HIPAA Notice of
Privacy Practices
This notice describes how medical information about you may be used and disclosed by Foraged Health LLC and how you can get access to this information. Please review it carefully.
Your Health Information 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.
Access Your Records
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or summary, usually within 30 days. A reasonable, cost-based fee may apply.
Correct Your Record
You can ask us to correct health information you believe is incorrect or incomplete. If we say no, we will tell you why in writing within 60 days.
Confidential Communications
You can ask us to contact you in a specific way — home or office phone — or to send mail to a different address. We will honor all reasonable requests.
Limit What We Share
You can ask us not to use or share certain health information for treatment, payment, or our operations. If you pay out-of-pocket in full, you can ask us not to share that with your insurer — and we will comply unless required by law.
Disclosure History
You can request a list of times we have shared your health information over the past six years, who we shared it with, and why. One request per year is provided free of charge.
Copy of This Notice
You can request a paper copy of this notice at any time, even if you previously agreed to receive it electronically. We will provide it promptly.
Authorize a Representative
If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information on your behalf.
File a Complaint
If you feel your rights have been violated, you may contact us directly or file a complaint with the U.S. Dept. of Health & Human Services Office for Civil Rights. We will never retaliate against you for filing a complaint.
How We Share Your Information
For certain health information, you can tell us your choices about what we share. If you have a preference, talk to us — we will follow your instructions.
- Share information with family, close friends, or others involved in your care
- Share information in a disaster relief situation
- Include your information in a facility directory
If you are unable to express your preference — for example, if you are unconscious — we may share your information if we believe it is in your best interest or when needed to address a serious and imminent threat to health or safety.
- Use of your information for marketing purposes
- Sale of your information
- Sharing of psychotherapy notes
We may contact you for fundraising efforts, but you can tell us not to contact you again at any time and we will honor that request immediately.
How We Use Your Information
We typically use or share your health information in three primary ways.
Treat You
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run Our Practice
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.
Bill for Services
We can use and share your health information to bill and receive payment from health plans or other entities.
Example: We share information with your health insurance plan so it will pay for your services.
Other Permitted Disclosures
We are allowed or required to share your information in additional ways that contribute to the public good. We meet all legal conditions before sharing for these purposes.
Our Responsibilities
Protect Your Information
We are required by law to maintain the privacy and security of your protected health information at all times.
Notify You of Breaches
We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
Follow This Notice
We must follow the duties and privacy practices described in this notice and provide you with a copy upon request.
Honor Your Instructions
We will not use or share your information other than as described here unless you tell us we can in writing — and you may change your mind at any time.
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 updated notice will be available upon request, in our office, and on our website. This notice is effective as of the date it was signed.
We’re Here to Help
If you have questions about your privacy rights or this notice, contact us directly — we’re happy to help.
CNP@foragedhealthcare.com