HIPAA PRIVACY
NOTICE OF PRIVACY PRACTICES 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. OUR COMMITMENT TO YOUR PRIVACY:
As a healthcare provider, Vibrancy, LLC uses your confidential health information and creates records regarding that health information in order to provide you with quality care and to comply with certain legal requirements. We understand that this health information is personal, and we are dedicated to maintaining your privacy rights under Federal and State law. This Notice applies to records of your care created or maintained by Vibrancy, LLC. We are required by law to: (1) make sure that your health information is kept private; (2) give you this Notice of our legal duties and privacy practices with respect to your health information; and (3) follow the terms of the Notice that are currently in effect.
HOW WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION WITHOUT YOUR AUTHORIZATION
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. In the event that you are facing a potential medical emergency, we will disclose your health information to the attending physician at the hospital where you will be treated.
*Reminders/Notifications. Our staff may use your health information to send you follow-up care, referral or appointment reminders. We may also send you information describing changes occurring at Vibrancy, LLC such as, address changes, new locations or changes in business hours.
*Payment. We may use and disclose your medical information for payment purposes. *Individuals Involved in Your Care or Payment for Your Care. Unless you object, we may disclose health information to a friend or family member who is involved in your medical care or who assists in taking care of you. We may also give information to someone who helps pay for your care. We may tell your family or friends your general condition and that you are in the hospital. In addition, we may disclose health information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location.
*Healthcare Operations. Your health information may be used as necessary to support the day-today activities and management of Vibrancy, LLC. For example, we may use health information to review our treatment and services and to evaluate the performance of our staff in caring for you. *We may also use health information to conduct training programs and get accreditation, certificates, licenses and credentials we need to serve you.
*Law Enforcement. Your health information may be disclosed to law enforcement agencies, to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government mandated reporting.
*Public Health Reporting. Your health information may be disclosed to public health agencies and other entities as required by law.
USES AND DISCLOSURES WHICH REQUIRE YOUR AUTHORIZATION
*Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION.
*Individual Rights. You have certain rights under the federal privacy standards. These include: the right to request restrictions on the use and disclosure of your protected health information, the right to receive confidential communication regarding your medical condition and treatment, the right to inspect and copy your protected health information, the right to amend protected health information, the right to an accounting of how and to whom your protected health information has been disclosed, and the right to receive a printed copy of this notice. *Our Duties. We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. We also are required to abide by the privacy policies and practices that are outlined in this notice.
*Requests to Inspect Protected Health Information. You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting the office manager. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request.
*Right to Revise Privacy Policies. As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain.
*Comments and Complaints. If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to this office at the address listed above. If you believe that your privacy rights have been violated, you should bring the matter to our attention by sending a letter describing the cause of your concern to the address listed above. You will not be penalized or otherwise retaliated against for filing a complaint.
FOR MORE INFORMATION. *If you want more information about our privacy practices, please feel free to write to the address shown at the beginning of this Notice. Effective Date: January 1, 2021. *
