HIPAA 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.

Effective Date: January 1, 2024

Our Commitment to Your Privacy

Protecting your health information

Impact Health Clinics is committed to protecting the privacy and confidentiality of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) and your rights regarding this information.

We are required by law to maintain the privacy of your health information and to provide you with this notice of our legal duties and privacy practices. We will follow the terms of this notice while it is in effect.

This notice applies to all health information created or received by Impact Health Clinics, whether recorded in your medical record, images, or other ways.

How We May Use and Disclose Your Health Information

Permitted uses and disclosures

Treatment

We may use and disclose your health information to provide, coordinate, or manage your health care and related services. This includes:

  • Sharing information with other healthcare providers involved in your care
  • Coordinating care with specialists and consultants
  • Providing information to pharmacies for prescription fulfillment
  • Sharing information with laboratories for testing

Payment

We may use and disclose your health information to obtain payment for services we provide to you. This includes:

  • Submitting claims to your insurance company
  • Verifying insurance coverage and benefits
  • Processing payments and billing
  • Collecting outstanding balances

Healthcare Operations

We may use and disclose your health information for our healthcare operations. This includes:

  • Quality assessment and improvement activities
  • Training and education of healthcare professionals
  • Business planning and development
  • Administrative functions

Other Permitted Uses and Disclosures

Additional ways we may use your information

Required by Law

We may use or disclose your health information when required by federal, state, or local law, including:

  • Public health reporting requirements
  • Law enforcement investigations
  • Court orders or legal subpoenas
  • Workers' compensation claims

Health and Safety

We may use or disclose your health information to prevent or lessen a serious threat to health or safety, including:

  • Protecting public health and safety
  • Preventing or controlling disease
  • Reporting adverse events with medications
  • Notifying appropriate authorities when required

Business Associates

We may share your health information with business associates who perform services on our behalf, such as:

  • Billing and collection services
  • Laboratory services
  • IT support and maintenance
  • Legal and accounting services

Your Rights

Your rights regarding your health information

Right to Access

You have the right to inspect and copy your health information. You may request copies of your medical records, test results, and other health information. We may charge a reasonable fee for copying and postage.

Right to Amend

You have the right to request that we amend your health information if you believe it is incorrect or incomplete. We may deny your request if the information was not created by us or is otherwise accurate and complete.

Right to Restrict

You have the right to request restrictions on how we use or disclose your health information. We are not required to agree to all restrictions, but we will consider your request.

Right to Confidential Communications

You have the right to request that we communicate with you about your health information in a certain way or at a certain location. For example, you may request that we contact you only at work or only by mail.

Right to Accounting of Disclosures

You have the right to request an accounting of certain disclosures of your health information. This does not include disclosures for treatment, payment, or healthcare operations.

Right to Complain

You have the right to file a complaint if you believe your privacy rights have been violated. You may file a complaint with us or with the U.S. Department of Health and Human Services.

Our Responsibilities

What we must do to protect your information

Legal Requirements

We are required by law to:

  • Maintain the privacy of your health information
  • Provide you with this notice of our privacy practices
  • Follow the terms of this notice
  • Notify you if we cannot agree to a requested restriction
  • Accommodate reasonable requests for confidential communications

Security Measures

We have implemented appropriate safeguards to protect your health information, including:

  • Physical safeguards for our facilities and equipment
  • Administrative safeguards for our workforce
  • Technical safeguards for our computer systems
  • Regular training and education for our staff

Changes to This Notice

Updates to our privacy practices

We reserve the right to change this Notice of Privacy Practices at any time. We will post the revised notice in our office and on our website. The revised notice will apply to all health information we maintain.

You may request a copy of the revised notice at any time by contacting us using the information provided below.

Contact Information

Questions about your privacy rights?

If you have questions about this Notice of Privacy Practices or your privacy rights, please contact us:

Privacy Officer

Impact Health Clinics

2304 Jackson Ave W, Suite 101

Oxford, MS 38655

Phone: 662-404-7177

Email: privacy@impacthealthclinics.com

File a Complaint

You may also file a complaint with the U.S. Department of Health and Human Services:

Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775