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HIPPA Notice of Privacy Practices

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Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES

Effective Date: July 21, 2025

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 of your health information, to provide you with this Notice, and to abide by its terms. We may change the terms of our Notice at any time. A copy of the current Notice will be available upon request and on our website.

 

How We May Use and Disclose Health Information About You

The following categories describe different ways we may use and disclose your health information. Not every use or disclosure in a category will be listed.

  • For Treatment
    • We may use and share your health information to provide, coordinate, or manage your care and related services.
    • For example, we may share information with other health care providers involved in your treatment.
  • For Payment
    • We may use and share your health information to receive payment for the services we provide to you. As a cash-pay practice, this typically includes providing receipts or documentation you request for reimbursement.
  • For Health Care Operations
    • We may use and share your health information for our practice operations. These uses and disclosures are necessary to run our practice and to ensure you receive quality care.
    • Examples include quality assessment activities, training, and administrative purposes.
  • As Required by Law
    • We will disclose health information when required to do so by federal, state, or local law.
  • To Avert a Serious Threat to Health or Safety
    • We may use and share your health information when necessary to prevent a serious threat to your health and safety or the health and safety of others.
  • Public Health and Safety
    • We may disclose health information for public health activities, including to prevent or control disease, report adverse events, or notify people of recalls.
  • Health Oversight Activities
    • We may disclose health information to a health oversight agency for activities authorized by law, such as inspections and licensure.
  • Judicial and Administrative Proceedings
    • We may disclose your health information in response to a court or administrative order, subpoena, or other lawful process.
  • Law Enforcement
    • We may release health information if asked to do so by law enforcement officials in limited circumstances, such as to report a crime or locate a suspect.
  • Coroners, Medical Examiners, and Funeral Directors
    • We may share health information with a coroner, medical examiner, or funeral director as necessary.
  • Workers’ Compensation
    • We may disclose health information as authorized by and to the extent necessary to comply with workers’ compensation laws.
  • Research
    • We may use or share health information for research purposes in compliance with applicable laws and regulations.
  • Other Uses and Disclosures
    • Other uses and disclosures of your health information not covered by this Notice or permitted by laws will be made only with your written authorization. You may revoke that authorization in writing at any time.

 

Your Rights Regarding Your Health Information

You have the following rights regarding health information we maintain about you:

  • Right to Inspect and Copy:  You have the right to inspect and obtain a copy of your health records.
  • Right to Request an Amendment:  If you feel the health information we have is incorrect or incomplete, you may request an amendment.
  • Right to an Accounting of Disclosures:  You have the right to request a list of certain disclosures we have made of your health information.
  • Right to Request Restrictions:  You have the right to request a restriction or limitation on the health information we use or disclose for treatment, payment, or operations.
  • Right to Request Confidential Communications:  You have the right to request that we communicate with you in a certain way or at a certain location.
  • Right to a Paper Copy of This Notice:  You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

 

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services.

To file a complaint with us, contact:

  • Privacy Officer Chu Precision Health Center 200 Beaullieu Rd, Suite 3B Phone: 337-224-9077
  • You will not be penalized for filing a complaint.

 

Contact Information

If you have questions about this Notice or your rights, please contact:

  • Privacy Officer Chu Precision Health Center 200 Beaullieu Rd, Suite 3B Phone: 337-224-9077