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.
You have the right to:
You have some choices in the way that we use and share information as we:
We may use and share your information as we:
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or summary within 30 days of your request. A reasonable, cost-based fee may apply.
You may request correction of health information you believe is incorrect or incomplete. We may deny the request but will provide a written explanation within 60 days.
You can request contact through specific methods or addresses. We will agree to all reasonable requests.
You may ask us not to use or share certain health information. We are not required to agree unless you paid out-of-pocket in full and request restriction for insurance purposes.
You may request an accounting of disclosures for the past six years. One request per year is free; additional requests may incur a reasonable fee.
A person with medical power of attorney or legal guardianship may exercise your rights on your behalf. We will verify their authority before taking action.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you.
U.S. Department of Health and Human Services Office for Civil Rights
200 Independence Avenue, S.W., Washington, D.C. 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
We may share your information to:
We are legally required to maintain the privacy and security of your protected health information. We will notify you of any breach and follow all practices described in this notice.
For more information, visit: https://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
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Personal information is stored in secure environments and protected using encryption technologies such as SSL.
We may update this notice at any time. Updated versions will be available upon request, in our office, and on our website.
Effective Date: August 1, 2024
Phone: (940) 298-0440
Address: 3032 E. Hebron Pkwy, Suite 102, Carrollton, TX 75010
