1. Information We Collect
We may collect the following types of PHI, which may include, but is not limited to:
Patient Identifiable Information: This includes your name, date of birth, medical record number, and contact information.
Health Information: This may include medical history, diagnosis, treatment plans, test results, and other health-related information.
Billing Information: We may collect information related to billing and insurance, such as insurance provider details and billing records.
2. How We Use and Disclose PHI
We use and disclose PHI for the following purposes:
Treatment: We use your PHI to provide you with healthcare services and coordinate your care with other healthcare providers.
Payment: We use and disclose your PHI to bill for services and obtain payment from insurance providers.
Healthcare Operations: We may use PHI for healthcare operations such as quality improvement, audits, and compliance activities.
Required by Law: We may disclose your PHI as required by law, such as reporting certain diseases or complying with government agencies.
Authorization: We will obtain your written authorization before using or disclosing PHI for purposes other than those described in this policy.
3. Your Rights
You have certain rights regarding your PHI:
Access: You have the right to access your PHI and request copies of your medical records.
Amendment: You can request corrections or amendments to your PHI if you believe it is inaccurate.
Accounting of Disclosures: You have the right to receive a list of instances where your PHI was disclosed for purposes other than treatment, payment, and healthcare operations.
Restriction: You can request restrictions on how your PHI is used or disclosed.
We take measures to safeguard your PHI, including administrative, technical, and physical safeguards to protect against unauthorized access, disclosure, or alteration.
5. Complaints and Contact
If you believe your PHI privacy rights have been violated, you have the right to file a complaint. For more information or to report a concern, please contact: