Notice of Privacy Practices

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

• Get an electronic or paper copy of your medical record
  You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.  This request must be in writing.
  We will provide a copy or a summary of your health information, usually within 30 days of your request. This service is free.

• Ask us to correct your medical record
  You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this. We may say “no” to your request, but we’ll tell you why in writing within 60 days.

• Request confidential communications
  You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests.

• Ask us to limit what we use or share
  You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
  If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

• Get a list of those with whom we’ve shared information
  You can ask for a list (accounting of disclosures) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
  We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free.

• Get a copy of this privacy notice
  You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

• Choose someone to act for you
  If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  We will make sure the person has this authority and can act for you before we take any action.

• File a complaint if you feel your rights are violated
  You can complain if you feel we have violated your rights by contacting us by phone at 859-341-4264 or in writing at 8001 Veterans Memorial Drive, Florence, KY 41042, Attn: HIPAA Privacy Officer
  You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
  We will not retaliate against you for filing a complaint.

• For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
  In these cases, you have both the right and choice to tell us to: share information with your family, close friends, or others involved in your care, share information in a disaster relief situation, include your information in a hospital directory.
  If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

• In these cases we never share your information unless you give us written permission: marketing purposes, sale of your information, most sharing of psychotherapy notes. We do not create or maintain psychotherapy notes at this practice. We never market or sell personal information.

• In the case of fundraising: We may contact you for fundraising efforts, but you can tell us not to contact you again.

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

• Treat you
  We can use your health information and share it with other professionals who are treating you. Example: A doctor treating you for an injury asks another doctor about your overall health condition.

• Run our organization
  We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.

• Bill for your services
  We can use and share your health information to bill and get payment from health plans or other entities.

• Help with public health and safety issues
  We can share health information about you for certain situations such as: preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, preventing or reducing a serious threat to anyone’s health or safety.

• Do research
  We can use or share your information for health research.

• Comply with the law
  We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

• Respond to organ and tissue donation requests
  We can share health information about you with organ procurement organizations.

• Work with a medical examiner or funeral director
  We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

• Address workers’ compensation, law enforcement, and other government requests
  We can use or share health information about you: For workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, for special government functions such as military, national security, and presidential protective services.

• Respond to lawsuits and legal actions
  We can share health information about you in response to a court or administrative order, or in response to a subpoena.

• Appointment reminders
  Your health information will be used by our staff to send you appointment reminders.

• Information about treatments
  Your health information may be used to send you information on the treatment and management of your medical condition that you may find interesting.  We may also send you information describing other health-related products and services that we believe may interest you.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

• We must follow the duties and privacy practices described in this notice and give you a copy of it.

• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

• Complaints may be submitted to the Privacy Officer in writing without fear of retaliation.

Contact Privacy Officer: Privacy Officer, 8001 Veterans Memorial Drive, Florence, KY 41042, privacy.officer@nkyhealth.org, 859-341-4264.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site www.nkyhealth.org.

6/20/2023

• Added Revision Log