Notice of Privacy Practices

1. Our responsibilities

Integrated Health Clinic is required by the Health Insurance Portability and Accountability Act (HIPAA) to maintain the privacy and security of your protected health information. We must give you this notice of our legal duties and privacy practices, follow the terms of the notice currently in effect, and tell you promptly if a breach occurs that may have compromised the privacy or security of your information.

Where Florida law gives your information greater protection than HIPAA, we follow the stricter rule.

2. How we may use and disclose your health information

We may use and disclose your information without your written authorization for the following purposes:

• Treatment. To provide, coordinate and manage your care, including sharing information with other providers, laboratories, pharmacies and specialists involved in your treatment.
• Payment. To bill and receive payment for services, including checking insurance eligibility and sending claims to Medicare, Medicaid or your health plan.
• Health care operations. For quality review, training, licensing, audits and the management of our practice.
• Appointment reminders and health-related communications. To contact you about appointments, treatment options and other services related to your care.
• Business associates. To companies that perform services for us, such as our electronic health record provider, CharmHealth, and our other service providers. We require them to protect your information as the law requires.
• As required by law and for public interest purposes. For example, public health reporting, reports of abuse or neglect, health oversight activities, court orders and other legal proceedings, law enforcement requests, workers' compensation, and to prevent a serious threat to health or safety.

Uses that require your written authorization. We obtain your written authorization before using or disclosing your information for marketing, before any sale of your information, and, in most cases, before disclosing psychotherapy notes. We will make any other use or disclosure not described in this notice only with your written authorization. You may revoke an authorization at any time in writing, except to the extent we have already acted on it.

3. Your rights

You have the right to:

• Access. Inspect and obtain a copy of your medical record, including an electronic copy.
• Amendment. Ask us to correct information that you believe is inaccurate or incomplete.
• Accounting of disclosures. Request a list of certain disclosures we have made of your information.
• Restrictions. Ask us to limit how we use or share your information. We are not required to agree, except that we must agree to a request not to disclose information to your health plan when you have paid for a service in full out of pocket.
• Confidential communications. Ask us to contact you in a particular way or at a particular location.
• A personal representative. Have someone act for you if that person has legal authority to do so.
• A copy of this notice. Receive a paper copy at any time, even if you agreed to receive it electronically.

To exercise any of these rights, contact us using the details at the end of this notice. We may ask you to make the request in writing.

4. Telehealth and electronic communications

Your care team communicates with you through the secure messaging in your patient account, by phone and during scheduled telehealth visits. Messages and attachments are stored in our secure systems and are visible only to you and your care team.

Email notices tell you that something is waiting in your account. They do not include the content of your messages. You must be physically located in a state where our provider is licensed during a telehealth visit.

5. Changes to this notice

We may change this notice and make the new terms effective for all information we keep. The current notice is available on our website, and you may ask for a copy at any time.

6. Questions and complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact details below, or with the U.S. Department of Health and Human Services, Office for Civil Rights (200 Independence Avenue S.W., Washington, D.C. 20201; 1-877-696-6775; www.hhs.gov/ocr/privacy/hipaa/complaints). We will not retaliate against you for filing a complaint.

7. How to contact us

For questions about this notice, to exercise your rights, or to file a complaint with us, please contact our privacy contact:

Integrated Health Clinic, +1 786 291 1273 · [email protected] · Fax +1 (305) 402-0852