This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Our responsibilities
- We are required by law to maintain the privacy and security of your protected health information (PHI).
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
How we may use and disclose your information
Treatment
We may use your information and share it with other professionals who are treating you, such as specialists, hospitals and laboratories.
Payment
We may use and share your information to bill and receive payment for services.
Healthcare operations
We may use and share your information to run our practice, improve your care and contact you when necessary.
Other permitted uses
We may also share your information when required or permitted by law, including for public health and safety, research, health oversight, law enforcement, legal proceedings, workers’ compensation, and to avoid a serious threat to health or safety.
Uses that require your written permission
We will not use or share your information for marketing, sell your information, or share most psychotherapy notes without your written authorization. You may revoke an authorization in writing at any time.
Your rights
- Get a copy of your records — electronic or paper, usually within 30 days of your request.
- Ask us to correct your records if you believe they are incorrect or incomplete.
- Request confidential communications — for example, contacting you at a different phone number or address.
- Ask us to limit what we use or share. If you pay for a service in full out of pocket, you can ask us not to share it with your health insurer.
- Get a list of those with whom we have shared information for up to six years prior to your request.
- Get a copy of this notice at any time, on paper or electronically.
- Choose someone to act for you, such as a healthcare power of attorney or legal guardian.
Complaints
If you believe your rights have been violated, you may contact us using the details below, or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or online at hhs.gov/ocr. We will not retaliate against you for filing a complaint.
Changes to this notice
We may change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, in our office and on this website.
Contact — Privacy Officer
Infinity Medical Concierge
7317 N. State Rd 7, Parkland, FL 33073
(609) 335-8574 · [email protected]