HIPAA and Notice of Privacy Practices
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you are entitled to certain rights regarding your protected health information.
- You have the right to be informed of your provider(s) privacy practices.
- You have the right to access your protected health information.
- You have the right to authorize the use and disclosure of your protected health information that is not permitted by HIPAA to be used without your permission.
- You have the right to restrict use or disclosure of your protected health information.
- You have the right to direct your provider(s) to transmit protected health information directly to another person or entity.
- You have the right to confidentiality, regarding communications of your protected health information.
- You have the right to correct or complete any incorrect or missing protected health information.
- You have the right to obtain an accounting of any disclosures made to your protected health information from your provider(s).
- You have the right to file a complaint to your provider(s)/representative, the HHS Office for Civil Rights (OCR) should you believe that your HIPAA rights are being infringed upon.
- You have the right to a printed and/or digital copy of this Notice of Privacy Practices form upon your request.
The use of your protected health information can and will be used to:
- Conduct, plan and direct your course of treatment and follow up
- Obtain payment from third-party payers – including, but not limited to insurance carriers, employment companies, I.e., worker’s comp and claims’ administrators
- Conduct normal healthcare operations such as quality assessment and physician certifications
You understand that this business/organization retains the right to revise and update this notice from time to time, and that you may contact us at any time at the current address to obtain the most up to date copy of this Notice of Privacy Practices form.