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HIPAA Privacy Notice

Restore in 24 – Notice of Privacy Practices

Effective 06/06/2010

This page outlines:

  • How your medical information may be used and/or disclosed.
  • How you can access your information.
    Please review this information carefully.

Entities Covered by This Notice
This notice applies to Restore in 24 and all members of our workforce who handle your medical information.

Your Protected Health Information (PHI)
At Restore in 24, we recognize that your medical information is personal, and we are committed to protecting it. We maintain records and conduct treatments with the goal of safeguarding your personal and medical information while delivering the highest standard of care. This notice applies to all medical records and care provided by Restore in 24.

Other healthcare providers (such as hospitals, physicians, etc.) may have their own policies regarding the use of your medical information. This notice only applies to the practices of Restore in 24.

Your protected health information (PHI) includes any personal information that can identify you and relates to your past, present, or future physical or mental health and related healthcare services.

Our Responsibilities
Restore in 24 is required by law to:

  • Keep your PHI private.
  • Provide you with this notice of our legal duties and privacy practices.
  • Follow the terms of this notice that are currently in effect.

Uses and Disclosures for Treatment, Payment, and Healthcare Operations
By becoming a patient of Restore in 24, you consent to our use of your PHI for treatment, payment, and healthcare operations. Examples include:

  • Using your medical history to diagnose and treat your current condition.
  • Sharing your PHI with other healthcare providers involved in your care.
  • Submitting your PHI to insurance companies for payment of services.
  • Using your PHI to improve the quality of care we provide.

Other Uses and Disclosures of PHI Without Authorization
In some cases, we may use or disclose your PHI without additional authorization, such as:

  • Appointment reminders.
  • Disclosure to family members or others involved in your care, as permitted.
  • Emergency situations where we are unable to get your consent.
  • When required by law (e.g., reporting communicable diseases, abuse, or neglect).
  • Health oversight activities (e.g., audits or investigations).
  • In legal situations (e.g., responding to subpoenas or court orders).
  • For public health purposes or FDA requirements.
  • For research purposes, when approved by a review board.
  • To comply with workers’ compensation laws.

Your Rights Regarding Your PHI

  • Right to Inspect and Copy: You have the right to access and obtain copies of your PHI. Requests must be in writing.
  • Right to Request Restrictions: You can request limitations on how we use or disclose your PHI, though we are not required to agree to all requests.
  • Right to Confidential Communications: You can request that we communicate with you through alternative means or at alternative locations.
  • Right to Amend: If you believe your PHI is incorrect, you may request an amendment.
  • Right to an Accounting of Disclosures: You have the right to request a list of disclosures of your PHI, excluding those made for treatment, payment, or healthcare operations.
  • Right to a Paper Copy of This Notice: You can request a paper copy of this notice at any time.

Changes to This Notice
We reserve the right to modify this notice at any time. Any changes will apply to all PHI we maintain and will be posted on our website.

Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Office Manager or with the Department of Health and Human Services. You will not be penalized for filing a complaint.

Contact Us
For questions or concerns about this notice, please contact our Office Manager at 678-905-6818 or info@restorein24.com.

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