Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed. It also describes how you can get access to this information. Please review it carefully.
In order to provide you care, Leanette Henagan (your "Provider") must collect, create, and maintain health information about you, which includes any individually identifiable information that we obtain from you or others that relates to your past, present, or future physical or mental health, the health care you have received, or payment for your health care. Your Provider is required by law to maintain the privacy of this information. This Notice of Privacy Practices (this "Notice") describes how your health information may be used and disclosed, and explains certain rights you have regarding this information. Your Provider is required by law to provide you with this Notice and will comply with the terms as stated.
How Provider Uses and Discloses Your Health Information
Your Provider protects your health information from inappropriate use and disclosure and will use and disclose your health information only for the purposes listed below:
- Uses and Disclosures for Treatment, Payment, and Health Care Operations
Your Provider may use and disclose your protected health information in order to provide your care or treatment, obtain payment for services provided to you, and conduct health care operations as detailed below.
a. Treatment and Care Management
We may use and disclose health information about you to facilitate treatment and coordinate or manage your care with other health care providers.
b. Payment
We may use and disclose health information about you for our own payment purposes and to assist in the payment activities of others.
- Uses and Disclosures for Other Purposes
Your Provider may also use or disclose your health information for the following additional purposes:
a. Law Enforcement Purposes
We may disclose your health information to a law enforcement agency to respond to a court order, warrant, summons, or similar process, to help identify or locate a suspect or missing person, or to provide information about a victim of a crime, death that may result from criminal activity, or criminal conduct on our premises. In emergency situations, we may report a crime, the location of the crime or victims, or the identity of the person who committed the crime.
b. Deceased Individuals
We may disclose your health information to a coroner, medical examiner, or funeral director as necessary and as authorized by law.
c. Organ or Tissue Donations
We may disclose your health information to organ procurement organizations and similar entities.
d. For Research
We may use or disclose your health information for research purposes, but only with the approval of our Institutional Review Board, which must follow a special approval process. When required, we will obtain written authorization from you prior to using your health information for research.
e. Health or Safety
We may use or disclose your health information to prevent or lessen a threat to your health or safety or that of the general public. We may also disclose your health information to public or private disaster relief organizations, such as the Red Cross, or for other bio-terrorism countermeasures.
f. Specialized Government Functions
We may disclose your health information for certain types of government activities. For example, if you are a member of the armed forces, we may disclose your information to appropriate military authorities. We may also disclose your information to federal officials for lawful intelligence or national security activities.
g. Workers' Compensation
We may use or disclose your health information as permitted by laws governing workers' compensation or similar programs that provide benefits for work-related injuries or illnesses.
h. Individuals Involved in Your Care
We may disclose your health information to a family member, other relative, or close personal friend assisting you in receiving health care services. If you are available, we will give you an opportunity to object to these disclosures. If you are not available, we will determine whether disclosing this information to your family or friends is in your best interest, based on our professional judgment.
i. Appointments, Information, and Services
We may contact you to provide appointment reminders or information about treatment alternatives or other health-related services that may be of interest to you.
j. Incidental Uses and Disclosures
Incidental uses and disclosures of your health information may occur and are not considered to be a violation of your rights. These are by-products of otherwise permitted uses or disclosures, limited in nature, and cannot reasonably be prevented.
k. Special Treatment of Certain Records
Certain health information, including HIV-related information, genetic information, mental health records, and alcohol or substance abuse records, may receive special confidentiality protections under state or federal law. Any disclosures of these types of records will comply with these additional protections.
- Obtaining Your Authorization for Other Uses and Disclosures
Certain uses and disclosures of your health information will require your written authorization, including but not limited to:
a. Uses or disclosures of psychotherapy notes (if applicable),
b. Uses for marketing purposes, and
c. Disclosures constituting a sale of health information under the Privacy Rule.
If you give us authorization for these purposes, you may revoke it at any time. We will no longer use or disclose your health information for the purpose you authorized, except to the extent we have already acted on your authorization.
Your Rights Regarding Your Health Information
You have the following rights regarding your health information:
- Right to Inspect or Get a Copy of Your Medical Record
You may request to inspect or receive a copy of your health information. If we deny your request, you have the right to have our denial reviewed, and we may charge a nominal fee for providing copies.
- Right to Request Changes to Your Medical Record
You may request changes to your health information if you believe it is incorrect or incomplete. We may not agree to make the changes you request, but we will inform you of how to object and have your objection included in your records.
- Right to an Accounting of Disclosures
You have the right to receive a list of all disclosures we have made of your health information, except for certain exempt disclosures. Your request should specify the time period covered (up to six years).
- Right to Request Restrictions
You may request restrictions on how we use and disclose your health information for treatment, payment, or health care operations. While we may not agree to all restrictions, we are required to comply with a request to restrict information shared with your health plan for services you have fully paid for.
- Right to Request Confidential Communications
You may request that we communicate with you in a specific way or at a different location. We will accommodate reasonable requests.
- Right to Receive Notification of Breach
You have the right to be notified if there is a breach of your unsecured health information that requires notification under the Privacy Rule.
- Right to Paper Copy of Notice
You have the right to receive a paper copy of this Notice of Privacy Practices at any time. To request any of the above, please contact your Provider.
Right to File Complaints
If you believe your privacy rights have been violated, you may file a complaint with your Provider or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
Changes to this Notice
Your Provider may change the terms of this Notice at any time. If the Notice is changed, the new terms will apply to all health information, whether created or received before or after the date the Notice is changed. Any updates to the Notice will be provided to you.