Easycare Heath and Wellness Clinic understands your privacy is important. This Notice clarifies how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your rights to control your protected health information. Protected health information (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present, or future health condition or payment.

 

Understanding Your Health Record/Information

Each time you visit a hospital, physician, or another healthcare provider, a record of your visit is made. Generally, this record contains personal demographic information, your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:

• The basis for planning your care and treatment;

• Means of communication among health professionals who contribute to your care;

• Legal document describing the care you received;

• Means by which you or a third-party payer can verify that services billed were provided;

• A tool for educating health professionals;

• A source of data for medical research;

• A source of information for public health officials charged with improving the health of the nation;

• A source of data for facility planning and marketing; and

• A means with which we can assess and continually strive to improve the care we provide

Your Health Information Rights:

 

Although your health record is the physical property of the healthcare provider that assembled it, the information belongs to you. You have the right to:

• Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522. However, we are not required to agree to the restriction;

• Inspect and copy your health record as provided for in 45 CFR 164.524 and Florida law. Usually, this includes medical and billing records but does not include psychotherapy notes. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, or other supplies associated with your request.

• Amend your health record as provided in 45 CFR 164.526. To request an amendment, your request must be in writing and must provide a reason that supports your request. We may deny your request if you ask to amend information that:

  • Was not created by us;

  • Is not part of the medical information kept by FMC;

  • Is not part of the information which you would be permitted to inspect or copy; or

  • Is accurate or complete.

• Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528. To request this list or accounting of disclosures, your request must be in writing and must state the time which may not be longer than six years and may not include dates before April 13, 2003.

• Request communications of your health information by alternative means or at alternative locations;

• Receive confidential communications of protected health information as provided in 45CFR 164.522 (b), as applicable;

• Revoke your authorization to use or disclose health information except to the extent that action has already been taken.

• Restrict the release of protected health information to your health plan if you are paying out of pocket in full. 45 CFR 164.522(a)(1)(vi).

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Our Responsibilities:

Easycare Clinic is required to:

• Maintain the privacy of your health information;

• Provide you with a notice as to our legal duties and privacy practices concerning information we collect and maintain about you;

• Abide by the terms of this notice;

• Notify you if we are unable to approve a requested restriction;

• Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.

• Notify affected individuals following a breach of unsecured protected health information in writing.

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information change significantly, we will post the new notice in each location as well as on our Web site: https://www.easycareclinicniceville.com

You may also request a copy of our notice at any time.

 

For More Information or to Report a Problem

If you have questions and would like additional information, you may contact Easycare or visit our location.

If you believe your privacy rights have been violated, please let us know so we can help resolve any discrepancies. 

 

Examples of Disclosures for Treatment, Payment, and Health Care Operations

We will use your health information for treatment. An example would be information obtained by a nurse, physician, or other members of your healthcare team that is recorded and used to determine the best treatment for you. We may also disclose medical information about you to people outside Easycare Clinic who may be involved in your medical care, such as hospitals, long-term care facilities, ambulatory surgery centers, or home health agencies.

We will also provide a referring physician or a subsequent healthcare provider with copies of various reports that should assist him/her in treating you.

We will use your health information for regular healthcare operations. For example, in day-to-day business practices, your information may be used for analysis and for training purposes. Certain data elements are entered into our computer system that processes most billing, schedules your appointments, and for statistical reporting. As part of our improvement efforts to provide the most effective services, your record may be reviewed by professional staff to assure accuracy, completeness, and organization.

 

Other Uses or Disclosures

Business Associates: There are some services provided in our organization through contracts with business associates. Examples include using an outside transcription service to type physicians’ dictated notes or a copy service we may use when making copies of your health record. When these services are contracted, we may share your health information with our business associates so that they can perform the task needed. To ensure your health information is protected, we require the business associate to agree in writing to appropriately safeguard your information.

Communication with Family: Health professionals, using their best judgment, may disclose to a family member, another relative, close personal friend, or designated representative to communicate health information relevant to that person’s involvement in your care or payment related to your care.

Research: We may disclose information to researchers when their research has been approved by an Institutional Review Board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.

Coroners, Medical Examiners, and Funeral Directors: We may disclose health information to a coroner or medical examiner. This may be essential, for example, to identify a deceased person or determine the cause of death. We may also disclose medical details about patients to funeral directors consistent with applicable law to carry out their tasks.

Organ Procurement Organizations: If you are an organ donor, we may disclose health information to organ procurement organizations or other entities responsible for the procurement, banking, or transplantation of organs for tissue donation and transplant.

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Marketing: We may contact you to provide appointment reminders or details about treatment alternatives or other health-related benefits and services that may be helpful to you.

Fundraising: We will not use or disclose PHI for fundraising purposes.

Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events concerning food, supplements, product and product defects, or post-marketing surveillance information to enable product recalls, repairs, or replacement.

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Workers Compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers' compensation or other related programs established by law. These programs provide benefits for work-related injuries or illnesses.

Public Health: As required by law, we may disclose your health information to public health or legal authorities for public health activities. These activities generally include the following:

• To prevent or control disease, injury, or disability;

• To report births or deaths;

• To report reactions to medications or concerns with products;

• To notify people of recalls of products of use;

• To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;

• To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. We will only make this disclosure when you agree or when required or authorized by law.

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Correctional Institution: If you are in a correctional institution or under the custody of a law enforcement official, we may disclose to the institution or agents thereof, health information necessary for your health, and the health and safety of other individuals.

Law Enforcement: We may disclose health information for law enforcement purposes as required by law:

• In response to a court order, valid subpoena, warrant, summons, or similar process;

• To identify or locate a suspect, fugitive, material witness, or missing person;

  • About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;

• About a death we believe may be the result of criminal conduct;

• About criminal conduct at the Clinic; and

• In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description, or location of the person who committed the crime.

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Disaster Relief: We may disclose your PHI to disaster relief organizations that seek your PHI to coordinate your care, or inform family or friends of your location or condition in a disaster. We will provide you with an opportunity to agree or object to such a disclosure whenever we can do so.

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Health Oversight Agency: Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority, or attorney, provided that a workforce member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards.

We will not use or disclose your health information without your authorization, except as described in this notice.

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Other Uses and Disclosures of Your Information

We are required to receive your permission to use or disclose your PHI for any use other than treatment, payment, or health care operations, and those specific circumstances outlined above. We use an Authorization to Use/Disclose form that specifically states what information will be given to whom, for what purpose, and is signed by you or your legal representative. You can revoke the signed authorization at any time by a written statement given to us to that effect.

The following uses and disclosures of your Protected Health Information will be made only with your written authorization:

• Uses and disclosures of PHI for marketing purposes;

  • Disclosures that constitute a sale of your Protected Health

  • Psychotherapy notes if maintained by the provider

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This Notice of Privacy Practices is effective April 10, 2019, and revised on March 30, 2022.

Contact Us

To ask questions or comment about this privacy policy and our privacy practices, contact us at:

Easycare

fnpandassociates@gmail.com