NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
INFORMATION. PLEASE REVIEW IT CAREFULLY.
Introduction
Healing Medical Group is committed to providing quality healthcare services and to
protecting the privacy of your medical information in accordance with applicable law. We
understand that your health information is highly personal, and we are committed to
safeguarding it. This Notice explains how we may use and disclose your Protected
Health Information (PHI), your rights regarding that information, and our legal duties.
Definitions
Protected Health Information (PHI): Information that identifies you (such as name,
address, Social Security number, etc.) and relates to your past, present, or future
physical or mental health condition; the provision of healthcare to you; or payment for
that healthcare.
Treatment: The provision, coordination, or management of healthcare and related
services, including consultations with other healthcare providers and referrals.
Payment: Activities undertaken to obtain reimbursement for healthcare services,
including insurance eligibility determinations, claims processing, billing, and collections.
Healthcare Operations: Business activities necessary to operate our practice,
including quality assessment, staff training, accreditation, licensing, and administrative
functions.
Uses and Disclosures of PHI
We may use or disclose your PHI as permitted, required, or authorized by law.
Treatment, Payment, and Healthcare Operations
We may use and disclose your PHI:
1. To provide, coordinate, or manage your healthcare and treatment.
2. To obtain payment for services rendered.3. To conduct healthcare operations necessary to run our practice.
Treatment
Our physicians, nurses, and other healthcare personnel may use and disclose your PHI
to provide care, order tests, prescribe medications, and communicate with pharmacies
and other healthcare providers involved in your treatment.
Payment
We may use your PHI to verify insurance coverage, submit claims, bill you or your
insurer, and collect payment from you or third parties, including government programs.
Healthcare Operations
We may use and disclose your PHI to support business activities such as quality
improvement, compliance, audits, and administrative planning.Appointments, Reminders, and Health-Related Communications
We may use your PHI to contact you with appointment reminders, information about
treatment alternatives, or other health-related benefits and services that may be of
interest to you.
Authorizations
Certain uses and disclosures of your PHI require your written authorization, including:
1. Most uses and disclosures of psychotherapy notes.
2. Uses and disclosures for marketing purposes.
3. Uses and disclosures involving the sale of PHI.
You may revoke an authorization at any time in writing, except to the extent we have
already relied on it.
Uses and Disclosures That Do Not Require Authorization
We may use or disclose your PHI without your authorization for purposes including, but
not limited to:
Public health activities.
Research (subject to legal requirements).
Treatment, payment, and healthcare operations. Business associate services performed on our behalf.
Providing you access to your PHI.
As otherwise permitted or required by the U.S. Department of Health and Human
Services.
Privacy of Communications and MarketingNo mobile information will be shared nor sold with third parties/affiliates for marketing/promotional purposes; we do not share any client data with third parties. Your personal information is kept confidential and is not disclosed to any outside organizations, except as required by law or with your explicit consent.
Opportunity to Agree or Object
In certain situations, we may ask for your verbal agreement or allow you the opportunity
to object before using or disclosing your PHI. If you are not present, are incapacitated,
or an emergency exists, we may use professional judgment to determine whether a
disclosure is in your best interest.
Friends and Family
With your permission, we may disclose PHI to family members, friends, or others
involved in your care. In emergencies or when you are not available, we may use
professional judgment consistent with applicable law.
Notification Purposes
We may use or disclose your PHI to notify or assist in notifying a family member,
personal representative, or another person responsible for your care.
Business Associates
We may disclose your PHI to business associates that perform services on our behalf
and require access to PHI to do so. Each business associate is required by contract to
protect the privacy and security of your PHI.
Uses and Disclosures Required or Permitted by Law
Required by Law We may use or disclose PHI as required by federal, state, or local law.
Public Health Activities
We may disclose PHI to public health authorities for activities such as disease
prevention, reporting abuse or neglect, FDA-related activities, and notifying persons at
risk of exposure to communicable diseases.
Law Enforcement
We may disclose PHI to law enforcement officials when required or permitted by law.
Decedents
We may disclose PHI to coroners, medical examiners, or funeral directors as authorized
by law.
Research
We may use or disclose PHI for research purposes when legal requirements are met,
including approval by an Institutional Review Board when required.
Threats to Health or Safety
We may disclose PHI to prevent or lessen a serious and imminent threat to the health or
safety of a person or the public.
Government Functions
We may disclose PHI for military, national security, protective services, correctional
institutions, and other government programs as permitted by law.
Workers’ Compensation
We may disclose PHI as authorized by workers’ compensation and similar laws.
Your Rights Regarding PHI
You have the following rights under federal law:
Right to Notice
You have the right to receive a copy of this Notice upon request.
Right to Request Restrictions
You may request restrictions on certain uses and disclosures of your PHI. We are not
required to agree to all requests, except where required by law, including restrictions for
services paid in full out-of-pocket.
Right to Confidential Communications
You may request that we communicate with you in a specific manner or at a specific
location. Requests must be made in writing and will be honored if reasonable.
Right to Access PHI
You may inspect and obtain a copy of your PHI, subject to certain legal limitations.
Requests must be made in writing.
Right to Amend PHI
You may request an amendment to your PHI if you believe it is incorrect or incomplete.
Requests must be made in writing and may be denied under certain circumstances.
Right to an Accounting of Disclosures
You may request an accounting of certain disclosures of your PHI made during a legally
defined period.
Our Duties
We are required by law to:
1. Maintain the privacy of your PHI.
2. Provide you with this Notice.
3. Follow the terms of the Notice currently in effect.
4. Notify you of material changes to this Notice.
We will not retaliate against you for filing a complaint regarding your privacy rights.
Text Messaging and Communication Consent
With your verbal consent, we may contact you via text message regarding updates,
including notifications from Healing Medical Group. Support representatives will ask
whether you wish to opt in using the following script:
“Would you like to receive text messages concerning updates, including notifications
from Healing Medical Group? Frequency may vary, and message and data rates may
apply. You can reply STOP to opt out at any time. For additional information, text HELP
or call 630-400-4194. You can also find our Privacy Policy and Terms of Service on our
website.”Consent is obtained verbally and documented in accordance with applicable law.
Questions, Requests, and Complaints
If you have questions, wish to exercise your rights, or believe your privacy rights have
been violated, please contact us:
Healing Medical Group
201 E. Ogden Ave, Suite 50
Hinsdale, IL 60521
Phone: (630) 400-4194
Fax: (863) 546-4016
You may also file a complaint with the U.S. Department of Health and Human Services.
Filing a complaint will not affect your care.
Revisions to This Notice
We reserve the right to revise this Notice at any time to comply with applicable laws,
including the HIPAA Privacy Rule. Any revised Notice will apply to all PHI we maintain
and will be made available to you.