HIPAA Privacy Policy

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Introduction

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

Highland Longevity is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI), provide you with this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect.

Who Will Follow This Notice

This notice describes the practices of Highland Longevity, including:

• All physicians, nurses, and clinical staff
• All administrative and support staff
• Any business associates with whom we share your information
• All departments and units of our practice

How We May Use and Disclose Your Health Information

For Treatment

We may use and disclose your health information to provide, coordinate, or manage your health care and related services. This includes consultations between health care providers regarding your care and referrals to other providers.

For Payment

We may use and disclose your health information to bill and collect payment for services provided. This may include contacting your health insurance company, providing information to support claims, and collecting outstanding balances.

For Health Care Operations

We may use and disclose your health information for our business operations, including quality improvement activities, training, licensing, and accreditation.

As Required by Law

We will disclose your health information when required to do so by federal, state, or local law, including:

• Public health activities and reporting
• Health oversight activities
• Judicial and administrative proceedings
• Law enforcement purposes
• To prevent a serious threat to health or safety

With Your Authorization

Other uses and disclosures of your health information not covered by this notice or the laws that apply to us will be made only with your written authorization. You may revoke this authorization at any time in writing.

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 that we maintain. To request access, submit a written request to our Privacy Officer. We may charge a reasonable fee for copying and mailing.

Right to Amend

You have the right to request that we amend your health information if you believe it is incorrect or incomplete. Submit a written request explaining why you believe the information should be changed.

Right to an Accounting of Disclosures

You have the right to request a list of disclosures we have made of your health information for purposes other than treatment, payment, or health care operations.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information. We are not required to agree to your request, but if we do, we will honor it except in emergencies.

Right to Request Confidential Communications

You have the right to request that we communicate with you about health matters in a certain way or at a certain location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this notice at any time, even if you have agreed to receive it electronically.

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 share your information other than as described here unless you give us written permission

Changes to This Notice

We reserve the right to change this notice and make the new provisions effective for all health information we maintain. Current notices will be posted in our office and on our website.

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. You will not be penalized for filing a complaint.

For More Information

For more information about HIPAA and your rights, visit the U.S. Department of Health & Human Services website at www.hhs.gov/hipaa.