Notice of Privacy Practices
Notice of Privacy Practices
Our Legal Duty
We are required by applicable federal and state law to maintain the privacy of your protected health information (PHI). We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your PHI. We must follow the privacy practices that are described in this Notice while it is in effect. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. In the event of a breach of unsecured PHI, we will notify you as required by law.
Uses and Disclosures of Health Information
We use and disclose health information about you for treatment, payment, and healthcare operations. For example:
- Treatment: We may use or disclose your PHI to a physician or other healthcare provider providing treatment to you. For example, we may send a biopsy specimen to an outside pathology lab for analysis.
- Payment: We may use and disclose your PHI to obtain payment for services we provide to you. For example, we may send claims to your health insurance plan.
- Healthcare Operations: We may use and disclose your PHI in connection with our healthcare operations, including quality assessment, training programs, and practice management.
Other Permitted and Required Uses and Disclosures
- To You and Family/Friends: We must disclose your PHI to you, as described in the Patient Rights section. We may disclose your PHI to a family member, friend, or other person to the extent necessary to help with your healthcare or with payment, but only if you agree that we may do so.
- Required by Law: We may use or disclose your PHI when we are required to do so by law.
- Public Health & Safety: We may disclose your PHI for public health activities, such as reporting disease outbreaks, or to prevent a serious threat to your health and safety or the health and safety of others.
- Law Enforcement & Legal Proceedings: We may disclose PHI in response to a court or administrative order, subpoena, discovery request, or other lawful process, under certain circumstances.
Your Health Information Rights
- Access: You have the right to look at or get copies of your PHI. You must make a request in writing to obtain access to your PHI. We may charge you a reasonable cost-based fee for expenses such as copies and staff time.
- Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your PHI. We are not required to agree to these additional restrictions, except if you request that we not disclose information to your health plan for services which you paid for completely out-of-pocket.
- Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. You must make your request in writing.
- Amendment: You have the right to request that we amend your PHI. Your request must be in writing, and it must explain why the information should be amended. We may deny your request under certain circumstances.
- Accounting of Disclosures: You have the right to receive a list of instances in which we or our business associates disclosed your PHI for purposes other than treatment, payment, healthcare operations, and certain other activities.
Questions and Complaints
We are committed to protecting your privacy. If you have questions, would like additional information, or believe your privacy rights have been violated, we encourage you to contact us immediately. You may file a complaint with our Privacy Officer using the contact information below, or submit a written complaint to the U.S. Department of Health and Human Services. We will not retaliate against you in any way for filing a complaint.
Contact Officer: Privacy Officer, AXIS Dermatology, LLC
Address: 6460 Spalding Dr, Ste A, Peachtree Corners, GA 30092
Email: hello@axisdermatology.com