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.
Our Responsibilities
We are required by law to:
- Maintain the privacy of your protected health information (PHI).
- Provide you with this Notice of Privacy Practices.
- Notify you if a breach of your unsecured PHI occurs.
- Follow the terms of this notice currently in effect.
How We May Use and Disclose Your Information
We may use and share your information in the following ways:
For Treatment
We may use your health information to provide, coordinate, or manage your healthcare and related services.
For Payment
We may use and share your information to bill and collect payment from you, your insurance company, or a third party.
For Healthcare Operations
We may use and share your information for clinic operations such as quality assessment, training, licensing, and business management.
As Permitted or Required by Law
We may disclose your health information:
- To public health authorities (disease control, reporting abuse/neglect).
- For law enforcement purposes.
- For health oversight activities (audits, inspections).
- To comply with court orders and subpoenas.
Your Rights
You have the right to:
- Access: Request to see or get a copy of your health record.
- Amend: Request corrections to your health information.
- Confidential Communications: Ask us to contact you in a specific way (e.g., home phone or email).
- Restrict: Request limitations on how we use or disclose your information.
- Accounting of Disclosures: Receive a list of certain disclosures we have made.
- Paper Copy: Request a paper copy of this notice at any time.
Your Choices
You may choose whether we share your information in situations such as:
- With family, friends, or others involved in your care.
- For fundraising or marketing communications.
Changes to This Notice
We may change this notice at any time. Updates will be posted on our website and available in our office.
Questions and Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact Information:
Jay Medical Clinic
14088 South Alabama Street
Jay, FL 32565
legal@jaymedical.com