Effective Date: December 2024
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.
Your Rights
You have the right to:
- Get a copy of your health and claims records
- Correct your health and claims records
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we've shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Include you in a hospital directory
- Provide mental health care
- Market our services and sell your information
- Raise funds
Our Uses and Disclosures
We may use and share your information as we:
- Treat you - We can use your health information and share it with other professionals who are treating you.
- Run our organization - We can use and share your health information to run our practice, improve your care, and contact you when necessary.
- Bill for your services - We can use and share your health information to bill and get payment from health plans or other entities.
- Help with public health and safety issues - We can share health information about you for certain situations such as preventing disease, helping with product recalls, and reporting adverse reactions to medications.
Our Responsibilities
We are required by law to:
- Maintain the privacy and security of your health information
- Give you this notice of our legal duties and privacy practices
- Notify you if a breach occurs that may have compromised the privacy or security of your information
- Follow the terms of this notice
For More Information
If you have questions about this notice or your privacy rights, please contact us at:
Email: groupisab@gmail.com
Phone: (608) 239-1627 / (608) 335-6752
Changes to the Terms of This Notice
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 website.