1. How We May Use or Share Your Health Information

2. Situations Where We Cannot Use or Share Your Health Information

3. Your Rights Regarding Your Health Information

• Right to Request Special Privacy Protections

• Right to Request Confidential Communications

• Right to Inspect and Copy

• Right to Amend or Supplement

• Right to an Accounting of Disclosures

• Right to a Copy of this Notice

4. Changes to this Notice

5. How to File a Complaint

A. How We May Use or Share Your Health Information

We collect and store your health information in your medical record, which belongs to our practice. However, the information within the record belongs to you. We may use or share your information in the following ways:

• Treatment: We may use your health information to provide medical care, sharing it with others involved in your treatment, such as doctors, pharmacists, or laboratories.

• Payment: We may share your information with your health plan to receive payment for services or to assist other providers in securing payment for their services.

• Health Care Operations: We may use your information to ensure the quality of our care, assess staff performance, or manage administrative duties. We may share information with "business associates" who provide services to us. These associates must protect your privacy.

• Appointment Reminders: We may contact you to remind you of upcoming appointments.

• Family Communication: We may share information with your family or others involved in your care, particularly in emergency situations.

• Public Health & Safety: We may disclose information for public health purposes, such as reporting diseases or adverse reactions to medications.

• Legal Requirements: We may be required by law to share your information in response to legal proceedings or law enforcement requests.

B. When We Cannot Use or Share Your Health Information

We will not use or share your information for purposes not described in this notice without your written authorization. You can revoke such authorization at any time.

C. Your Rights Regarding Your Health Information

You have the following rights:

Request Special Privacy Protections: You can request limitations on how we use or share your information.

Request Confidential Communications: You can ask to receive information at a specific location or in a certain way (e.g., via email).

Inspect and Copy: You have the right to access and obtain a copy of your health records.

Request Amendments: You can request changes to your records if you believe they are inaccurate or incomplete.

Request an Accounting of Disclosures: You have the right to know how your information has been shared.

Receive a Copy of This Notice: You can request a paper or electronic copy of this privacy notice.

Changes to This Notice: We reserve the right to change this privacy policy, and any changes will apply to all information we maintain. We will provide an updated notice upon request.