privacy and security of your PHI.

• We will promptly inform you if a breach occurs that may compromise your information.

• We must follow the duties and practices outlined in this notice and provide you with a copy.

• We will not use or share your information other than as described unless you provide written permission. You may revoke your permission at any time in writing.

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Changes to the Terms of This Notice

We reserve the right to change this notice at any time, and the revised version will apply to all information we maintain. The updated notice will be available on our website, upon request, or mailed to you directly.

For more information, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html