HIPAA Compliance Notice

1.1 For Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare. For example, we may share your information with a provider who is treating you, or with a specialist to whom you are referred.

1.2 For Payment

We may use and disclose your PHI to obtain payment for services. For example, we may share your information with your FSA or HSA administrator to process claims. We do not bill insurance.

1.3 For Healthcare Operations

We may use and disclose your PHI for our internal healthcare operations, including quality assessment, staff training, legal and compliance activities, and business management functions necessary to operate our practice.

1.4 Other Permitted Uses and Disclosures Without Your Authorization

• As required by law, including public health reporting and mandatory disease reporting
• To report abuse, neglect, or domestic violence to appropriate authorities as required by law
• For health oversight activities by government agencies (e.g., audits, inspections, investigations)
• In response to a court order, subpoena, or other lawful process
• To avert a serious threat to the health or safety of you or others
• To authorized military and veterans’ authorities if you are a member of the armed forces
• For workers’ compensation purposes to the extent authorized and required by law
• To coroners, medical examiners, and funeral directors as permitted by law
• For organ donation purposes, if applicable

We will obtain your written authorization before using or disclosing your PHI for purposes other than those described above, including:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures of PHI for marketing purposes
• Sales of PHI
• Any other use or disclosure not described in this Notice

You have the right to revoke an authorization at any time, in writing, except to the extent we have already taken action in reliance on the authorization.

Right to Inspect and Copy: You have the right to inspect and receive a copy of your PHI maintained in our records, with limited exceptions. We may charge a reasonable, cost-based fee. Submit requests to support@directproviderscare.com or legal@directproviderscare.com.

Right to Amend: If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny your request if we determine the information is accurate and complete.

Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures of your PHI made in the past six years. This does not include disclosures for treatment, payment, or healthcare operations.

Right to Request Restrictions: You may request restrictions on how we use or disclose your PHI. We are not required to agree to a requested restriction, except we must comply with a request not to disclose PHI to a health plan if you have paid for the service entirely out of pocket.

Right to Request Confidential Communications: You may 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: You have the right to a paper copy of this Notice upon request, even if you have agreed to receive it electronically.

Right to be Notified of Breaches: You have the right to receive notification in the event of a breach of your unsecured PHI.

• We are required by law to maintain the privacy of your PHI.
• We are required to provide you with this Notice of our legal duties and privacy practices.
• We must follow the terms of the Notice currently in effect.
• We will notify you promptly in the event of a breach of unsecured PHI.

We reserve the right to change this Notice at any time. We reserve the right to make the revised or changed Notice effective for PHI we already have, as well as for any PHI we receive in the future. We will post a copy of the current Notice on our website. You may request a copy of any revised Notice at any time.

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 Office for Civil Rights.

To file a complaint with us, contact:

Privacy Officer
Direct Providers Care, LLC
2501 Chatham Rd, Springfield, IL 62704

Email: legal@directproviderscare.com
Phone: (307) 213-8870

You will not be retaliated against for filing a complaint.

To file a complaint with the U.S. Department of Health and Human Services:
www.hhs.gov/ocr/privacy/hipaa/complaints/