HIPAA Privacy Notice for Guadalupe Clinica del Laser

Effective Date:08/01/2024

This notice describes how medical information about you may be used and disclosed by Guadalupe Clinica del Laser and how you can get access to this information. Please review it carefully.

Guadalupe Clinica del Laser ("we," "us," or "our") is committed to protecting the privacy of your health information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This notice explains your rights and our legal duties regarding your protected health information (PHI).

1. Understanding Your Health Information

When you visit Guadalupe Clinica del Laser, we collect and maintain medical information about you to provide you with the best possible care. This information is called "protected health information" (PHI) and includes your medical history, treatments, billing details, and any other data relevant to your care.

2. How We May Use and Disclose Your Health Information

Your PHI may be used and disclosed for the following purposes:

Treatment: We may use your PHI to provide medical treatment or services. For example, our staff may share information about your treatment to ensure comprehensive care.

Payment: We may use your PHI to bill and collect payment from insurance companies, you, or third parties for services rendered.

Healthcare Operations: We may use your PHI for our operations, such as quality assessments, employee training, and auditing purposes.

Required by Law: We may disclose your PHI when required to do so by federal, state, or local law, such as in response to a court order or subpoena.

Public Health and Safety: We may disclose your PHI for public health activities, such as reporting communicable diseases, or if necessary to prevent a serious threat to your health or safety.

3. Your Rights Regarding Your Health Information

As a patient of Guadalupe Clinica del Laser, you have the following rights regarding your PHI:

Right to Access: You have the right to inspect and obtain a copy of your medical records, subject to certain restrictions. Requests must be submitted in writing to our office.

Right to Amend: If you believe your PHI is incorrect or incomplete, you have the right to request an amendment. We may deny your request in certain circumstances.

Right to Confidential Communications: You have the right to request that we communicate with you in a specific way or at a specific location (e.g., sending mail to your office instead of your home).

Right to Request Restrictions: You may request restrictions on the use or disclosure of your PHI for treatment, payment, or healthcare operations. We are not required to agree to all requested restrictions, but we will comply with any restrictions we do agree to.

Right to an Accounting of Disclosures: You have the right to request a list of disclosures of your PHI that were made for purposes other than treatment, payment, healthcare operations, or other authorized disclosures.

Right to a Paper Copy of This Notice: You have the right to request a paper copy of this notice, even if you agreed to receive it electronically.

4. Our Duties

We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices. We are also required to notify you if there is ever a breach of your unsecured PHI.

Guadalupe Clinica del Laser reserves the right to change the terms of this notice at any time. Any changes will apply to all PHI we maintain, and the updated notice will be posted on our website at www.clinicadellaser.com and made available in our office.

5. Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. To file a complaint with us, please contact:

Privacy Officer

Guadalupe Clinica del Laser

18220 Midway Rd, Suite 10

Dallas, TX 75287

Email:[email protected]

Phone: 469-940-4315

We will not retaliate against you for filing a complaint.

6. Contact Us

If you have any questions about this notice, your privacy rights, or our privacy practices, please contact us at:

Guadalupe Clinica del Laser

18220 Midway Rd, Suite 10

Dallas, TX 75287

Website:clinicadellaser.com

Email:[email protected]

Phone: 469-940-4315