Effective Date: 01/01/2024

Introduction

[Your Practice Name] (“we,” “our,” “us”) is committed to protecting the privacy and security of our patients’ personal health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA). This Privacy Policy outlines how we collect, use, disclose, and protect your health information.

1. Your Health Information Rights

You have the following rights regarding your protected health information (PHI):

• Access: You can request to see or get a copy of your health records and other health information that we have about you.
• Amendment: You can ask us to correct your health records if you think there is an error.
• Restrictions: You can ask us to limit the use or sharing of your health information.
• Confidential Communications: You can request that we communicate with you in a specific way or at a specific location.
• Accounting of Disclosures: You can request a list of disclosures we have made of your health information.

2. How We Use and Disclose Your Health Information

We may use and share your health information for the following purposes:

• Treatment: We may use your health information to provide you with medical treatment or services.
• Payment: We may use and share your health information to bill and collect payment for the services we provide to you.
• Healthcare Operations: We may use and share your health information for operations necessary to run our practice and ensure that our patients receive quality care.
• Legal Compliance: We may share your health information when required by law, including for public health and safety reasons, and in response to legal proceedings.

3. Protecting Your Health Information

We take the security of your health information seriously and implement the following safeguards:

• Physical Safeguards: We secure our physical premises to protect your health information.
• Technical Safeguards: We use encryption, secure access controls, and other technologies to protect your electronic health information.
• Administrative Safeguards: We train our staff on privacy practices and regularly review our procedures to ensure compliance with HIPAA.

4. Changes to This Privacy Policy

We may update this Privacy Policy from time to time. Any changes will be effective immediately upon posting the updated policy on our website. Please check our website periodically for updates.

5. Contact Us

If you have any questions about this Privacy Policy or wish to exercise your rights regarding your health information, please contact us:

Pinnacle Gastroenterology
112-03 Queens Blvd #204,
Forest Hills, NY 11375-5554
+1 (718) 897-0516
[email protected]

6. Complaints

If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint.