HIPAA Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Effective Date: January 1, 2024
Our Commitment to Your Privacy
Protecting your health information
Impact Health Clinics is committed to protecting the privacy and confidentiality of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) and your rights regarding this information.
We are required by law to maintain the privacy of your health information and to provide you with this notice of our legal duties and privacy practices. We will follow the terms of this notice while it is in effect.
This notice applies to all health information created or received by Impact Health Clinics, whether recorded in your medical record, images, or other ways.
How We May Use and Disclose Your Health Information
Permitted uses and disclosures
Treatment
We may use and disclose your health information to provide, coordinate, or manage your health care and related services. This includes:
- Sharing information with other healthcare providers involved in your care
- Coordinating care with specialists and consultants
- Providing information to pharmacies for prescription fulfillment
- Sharing information with laboratories for testing
Payment
We may use and disclose your health information to obtain payment for services we provide to you. This includes:
- Submitting claims to your insurance company
- Verifying insurance coverage and benefits
- Processing payments and billing
- Collecting outstanding balances
Healthcare Operations
We may use and disclose your health information for our healthcare operations. This includes:
- Quality assessment and improvement activities
- Training and education of healthcare professionals
- Business planning and development
- Administrative functions
Other Permitted Uses and Disclosures
Additional ways we may use your information
Required by Law
We may use or disclose your health information when required by federal, state, or local law, including:
- Public health reporting requirements
- Law enforcement investigations
- Court orders or legal subpoenas
- Workers' compensation claims
Health and Safety
We may use or disclose your health information to prevent or lessen a serious threat to health or safety, including:
- Protecting public health and safety
- Preventing or controlling disease
- Reporting adverse events with medications
- Notifying appropriate authorities when required
Business Associates
We may share your health information with business associates who perform services on our behalf, such as:
- Billing and collection services
- Laboratory services
- IT support and maintenance
- Legal and accounting services
Your Rights
Your rights regarding your health information
Right to Access
You have the right to inspect and copy your health information. You may request copies of your medical records, test results, and other health information. We may charge a reasonable fee for copying and postage.
Right to Amend
You have the right to request that we amend your health information if you believe it is incorrect or incomplete. We may deny your request if the information was not created by us or is otherwise accurate and complete.
Right to Restrict
You have the right to request restrictions on how we use or disclose your health information. We are not required to agree to all restrictions, but we will consider your request.
Right to Confidential Communications
You have the right to request that we communicate with you about your health information in a certain way or at a certain location. For example, you may request that we contact you only at work or only by mail.
Right to Accounting of Disclosures
You have the right to request an accounting of certain disclosures of your health information. This does not include disclosures for treatment, payment, or healthcare operations.
Right to Complain
You have the right to file a complaint 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.
Our Responsibilities
What we must do to protect your information
Legal Requirements
We are required by law to:
- Maintain the privacy of your health information
- Provide you with this notice of our privacy practices
- Follow the terms of this notice
- Notify you if we cannot agree to a requested restriction
- Accommodate reasonable requests for confidential communications
Security Measures
We have implemented appropriate safeguards to protect your health information, including:
- Physical safeguards for our facilities and equipment
- Administrative safeguards for our workforce
- Technical safeguards for our computer systems
- Regular training and education for our staff
Changes to This Notice
Updates to our privacy practices
We reserve the right to change this Notice of Privacy Practices at any time. We will post the revised notice in our office and on our website. The revised notice will apply to all health information we maintain.
You may request a copy of the revised notice at any time by contacting us using the information provided below.
Contact Information
Questions about your privacy rights?
If you have questions about this Notice of Privacy Practices or your privacy rights, please contact us:
Privacy Officer
Impact Health Clinics
2304 Jackson Ave W, Suite 101
Oxford, MS 38655
Phone: 662-404-7177
Email: privacy@impacthealthclinics.com
File a Complaint
You may also file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775