Notice of Privacy Practices

Click here to download our Notice of Privacy Practices.

Your Information. Your Rights. Our Responsibilities.

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.

Summary

Your Rights


You have the right to:

Your Choices


You have some choices in the way that we use and share information as we:

Our Uses and Disclosures


We may use and share your information as we:

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

Ask us to correct your medical record

Request confidential communications

Ask us to limit what we use or share

Get a list of those with whom we’ve shared information

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.  A current copy of our Notice of Privacy Practices is available on our website.

Choose someone to act for you

File a complaint if you feel your rights are violated

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

We will not share your information for fundraising efforts or marketing purposes without your written consent, except for purposes consistent with state law, described in section “Marketing Uses of Your Information” of this notice (e.g. prescription drug discount program).  We will not sell your information.  We will not share any psychotherapy notes, unless required by law.


Our Uses and Disclosures

How do we typically use or share your health information?


We typically use or share your health information in the following ways:

Treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.


How else can we use or share your health information?


We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

We can share health information about you for certain situations such as:

Do research

We can use or share your information for health research.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.


State of Texas Privacy Notices

The Texas Medical Records Privacy Act and other state laws provide additional patient privacy protections.

Consumer Access to Electronic Health Records

If we are using an electronic health records system capable of fulfilling the request, we must, by the 15th business day after receiving a written request from you, provide your medical record in electronic form, unless you agree to accept the record in another form.  We are not required to provide access to protected health information that is legally excepted from access, or to which access may be denied under state or federal law (e.g. 45 C.F.R. Section 164.524).  At this time, we do not have a records system capable of providing an electronic copy of your medical record to you.

Marketing Uses of Your Information

We must obtain permission in writing from you to use or disclose your protected health information for any marketing purposes, unless the commutation is: face-to-face communication, a promotional gift of nominal value provided by us, necessary for administration of a patient assistance program or other prescription drug savings or discount program, or made at your oral request.

Sale of Protected Health Information

We will not sell your protected health information.  We may share your information with other “covered” health care and insurance entities for the purposes of treatment, payment, health care operations, or other disclosures allowable by law.

Electronic Disclosure of Protected Health Information

We will not electronically disclose your protected information unless you authorize each and every disclosure; however, we may electronically share your information with other “covered” health care and insurance entities for the purposes of treatment, payment, health care operations, or other disclosures allowable by law without your authorization.

Charges for Information

We may charge a reasonable fee for copying billing or medical records, and we are not required to disclose or copy the records until the fee is paid unless there is a medical emergency.

Where to Find Additional Information

For more information, visit The Attorney General of Texas Consumer Protection Division webpage for State and Federal Health Privacy Laws:  https://texasattorneygeneral.gov/cpd/state-and-federal-health-privacy-laws.


Changes to the Terms of this Notice

This notice is effective on September 26, 2016.  We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.