HIPAA Notice of Privacy Practices

At Foundation Pain & Spine, we are committed to protecting the privacy and security of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) and how you can access your information. We are required by law to maintain the privacy of your PHI and to provide you with this notice.

Uses and Disclosures of Protected Health Information

We may use and disclose your PHI for the following purposes:

• Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third party.
• Payment: We may use and disclose your PHI to obtain payment for the healthcare services provided to you. This may include disclosures to your health insurance company or other third-party payers.
• Healthcare Operations: We may use and disclose your PHI for healthcare operations, such as quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, and conducting training programs.
• Other Permitted and Required Uses and Disclosures: We may use and disclose your PHI in other situations without your authorization as required by law. This includes public health activities, reporting abuse or neglect, and complying with legal proceedings.

Your Rights Regarding Your Protected Health Information

You have the following rights regarding your PHI:

• Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI that we maintain. To request access to your medical records, please contact our Privacy Officer at the contact information provided below.
• Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to your request, but if we do, we will comply with your restriction.
• Right to Amend: If you believe that the PHI we have about you is incorrect or incomplete, you have the right to request an amendment. To request an amendment, please contact our Privacy Officer.
• Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your PHI made by us. This does not include disclosures made for treatment, payment, or healthcare operations.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. We will accommodate reasonable requests.
• Right to a Paper Copy of This Notice: You have the right to obtain a paper copy of this notice upon request, even if you have agreed to receive the notice electronically.

Changes to This Notice

We reserve the right to change this Notice of Privacy Practices at any time. The new notice will be effective for all PHI that we maintain at that time. We will post a copy of the current notice on our website and provide you with a copy upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with us, contact our Privacy Officer at the contact information provided below. We will not retaliate against you for filing a complaint.

Contact Information

If you have any questions about this notice or if you need to file a complaint, please contact:

Foundation Pain & Spine – Privacy

Email: info@foundationpain.com

Thank you for trusting Foundation Pain & Spine with your healthcare needs. We are committed to protecting your privacy and providing you with the highest quality.