Health Information Privacy
We may update this Privacy Policy periodically. Updates will be posted on this page with a revised effective date.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Dr. Nataly Perez dba Nataly Perez, D.C., LLC is required by federal and Texas law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices.
We are required to:
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Maintain the privacy of your PHI
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Provide you with this Notice
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Abide by the terms currently in effect
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Notify you in the event of a breach of unsecured PHI
How We May Use and Disclose Your PHI
1. Treatment
We may use and disclose your health information to provide, coordinate, or manage your chiropractic care.
Examples:
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Consulting with another healthcare provider
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Referring you to a specialist
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2. Payment
We may use and disclose your PHI to obtain payment for services rendered.
Examples:
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Submitting claims to insurance carriers
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Verifying insurance coverage
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Billing and collections activities
3. Healthcare Operations
We may use your PHI for:
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Quality improvement
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Business management
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Licensing and accreditation
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Compliance reviews
Other Permitted or Required Disclosures
We may disclose your PHI without your written authorization when required or permitted by law, including:
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Public health reporting
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Health oversight activities
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Court orders or subpoenas
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Law enforcement purposes
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To prevent a serious threat to health or safety
Texas Medical Privacy Protections
Under the Texas Medical Records Privacy Act, certain protections may be broader than federal HIPAA standards. We comply with applicable Texas privacy requirements regarding the use and disclosure of your medical information.
Uses Requiring Your Written Authorization
We will obtain your written authorization for:
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Marketing uses of your PHI (when required)
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The sale of PHI
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Any use or disclosure not otherwise described in this Notice
You may revoke your authorization at any time in writing.
Your Rights Regarding Your PHI
You have the right to:
Inspect and Copy
Request access to your medical records (subject to limited exceptions).
Request Amendment
Request correction of inaccurate or incomplete information.
Request Restrictions
Ask us to limit certain uses or disclosures of your PHI (we are not required to agree in all cases).
Request Confidential Communications
Request that we contact you in a specific manner (e.g., only at a certain phone number).
Accounting of Disclosures
Request a list of certain disclosures made of your PHI.
Paper Copy
Receive a paper copy of this Notice upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Nataly Perez, D.C., LLC
721 E 14th, Houston, Texas 77008
Phone: 832-498-2236
Email: hello@chiropractornataly.com
You may also file a complaint with:
Office for Civil Rights
U.S. Department of Health & Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775
www.hhs.gov/ocr/privacy/hipaa/complaints/
You will not be retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for all protected health information we maintain. Updated versions will be posted in our office and on our website.