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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

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A Med Practice creates records about you and the care and services we provide. The information we collect, known as Protected Health Information (PHI), is kept secure and confidential. Federal and state laws require us to protect your PHI, to provide this Notice explaining our privacy practices, and to promptly notify you of any breach of unsecured PHI. When we use or disclose your PHI, we adhere to the terms of this Notice, which applies to all records we create, obtain, and/or maintain, whether electronic or paper, that contain your PHI.

 

OUR RESPONSIBILITIES

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This Notice takes effect January 13, 2016, and will remain active until updated. We are required to follow the privacy practices outlined in this Notice. If we modify this Notice, any new terms may apply to all PHI, including information we created or received prior to the update. You can access the latest Notice on our website or request a copy at any A Med Practice location or by calling 786-801-1168. We will also post any new Notice prominently in our facilities.

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HOW WE USE AND DISCLOSE YOUR PHI

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We may use and disclose your PHI without written authorization for the following purposes:

• For Treatment: To coordinate your care, share information with your healthcare providers, and manage appointments and preventive screenings.

• For Payment: To obtain payment from responsible third parties, such as health plans.

• For Health Care Operations: To manage our practice, provide customer service, ensure quality, and enhance programs and services.

• To Others Involved in Your Health Care: With your direction, we may share information with family members, close friends, or caregivers. In emergencies or if you’re incapacitated, we use our judgment to determine if disclosing PHI is in your best interests.

• Disclosures to Vendors and Accreditation Organizations: We may share PHI with service providers and accreditation organizations, ensuring they agree to protect its privacy.

• Health or Safety: To prevent or reduce a serious threat to your health or the public’s health or safety.

• Public Health and Health Oversight Activities: To report to health authorities or agencies and assist with product recalls or adverse medication reactions.

• Research: For research purposes as permitted by law.

• Where Required by Law: To comply with legal requirements, including court orders, law enforcement, public safety, and certain government functions.

• Organ Donation: When responding to requests for organ or tissue donation.

• Medical Examiner or Funeral Director: For necessary disclosures when an individual has passed.

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USES AND DISCLOSURES OF PHI THAT REQUIRE YOUR AUTHORIZATION

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Your written permission is required before using or disclosing your PHI for any purpose not described in this Notice. Examples include:

• For marketing purposes if we receive payment for promoting a third party’s products or services.

• For any activity involving the sale of PHI.

• For certain types of genetic information for underwriting purposes.

Specific types of PHI, including psychotherapy notes, mental health information, and details about HIV/AIDS, alcohol or drug treatment, and genetic testing, are subject to additional privacy protections under federal and state law. You may withdraw your authorization at any time in writing, though this will not affect actions taken before the withdrawal.

 

YOUR INDIVIDUAL RIGHTS

 

To exercise these rights, contact our Customer Service at 786-801-1168. You have the right to:

• Request limitations on how we use or share your PHI. While we are not obligated to agree, any accepted restriction will be binding.

• Inspect and obtain copies of your PHI in a readily producible format.

• Request confidential communications of PHI at an alternate location or through an alternative method.

• Request amendments to PHI you believe to be incorrect, which we may deny but will document in your record.

• Request an accounting of certain disclosures of your PHI over the past six years.

• Request a paper copy of this Notice.

• Receive notification if there is a breach of your information.

For questions or to file a complaint if you feel your privacy rights have been violated, contact our HIPAA Privacy Officer:

 

HIPAA PRIVACY OFFICER

A Med Practice

4055 NW 97th AVE, 1st Floor

Doral, FL 33178

786-801-1168

Monday-Friday, 8 a.m. to 6 p.m.

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Complaints can also be submitted to the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue SW, Washington, D.C., 20201, or online at http://www.hhs.gov/ocr/privacy/hipaa/complaints/.

No retaliatory action will be taken for filing a complaint.