NOTICE OF PRIVACY PRACTICES
This Notice of Privacy Practices (“Notice”) describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The Notice is being provided to you on behalf of Tighten & Tone and her staff (hereinafter “Tighten & Tone” or “we”).
Tighten & Tone is committed to protecting the confidentiality of your health information. Tighten & Tone is required by law to maintain the privacy of your Protected Health Information (commonly called “PHI” or health information), including PHI in electronic format. Tighten & Tone is also required to notify you of its legal duties and privacy practices regarding your health information and abide by the practices of this Notice, unless more protective laws or regulations apply. This Notice provides detailed information about how Tighten & Tone may use and disclose your health information with or without authorization, and concerning specific rights with respect to your health information.
We reserve the right to change the terms of our Notice at any time. New Notice provisions will be effective for all protected health information that we maintain.
USES AND DISCLOSURES APMD MAY MAKE WITHOUT YOUR AUTHORIZATION
- Your information may be used to contact you to remind you about appointments, provide test results, treatment options, or advise you about other health-related services.
- Your information may be shared with any healthcare provider who is providing you with healthcare services. This may include your doctor, surgeon, pharmacist, nurse, and other providers such as physical therapists, home health providers and x-ray technicians. We may share your information electronically with your healthcare providers in order to make sure they have your information expediently.
- We may share your health information with any family member or friend who is involved in assisting with your healthcare. We will only do this if you agree or do not object, and only to the extent necessary. If you are unable to either agree or object to such a disclosure, we may disclose your healthcare information as necessary based on our professional judgment.
- In order to obtain payment for your healthcare services, we may have to provide your health information to the party responsible for paying. This may include Medicare, Medicaid, a state-run health program such as Medi-Cal, or your insurance company. Your insurance company or health plan may need your information for activities such as determining your eligibility for coverage or reviewing the medical necessity of the healthcare service. We may share your PHI with third parties who perform services such as transcription or billing. In those cases, we have written agreements with the third parties that they will not use or disclose your health information except if permitted by law.
- We may share your information for internal clinical oversight, most notable quality assessments, peer or employee review, training of medical personnel, licensure and accreditation, data aggregation and audits by regulatory agencies.
- We may use or disclose your health information when required by law, most notably in response to a subpoena, court order, administrative order, or other valid legal process. If this happens, we will comply with the law and will only disclose the information necessary.
- We may disclose your health information to a public health authority for public health activities. Public health activities include, but are not limited to, preventing or controlling disease, injury, disability, and responding to reports of abuse, neglect or domestic violence, as well as product defects or problems, biologic product deviations, or for product recalls, repairs or replacements.
- We may disclose your health information to health oversight agencies for oversight activities authorized by law, such as audits, investigations, and inspections. Health oversight agencies include government agencies that oversee the healthcare system, government benefit programs, government regulatory programs and civil rights.
- We may use or disclose your health information if we believe in good faith that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health and safety of a person or of the public.
- We may disclose your health information to a coroner or medical examiner for identification purposes, determining cause of death or other legally required duties. We may disclose your health information to a funeral director in order to permit him/her to perform his/her duties. We may disclose your information to facilitate an organ, eye or tissue donation.
- We may disclose your health information to researchers, provided that the research has been approved by an institutional review board and/or a privacy board, and the research protocols have been approved to ensure your privacy.
- We may use or disclose your health information as necessary to comply with workers’ compensation laws and other similar legally established programs.
USES & DISCLOSURES OF YOUR HEALTH INFORMATION THAT MAY BE MADE WITH YOUR WRITTEN AUTHORIZATION
- We may use your in health information in marketing activities.
- We may disclose psychological treatment notes or records if required to do so, most commonly as a result of a subpoena, court order, administrative order, or other valid legal process.
You may revoke an authorization in writing at any time. Uses and disclosures not otherwise described in this Notice will be made only with your written authorization.
ADDITIONAL INFORMATION REGARDING YOUR RIGHTS
- You have the right to ask us to place restrictions on the way we use or disclose your health information for treatment, payment, or healthcare operations. We will consider your request but are not required to agree to the restriction.
- You may request in writing, at the time of service, that we not disclose information to health plans where you have paid for items or services out of pocket in full. We must agree not to disclose this information to your health plan if certain conditions are met.
- You have the right to receive notification of breaches of your health information as required by law.
- You have the right to receive a copy of your health information that we maintain, subject to any reasonable and fees to produce, copy, and provide the information. You may request access to your information in writing and you may request a copy of your information in electronic format.
- You have the right to request that your health information be sent to any person or entity, such as another doctor, caregiver or online personal health record.
- You need to request this amendment in writing and submit it to the facility’s medical records department. We may deny your request in certain situations, such as when the health information in your records was created by another provider or if we determine your information is accurate and complete. Any denials will be in writing.
- You have the right to appeal our denial by filing a written statement of disagreement.
- You have a right to a listing of the disclosures we make of your health information, except for those disclosures made for treatment, payment, or healthcare operations, or those disclosures made pursuant to your authorization.
QUESTIONS AND COMPLAINTS
If you have questions or are concerned that any of your privacy rights have been violated, please contact Tighten & Tone at the phone number or address listed below:
Phone: (702) 328-0005
You will not be retaliated against for filing a complaint.