Notice of Privacy Practices
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. We will refer to as Dr. Hamilton-Stubbs’ Sleep & Total Wellness Institute, LLC as the Facility and its employees who have access to patient information. If you have any questions about this Notice please contact: our Privacy Officer, Dr. Hamilton-Stubbs at (804)273-9900
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, research or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. "Protected health information" is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices calling the admissions office.
1. Uses and Disclosures of Protected Health Information
Uses and Disclosures of Protected Health Information Based Upon Your Written Consent
You will be asked by the Facility to sign a consent form. Once you have consented to use and disclosure of your protected health information for services, payment and health care operations by signing the consent form, the Facility will use or disclose your protected health information as described in this Section 1. Your protected health information may be used and disclosed by the Facility, our Facility staff and others outside of the Facility that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of the Facility.
2. Your Rights
Following is a statement of your rights with respect to your protected health information.
· You have the right to inspect and copy your protected health information.
· You may have the right to have the Facility amend your protected health information.
· You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information.
· You have the right to obtain a paper copy of this notice from us, upon request.
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.
For additional information or to file a complaint, you may contact our Privacy Officer, Dr. Hamilton-Stubbs at mysleepclinic@yahoo.-com You should make the subject of your email ”Privacy Concern”. You may also contact Dr. Hamilton-Stubbs by calling 804-273-9900 and leaving a message in the doctor’s voicemail box.