Notice of Privacy Practices (HIPAA) for In Joy Healthcare, Inc.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and pro- vide a copy for you to read.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
- We never sell your personal information.
- Effective Date of this Notice is June 11, 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.
- Samadhi Artemisa, A.P. is the privacy official for In Joy Healthcare, Inc. and can be emailed at email@example.com or reached by phone at 407-252-1397.
You have the right to:
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.
Get an electronic or paper copy of your medical record
- 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 a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Request confidential communications
- You can ask us to contact you in a specific way, specifically phone, text, email or mail. We will say yes to all reasonable requests.
Ask us to correct your medical record
- You can ask us to correct health information about you that you think is incorrect or incomplete. We may say no to your request, but we’ll tell you why in writing within 60 days.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, pay- ment, or our operations. We are not required to agree to your request, and we may say no if it would affect your care.
Get a list of those with whom we’ve shared information
- You can ask for a list of the times we’ve shared your health information for six years prior to the date you ask, with whom we shared it with, and why.
- We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one list per year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Choose someone to act for you
- If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- We will make sure that named person has this authority and can act for you be- fore we take any action.
File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your rights by contacting Samadhi Artemisa, P. at 407-252-1397 or emailing firstname.lastname@example.org.
- You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/ privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
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 de- scribed below, 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:
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster relief situation
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.
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.
We can use your health information and share it with other professionals who are treating you.
For example: A doctor treating you for an injury asks about your acupuncture treatment with In Joy Healthcare.
Run our organization
We can use and share your health information to run our practice, improve your care, and contact you when necessary.
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:
- Preventing or controlling disease or injury
- Helping with product recalls and reporting adverse reactions to nutritional supplements
- Preventing or reducing a serious threat to anyone’s health or safety
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.
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 re- quests
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
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.
For more information see: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/