HIPAA Notice of Privacy Practices

Last updated: [DATE]

Your Rights

You have the right to request restrictions on certain uses and disclosures of your protected health information. You also have the right to request to receive confidential communications from us by alternative means or at an alternative location.

How We May Use and Disclose Your Health Information

We may use your health information for treatment, payment, and healthcare operations. We may also use or disclose your health information for other purposes as permitted or required by law.

Treatment

We may use your health information to provide you with medical treatment or services. We may disclose your health information to doctors, nurses, technicians, or other personnel who are involved in taking care of you.

Payment

We may use and disclose your health information to obtain payment for the services we provide to you. This may include billing activities and collection of outstanding accounts.

Healthcare Operations

We may use and disclose your health information for healthcare operations including quality assessment and improvement activities, reviewing competence of healthcare professionals, and conducting training programs.

Your Rights Regarding Your Health Information

  • Right to inspect and copy your health information
  • Right to amend your health information
  • Right to an accounting of disclosures
  • Right to request restrictions
  • Right to request confidential communications
  • Right to a paper copy of this notice

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.

Contact Information

For more information about our privacy practices or to file a complaint, please contact us at [CONTACT_INFO].