HIPAA Notice of Privacy Practices

Our Commitment to Your Privacy

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Livevital Medical is required by law to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices with respect to PHI, and to notify you following a breach of unsecured PHI.

Understanding Your Health Information

When you receive medical services from Livevital Medical, a record of your visit is created. This record typically contains your symptoms, examination findings, test results, diagnoses, treatment plans, and billing information.

This information serves as a basis for planning your care and treatment, a means of communication among health professionals who contribute to your care, a legal document describing the care you received, and a tool for assessing and improving care quality.

How We May Use and Disclose Your Health Information

FOR TREATMENT: We may use your health information to provide you with medical treatment and services. We may disclose your health information to doctors, nurses, pharmacies, laboratories, and others who provide care to you.

FOR PAYMENT: We may use and disclose your health information so that we may bill and collect payment for the services provided to you. This may include providing information to your insurance company (if applicable) or providing superbills for your submission.

FOR HEALTHCARE OPERATIONS: We may use and disclose your health information for our healthcare operations, including quality assessment, staff training, licensing, and other business activities.

Uses and Disclosures Without Your Authorization

The law permits or requires us to use or disclose your health information without your authorization in certain circumstances, including:

When required by law or legal proceedings.

For public health activities such as reporting communicable diseases.

To report suspected abuse, neglect, or domestic violence.

To health oversight agencies for activities authorized by law.

In response to a court or administrative order, subpoena, or discovery request.

To coroners, medical examiners, and funeral directors.

For organ or tissue donation purposes.

For research purposes under certain conditions.

To prevent or lessen a serious and imminent threat to health or safety.

For specialized government functions such as military and veteran activities.

For workers' compensation purposes.

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your health information not described in this Notice will be made only with your written authorization. You may revoke any authorization at any time, in writing, except to the extent that we have already acted on your authorization.

Uses and disclosures requiring your authorization include marketing communications, sale of your health information, and most uses of psychotherapy notes.

Your Rights Regarding Your Health Information

RIGHT TO INSPECT AND COPY: You have the right to inspect and obtain a copy of your health information, with limited exceptions. We may charge a reasonable fee for copies.

RIGHT TO AMEND: If you believe your health information is incorrect or incomplete, you may request an amendment. We may deny your request under certain circumstances, but we must provide you with a written explanation.

RIGHT TO AN ACCOUNTING OF DISCLOSURES: You have the right to receive a list of certain disclosures we have made of your health information.

RIGHT TO REQUEST RESTRICTIONS: You may request restrictions on certain uses and disclosures of your health information. We are not required to agree to all restrictions, but we must comply with any restrictions we accept.

RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS: You may request that we communicate with you in a certain way or at a certain location. We will accommodate reasonable requests.

RIGHT TO A PAPER COPY OF THIS NOTICE: You may request a paper copy of this Notice at any time.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.

We must follow the duties and privacy practices described in this Notice.

We will not use or disclose your information other than as described here without your written authorization.

We reserve the right to change this Notice and make the new provisions effective for all PHI we maintain.

Complaints

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. To file a complaint with us, contact our Privacy Officer using the information below.

You will not be penalized or retaliated against for filing a complaint.

Contact Information

For more information about this Notice or to exercise your rights, please contact:

Privacy Officer: [Name to be added]

Livevital Medical

Email: privacy@livevital.com

Phone: (801) 555-0123

Address: [Business Address to be added]

Effective Date

This Notice is effective as of [Date to be added].