HIPPA Privacy Policy

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.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that requires all medical records and other individually identifiable health information used or disclosed by us, whether electronically, on paper, or orally, to be kept confidential. This Act provides you, the patient, with important rights to understand and control how your health information is used. HIPAA also establishes penalties for covered entities that misuse Protected Health Information (PHI).

This Notice of Privacy Practices explains how we may use and disclose your Protected Health Information (PHI) for treatment, payment, or health care operations (TPO) and for other purposes as required by law. It also details your rights regarding your PHI. Protected Health Information is any information about you, including demographic data, that can identify you and relates to your past, present, or future physical or mental health condition and health care services.

Uses and Disclosures of Protected Health Information

Your Protected Health Information may be used and disclosed by your physician, our staff, and others outside our office involved in your care and treatment, as necessary for the following purposes:

Treatment

We will use and disclose your PHI to provide, coordinate, or manage your health care and any related services. This may involve sharing your PHI with third parties involved in your care, such as specialists or labs. For example, your PHI may be provided to another physician for consultation or referral purposes.

Payment

Your PHI will be used as needed to obtain payment for health care services. For instance, we may share relevant PHI with your insurance company to get approval for services like hospital stays or other treatments.

Healthcare Operations

We may use or disclose your PHI to support the daily operations of our practice, including activities such as quality assessments, employee reviews, or business management activities. For example, we may use a sign-in sheet at the front desk or call your name in the waiting room. We may also contact you to remind you of appointments via phone, voicemail, or mail. If you prefer that we contact you in a specific way, please inform us.

Other Permitted and Required Uses and Disclosures

We may use or disclose your PHI in certain situations without your authorization, such as:

  • As Required by Law

  • Public Health Activities (reporting communicable diseases)

  • Health Oversight Activities

  • Abuse or Neglect Reporting

  • Legal Proceedings

  • Law Enforcement

  • Coroners, Funeral Directors, and Organ Donation

  • Research

  • Criminal Activity and National Security

  • Workers’ Compensation

We are required by law to disclose PHI to you and, upon request, to the Secretary of the U.S. Department of Health and Human Services to ensure compliance with HIPAA.

Other uses and disclosures will only be made with your written consent or authorization, unless required by law. You may revoke your authorization at any time in writing, except to the extent we have already relied on it.

Your Rights Regarding Your Protected Health Information

Inspect and Copy

You have the right to inspect and obtain a copy of your PHI. However, certain records, such as psychotherapy notes or information compiled for legal proceedings, may not be available for inspection.

Request Restrictions

You have the right to request that we restrict the use or disclosure of your PHI for treatment, payment, or healthcare operations. You may also request that your PHI not be disclosed to family members or friends involved in your care. We are not required to agree to your requested restrictions but will comply if we believe it is in your best interest. You may then seek another healthcare provider if you disagree.

Confidential Communications

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

Amend Your Information

If you believe the PHI we have about you is incorrect or incomplete, you have the right to request an amendment. We may deny your request under certain circumstances, but you have the right to submit a statement of disagreement if we do.

Accounting of Disclosures

You have the right to request an accounting of certain disclosures of your PHI that we have made.

Paper Copy of this Notice

You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

Changes to This Notice

We reserve the right to change the terms of this Notice and will provide a copy of any revised notice. You then have the right to object or withdraw any consent provided under this Notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or directly with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact Information:

Four Family LLC
4410 Claiborne Sq, Suite 334
Hampton, Virginia 23666
Phone: 757- 786- 5144