Notice of Privacy Practices

Our Duty to You

ProHealth Clinic is required by law to maintain the privacy of your protected health information (“PHI”), to give you this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you if a breach affects your unsecured PHI.

How We Use & Share PHI

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

• Treatment. To provide, coordinate and manage your care, including sharing information with other doctors, specialists, pharmacies and laboratories involved in your care.
• Payment. To bill and receive payment from you, your insurance plan or another payer, including verifying eligibility and obtaining pre-authorizations.
• Health care operations. To run our clinic, improve quality, train staff and conduct audits.
• Appointment reminders. To contact you about appointments, test results and treatment options.
• As required by law. Including public health reporting, health oversight activities, judicial proceedings, law enforcement requests, and to avert a serious threat to health or safety.
• Family and caregivers. To share relevant information with people involved in your care, unless you object.

Uses Requiring Your Authorization

Most uses of psychotherapy notes, uses of PHI for marketing, and any sale of PHI require your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your Rights

• Get a copy of your records. You can ask to see or receive an electronic or paper copy of your medical record. Many records are available instantly in the Patient Portal.
• Request a correction. You can ask us to correct information you believe is incorrect or incomplete.
• Request confidential communications. You can ask us to contact you in a specific way or at a specific address.
• Request restrictions. You can ask us to limit what we use or share. If you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer.
• Get a list of disclosures. You can ask for an accounting of certain disclosures we made in the six years before your request.
• Get a copy of this notice. You can ask for a paper copy at any time, even if you agreed to receive it electronically.
• Choose someone to act for you. A medical power of attorney or legal guardian can exercise your rights.

Complaints

If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer using the contact details below, or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Changes to 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 on our website and at our front desks.