Effective Date: August 26, 2025
This Notice explains how we may use and share your medical information and how you can access it. Please review it carefully.
- 1. Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information (PHI).
- We must provide you with this Notice and follow the practices described here.
- We will notify you if a breach occurs that may have compromised the privacy or security of your information.
- 2. How We May Use and Share Your Information
- Treatment – To provide, coordinate, or manage your care. Example: Sharing information with a physician or specialist involved in your care.
- Payment – To bill and collect payment for services. Example: Providing necessary information to your insurance company or a financing company.
- Healthcare Operations – For internal business purposes such as quality improvement, staff training, licensing, and appointment reminders.
- As Required by Law – We may disclose information to public health authorities, law enforcement, oversight agencies, courts, and other entities when required.
- For any other use or disclosure, we will obtain your written authorization. You may revoke that authorization at any time in writing.
- 3. Your Rights
- Access – You have the right to access your health information and request a copy.
- Corrections – You may request corrections to your records if you believe they are incorrect or incomplete.
- Confidential Communications – You may request communications by alternative means (for example, at a different phone number or mailing address).
- Restrictions – You may request restrictions on certain disclosures (though we are not always required to agree).
- Accounting – You may request an accounting of certain disclosures of your information.
- Copies – You have the right to receive a paper or electronic copy of this Notice at any time.
- 4. Changes to This Notice
- We may update this Notice at any time. Updates will be posted on our website, and you may request a printed copy.
- The revised Notice will apply to all health information we maintain.
- 5. Complaints
- If you believe your privacy rights have been violated, you may file a complaint with:
- Injection Site – HIPAA Compliance Officer
- Phone: (310) 272-7700
- Email: info@injection-site.com
- Or with the U.S. Department of Health & Human Services (HHS).
- You will not be retaliated against for filing a complaint.