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Effective Date: 03/26/2024
This Notice of Privacy Practices is provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA). It describes how we may use and disclose your protected health information (PHI) in accordance with all applicable law. It also describes your rights regarding how you may gain access to and control your PHI. We are required by law to maintain the privacy of PHI and to provide you with this notice of our legal duties and privacy practices with respect to your PHI.
How We May Use and Disclose Health Information About You
- For Treatment: We may use and disclose your health information to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your health care with a third party, consultation with another health care provider, or referral to another health care provider.
- For Payment: We may use and disclose health information about your treatment and services to bill and collect payment from health plans or other entities.
- For Health Care Operations: We may use and disclose health information about you for operational purposes. These uses and disclosures are necessary to run our practice and ensure that all our patients receive quality care.
- Appointment Reminders: We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care with us.
- Treatment Alternatives: We may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
- Health-Related Benefits and Services: We may use and disclose your health information to tell you about health-related benefits, services, or medical education classes that may be of interest to you.
Your Rights Regarding Your PHI
You have the following rights regarding the PHI we maintain about you:
- Right to Inspect and Copy: You have the right to inspect and copy PHI that may be used to make decisions about your care.
- Right to Amend: If you feel that the PHI we have is incorrect or incomplete, you may ask us to amend the information.
- Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your PHI we have made.
- Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or health care operations.
- Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
- Right to a Paper Copy of This Notice: You are entitled to receive a paper copy of our notice of privacy practices.
Changes to This Notice
We reserve the right to change this notice and make the new notice apply to PHI we already have as well as any information we receive in the future. We will post a current copy of the notice in our office and on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact our Privacy Officer using the contact information below. You will not be penalized for filing a complaint.
Contact Information
For more information about our privacy practices, or to file a complaint, please contact us at:
Privacy Officer: Andres Valentin
Address: 685 W lumsden rd Brandon, FL 33511
Phone: 813-335-6791
Email: support@hlthi.llife