We’re committed to protecting your health information. This notice describes the ways in which we use and disclose information about you. It will also explain your rights to get access to your health information and the legal obligations we have regarding its control, protection, use and disclosure in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

We are required by law to:

• Maintain the privacy and security of your information
• Use your information for treatment, research, improvement of quality and patient care, share it with other healthcare professionals that are treating you, and bill for services
• Comply with law enforcement and government agencies including workers compensation and the public health department as required by state and federal laws
• Notify you in the event of a data breach

We will not:

• Sell your personal information for marketing purposes
• Voluntarily disclose any information without a signed release from you

When it comes to your health information, you have certain rights.

Your rights:

• Copies of your records within 30-days of making such request. Records are subject to our Medical Record Charges as determined by state law
• Ask us to correct health information about you. You will receive an answer to your request within 60 days
• Request confidential communications
• Ask us to limit what we share
• Ask us for a list of how your health information has been disclosed
• Receive a paper copy of this notice
• Choose someone to act on your behalf (durable power of attorney, legal guardian, etc.)
• File a complaint if you feel your rights are violated (we will not retaliate against you for filing a complaint)

Any use or disclosure of your protected health information (PHI) that is not mentioned in this notice will be made only with your written authorization. We will request that you sign a separate form entitled “Privacy Policy/ Benefits Assignment/Release of Information” acknowledging that you have read a copy of this notice. The acknowledgment will be filed with your records.

For questions regarding this policy, please contact Michele Bradice, Health Information Manager, at mbradice@physiciansfootcare.com