Privacy Notice

Notice of Privacy Practices

Effective Date: May 12, 2024

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.

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Lifestyle Rx Doctor is committed to maintaining the privacy of your protected health information (PHI). We are required by law to maintain the confidentiality of your health information, provide you with this notice of our legal duties and privacy practices regarding your health information, and follow the terms of the notice that is currently in effect.

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How We May Use and Disclose Medical Information About You

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  1. For Treatment: We may use medical information about you to provide, coordinate, or manage your medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, medical students, or other healthcare providers who are involved in taking care of you.
  2. For Payment: We may use and disclose medical information about your treatment and services to bill and collect payment from health plans or other entities.
  3. For Healthcare Operations: We may use and disclose your medical information for healthcare operations. These uses and disclosures are necessary to run our practice, improve your care, and contact you when necessary.
  4. Appointment Reminders: We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care.
  5. Treatment Alternatives: We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
  6. Health-Related Benefits and Services: We may use and disclose medical information to tell you about health-related benefits, services, or medical education classes that may be of interest to you.


Special Situations

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  • Public Health Risks
  • Health Oversight Activities
  • Lawsuits and Disputes
  • Law Enforcement
  • Coroners, Medical Examiners, and Funeral Directors
  • Organ and Tissue Donation
  • Research
  • Serious Threats to Health or Safety
  • Military, Veterans, National Security, and Other Government Activities
  • Workers' Compensation



Your Rights Regarding Medical Information About You

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You have the following rights regarding medical information we maintain about you:

  • Right to Inspect and Copy
  • Right to Amend
  • Right to an Accounting of Disclosures
  • Right to Request Restrictions
  • Right to Request Confidential Communications
  • Right to a Paper Copy of This Notice

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Changes to This Notice

We reserve the right to change this notice, and the revised notice will be effective for information we already have about you as well as any information we receive in the future. The current notice will be posted in our office and include the effective date.

 

Complaints

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If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.

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Contact Information

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For further information about the matters covered by this notice, or to request a copy of this notice, please contact:

Privacy Officer


Lifestyle Rx Doctor


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