Notice of Privacy Practices

Effective Date: January 1, 2025

Your Rights and Our Responsibilities

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.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your health and claims records

  • • You can ask to see or get a copy of your health and claims records and other health information we have about you.
  • • We will provide a copy or summary of your health and claims records, usually within 30 days of your request.
  • • We may charge a reasonable, cost-based fee for copies.

Request corrections

  • • You can ask us to correct your health and claims records if you think they are incorrect or incomplete.
  • • We may say "no" to your request, but we'll tell you why in writing within 60 days.

Request confidential communications

  • • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • • We will accommodate all reasonable requests.

Ask us to limit what we use or share

  • • You can ask us not to use or share certain health information for treatment, payment, or our operations.
  • • We are not required to agree to your request, and we may say "no" if it would affect your care.

Get a list of those with whom we've shared information

  • • You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
  • • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures.

Get a copy of this privacy notice

  • • You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

Choose someone to act for you

  • • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  • • We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

  • • You can complain if you feel we have violated your rights by contacting us at (832) 510-6059 or .
  • • 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, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints.
  • • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us.

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 payment for your care
  • • Share information in a disaster relief situation

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.

Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your health information in the following ways:

Treatment

We can use your health information and share it with other professionals who are treating you.
Example: We share information about you with your primary care physician to coordinate your wound care with your other medical needs.

Payment

We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about your wound care services to your health insurance plan so it will pay for the services.

Health Care Operations

We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

  • • Help with public health and safety issues
  • • Do research
  • • Comply with the law
  • • Respond to organ and tissue donation requests
  • • Work with a medical examiner or funeral director
  • • Address workers' compensation, law enforcement, and other government requests
  • • Respond to lawsuits and legal actions

Our Responsibilities

  • • 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. Let us know in writing if you change your mind.

Contact Information

For more information about this Notice or about our privacy practices, contact:

Privacy Officer - Woodland Wounds

Phone: (832) 510-6059

Email:

Address: The Woodlands, TX

Changes to This Notice

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 and on our website.

Questions About Your Privacy Rights?

We're committed to protecting your health information. Contact us if you have questions about your privacy rights or how we handle your information.

Call Now: (832) 510-6059