Effective date: January 22, 2024. 

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.    

 

Federal Regulations developed under the Health Insurance Portability and Accountability Act, as amended, (“HIPAA”) require that we provide you with this notice. 

 

Uses and Disclosures 

Treatment. Your protected health information, as defined under HIPAA (“PHI”) 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. For example, results of diagnostic tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members. 

 

Payment. Your PHI may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated. 

 

Health care operations.  Your PHI may be used as necessary to support the day-to-day activities and management of HLTHX. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality. 

 

Law enforcement. Your PHI 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. 

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Coroners, Medical Examiners, Funeral Directors, Organ Donation. We may disclose your PHI to a coroner or medical examiner as authorized by law. Your PHI may be disclosed to coroners and/or medical examiners for purposes of identification, determining cause of death, or other duties as required by law. We may also disclose your PHI to organizations that facilitate organ, eye or tissue procurement, banking or transplantation. 

 

Public health reporting. Your PHI may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department. 

 

Designated caregiver. Your PHI may be disclosed to a family member, relative, a friend or any other person you identify who is involved in your medical care or who helps pay for your care.  

 

Other uses and disclosures require your authorization. Disclosure of your PHI or its use for any purposes 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. 

Without your authorization, we are expressly prohibited to use or disclose your protected PHI for marketing purposes when financial remuneration is involved. We may not sell your protected PHI without your authorization. We may not use or disclose most psychotherapy notes contained in your protected PHI.  We will not use or disclose any of your protected PHI that contains genetic information that will be used for underwriting purposes. 

 
Additional Uses of Information 

Appointment reminders. Your PHI will be used by our staff to send you appointment reminders. 

Information about treatments. Your PHI may be used to send you information on the treatment and management of your medical condition that you may find interesting. 

We may also send you information describing other health-related products and services that we believe may interest you. 

Marketing. Unless you permit us to, there are some marketing activities for which we may not use your name and address, to provide you with information about services available at our practice. If you would like to receive marketing communication from our practice, please contact our Privacy Officer at Privacy@HLTHX.com. 

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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 communications concerning your medical condition and treatment 

• The right to inspect and copy your protected health information 

• The right to amend or submit corrections to your protected health information 

• The right to receive an accounting of how and to whom your protected health information has been disclosed 

• The right to receive a printed copy of this notice 

 

HLTHX 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 outlined in this notice. In the event of a breach of unsecured protected health information, if your information has been compromised it is our duty to notify you. 

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Right to Revise Privacy Practices 

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. 

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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 Privacy Officer. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request. 

 

Complaints 

If you would like to submit a comment or complaint about our privacy practices, you can do so by sending an email outlining your concerns to: 

• Privacy@hlthx.com 

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If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address. You will not be penalized or otherwise retaliated against for filing a complaint. 

 

Contact Person 

The name and address of the person you may contact for further information concerning our privacy practices is: 

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HLTHX MSO LLC 

C/O: Privacy Officer 

1000 Brickell Ave, Suite 715, PMB1266  

Miami, FL 33131-3047 

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For further information please visit the HHS website available at (as of December 11, 2023): 

https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html