Your Health Information Rights
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. Federal law requires us to protect your health information.
Protected Health Information (PHI)
What is PHI: Protected Health Information includes any individually identifiable health information we collect, maintain, or transmit about you, including:
- Medical history and treatment information
- Consultation notes and treatment plans
- Payment and billing information
- Contact information when connected to health services
- Photos and documentation related to treatments
How We May Use and Disclose Your Health Information
Treatment: We use your health information to provide, coordinate, and manage your healthcare and related services, including consultations between healthcare providers involved in your care.
Payment: We use and disclose your health information to obtain payment for services we provide, including billing, claims processing, and collection activities.
Healthcare Operations: We may use and disclose your health information for quality assessment, staff training, licensing, and other business operations necessary to run our practice.
Special Situations Requiring Disclosure
Required by Law: We may disclose your health information when required by federal, state, or local law.
Public Health Activities: We may disclose health information for public health activities, such as disease prevention or reporting adverse events.
Health Oversight Activities: We may disclose health information to health oversight agencies for licensing, auditing, and inspection purposes.
Legal Proceedings: We may disclose health information in response to court orders, subpoenas, or other legal processes.
Your Rights Regarding Your Health Information
Right to Inspect and Copy: You have the right to inspect and receive a copy of your health information. Requests must be made in writing.
Right to Amend: You may request amendments to your health information if you believe it is incorrect or incomplete.
Right to an Accounting: You have the right to receive an accounting of disclosures of your health information made for purposes other than treatment, payment, or operations.
Right to Request Restrictions: You may request restrictions on how we use or disclose your health information, though we are not required to agree to all requests.
Right to Confidential Communications: You have the right to request that we communicate with you about your health information in a particular way or at a certain location.
Uses and Disclosures Requiring Authorization
We will not use or disclose your health information for purposes other than treatment, payment, or operations without your written authorization, except as described in this notice.
Marketing: Most marketing communications require your written authorization.
Testimonials and Photos: Use of your information or photos for testimonials or marketing requires specific written consent.
Revocation: You may revoke any authorization in writing at any time, except to the extent we have already acted based on your authorization.
How We Protect Your Information
Physical Safeguards: Locked filing cabinets, restricted access areas, and secure disposal of records.
Technical Safeguards: Encrypted data transmission, secure computer systems, and access controls.
Administrative Safeguards: Staff training, access authorization procedures, and security incident response protocols.
Minimum Necessary: We limit the use and disclosure of your health information to the minimum necessary to accomplish the intended purpose.
Complaints and Contact Information
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services.
No Retaliation: We will not retaliate against you for filing a complaint.
Privacy Officer Contact:
Phone: (980) 266-0115
Address: 9856 Rea Rd G, Charlotte, NC 28277
Changes to This Notice
We reserve the right to change the terms of this notice and to make new provisions effective for all protected health information we maintain. If we make material changes, we will provide you with a revised notice.