Who this notice covers
This notice applies to Alliance Regenerative Medical Centers and the members of its workforce who create, receive or maintain your protected health information in connection with care at the Clermont clinic.
Your rights
- Inspect or receive an electronic or paper copy of medical records and other health information we maintain about you, subject to limits allowed by law.
- Ask us to correct information you believe is inaccurate or incomplete.
- Request reasonable confidential communications or ask us to use a different address.
- Ask us to limit certain uses or disclosures. We are not always required to agree, except in circumstances required by law.
- Receive an accounting of certain disclosures made during the six years before your request.
- Receive a paper copy of this notice at any time.
- Choose a personal representative with legal authority to exercise your rights.
- Complain without retaliation if you believe your privacy rights were violated.
Our uses and disclosures
We may use and disclose protected health information for treatment, payment and health-care operations as permitted by law. Examples include coordinating care with another provider, billing for services, quality improvement, training, credentialing, compliance and business planning.
We may also use or disclose information for public-health and safety activities, health oversight, organ and tissue donation, workers’ compensation, law-enforcement purposes, judicial or administrative proceedings, research meeting legal requirements, disaster relief, medical examiners, funeral directors and other purposes authorized or required by law.
Uses that generally require authorization
Uses and disclosures not described in this notice generally require your written authorization. Most uses of psychotherapy notes, most marketing uses involving payment, and a sale of protected health information require authorization when applicable. You may revoke an authorization in writing, except to the extent we have already relied on it.
Our responsibilities
- Maintain the privacy and security of protected health information.
- Provide this notice describing our legal duties and privacy practices.
- Follow the notice currently in effect.
- Notify affected individuals when required after a breach of unsecured protected health information.
- Avoid retaliating against anyone who exercises a privacy right or files a complaint.
Changes to this notice
We may change this notice and make a revised notice effective for health information we already hold and information we create or receive in the future. The current version will be posted on this website and available at the clinic.
Questions, requests or complaints
Contact the Alliance Privacy Office at [email protected], (352) 794-1734, or 1705 E Highway 50, Clermont, Florida 34711. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.