Our Commitment to Your Privacy

1530 Medical Services is committed to protecting your health information. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices with respect to your PHI.

How We May Use and Disclose Your Health Information

For Treatment

We may use your health information to provide you with medical treatment or services. We may disclose your health information to doctors, nurses, technicians, or other personnel who are involved in taking care of you.

Example: A doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process.

For Payment

We may use and disclose your health information so that the treatment and services you receive may be billed and payment may be collected from you, an insurance company, or a third party.

Example: We may need to give your health plan information about surgery you received so your health plan will pay us or reimburse you for the surgery.

For Healthcare Operations

We may use and disclose your health information for healthcare operations. These uses and disclosures are necessary to run our practice and make sure that all of our patients receive quality care.

Special Situations

We may use or disclose your health information without your permission in the following situations:

• As Required by Law: We will disclose your health information when required to do so by federal, state, or local law.
• Public Health Activities: We may disclose your health information for public health activities such as preventing or controlling disease, injury, or disability.
• Health Oversight Activities: We may disclose your health information to a health oversight agency for activities authorized by law.
• Judicial and Administrative Proceedings: We may disclose your health information in response to a court or administrative order.
• Law Enforcement: We may disclose your health information for law enforcement purposes as required by law.

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and copy your health information. To inspect and copy your health information, you must submit your request in writing. We may charge a fee for the costs of copying, mailing, or other supplies associated with your request.

Right to Amend

If you feel that your health information is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our practice.

Right to an Accounting of Disclosures

You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of your health information for purposes other than treatment, payment, and healthcare operations.

Right to Request Restrictions

You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request.

Right to Request Confidential Communications

You have the right to request that we communicate with you about your health information in a certain way or at a certain location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.

Changes to This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact:

You will not be penalized for filing a complaint.

Contact Information

If you have any questions about this notice, please contact: