PRIVACY POLICY

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• You can request a copy of your paper or electronic medical record.  We will provide a copy or summary within thirty (30) days of your request. 
• You can ask us to correct your paper or electronic medical record.  We may say "no" to your request, but we'll tell you why in writing within sixty (60) days.
• You can ask us to contact you in a specific way or to send mail to a different address.  We will say "yes" to reasonable requests.
• You can us to limit what we use or share.  We may say "no" if it would affect your care.  If you pay for a service out-of-pocket in full, you can ask us not to share that information with your health insurer.  We will say "yes" unless a law requires us to share that information. 
• You can ask us for a list (accounting) of the times we have shared your health information for 6 years prior to the date you ask, who we shared it with, and why.  We will include all disclosures except for those about treatment, payment, and healthcare operations.  We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within twelve (12) months. 
• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.  
• You can choose someone to act for you.  We will make sure the person has this authority and can act for you before we take any action.
• You can file a complaint if you feel we have violated your rights by contacting us.  
• You can file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to 200 Independence Avenue, SW Washington D.D, 20201 or by calling 877-696-6775, or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.  We will not retaliate against you for filing a complaint. 

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory

If you are not able to tell us your preference (for example if you are unconscious), we may go ahead and share your information if we believe it is in your best interest.  

We may also share your information when needed to reduce a serious and imminent threat to health and safety. 

We never share your information for:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

In the case of fundraising:

• We may contact you for fundraising efforts, but you can tell us not to contact you again.

We will use your health information for the following purposes: 

• To treat you
• To run and operate our practice 
• To bill health plans and other entities for your care

• We can use or share your health information to help with public health and safety issues such as to prevent disease, to help with product recalls, to report adverse reactions to medications or vaccines, to report suspected abuse, neglect, or domestic violence, and to prevent or reduce a serious threat to anyone's health or safety
• We can use or share your information for health research.
• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law. 
• We can share your health information with organ procurement organizations in response to organ and tissue donation requests.
• We can share your health information with a coroner, medical examiner, or funeral director.
• We can share your health information for worker's compensation claims, for law enforcement purposes, with health oversight agencies for activities authorized by law, and for other government requests (such as the military, national security, and presidential protective services).
• We can share your health information in response to lawsuits, to a court or administrative order, or to a subpoena. 

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know 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 and give you a copy of it. 
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time by letting us know in writing. 

These technologies on our website and mobile applications allow us to track your browsing behavior, such as links clicked, pages viewed, and items purchased.  These technologies also automatically collect date to measure website performance and improve our systems, including metadata, log files, page load time, server response time, network routing, and server configurations.  You have the option to opt out of these technologies by not accepting cookies.

 www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html 

We can change the terms of this notice, and the changes will apply to all information we have about you.  The new notice will be available upon request in our office and on our website. 

If you have questions, concerns, or complaints about our Privacy Policy, you may contact our clinic manager by email at hello@evolvelongevitycenter.com or by calling us at 1-949-486-6006.  We will respond to all requests and inquiries within thirty (30) days.