Notice of Privacy Practices

Effective Date: January 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Commitment to Your Privacy

Carawan Health PLLC is committed to protecting 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 notify you following a breach of unsecured PHI.

How We May Use and Disclose Your Health Information

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes sharing information with other healthcare providers involved in your care, such as specialists, laboratories, or pharmacies.

Payment

We may use and disclose your health information to obtain payment for healthcare services. This may include providing information to insurers, collection agencies, or consumer reporting agencies when necessary.

Healthcare Operations

We may use and disclose your health information for our healthcare operations, which include quality assessment, training programs, accreditation activities, and other administrative functions.

Other Permitted Uses and Disclosures

We may also use or disclose your health information for:

• Appointment reminders and health-related benefits or services
• Required reporting to public health authorities
• Health oversight activities and audits
• Judicial and administrative proceedings when required
• Law enforcement purposes as required by law
• Coroners, medical examiners, and funeral directors
• Organ and tissue donation organizations
• Research purposes under specific conditions
• Preventing serious threats to health or safety
• Specialized government functions (military, national security, etc.)
• Workers' compensation as required by law

Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your health information for:

• Marketing purposes
• Sale of your health information
• Most uses of psychotherapy notes
• Other purposes not described in this notice

You may revoke your authorization at any time in writing, except to the extent we have already acted upon it.

Your Rights Regarding Your Health Information

Right to Access

You have the right to inspect and obtain a copy of your health information maintained by us. To request access, submit a written request to our office. We may charge a reasonable fee for copying and mailing.

Right to Amend

You have the right to request amendments to your health information if you believe it is incorrect or incomplete. Submit your request in writing, explaining why the amendment should be made. We may deny your request in certain circumstances.

Right to an Accounting of Disclosures

You have the right to receive an accounting of certain disclosures of your health information made by us during the six years prior to your request. This does not include disclosures for treatment, payment, healthcare operations, or certain other purposes.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations. We are not required to agree to your request unless you are asking us to restrict disclosure to a health plan for services you paid for entirely out of pocket.

Right to Request 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 a specific phone number.

Right to a Paper Copy

You have the right to obtain a paper copy of this notice upon request, even if you agreed to receive it electronically.

Our Duties

We are required to:

• Maintain the privacy of your health information
• Provide you with this notice of our legal duties and privacy practices
• Abide by the terms of this notice currently in effect
• Notify you if a breach occurs that may have compromised your health information

Changes to This Notice

We reserve the right to change our privacy practices and this notice at any time. The revised notice will apply to health information we already have about you as well as any new information. The current notice 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 U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

Contact Information

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