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
Fleurant Signature Health is committed to protecting the privacy of your Protected Health Information ("PHI"). We are required by the Health Insurance Portability and Accountability Act ("HIPAA") to maintain the privacy of your PHI, provide you with this notice of our legal duties and privacy practices, and abide by the terms of the notice currently in effect.
How We May Use and Disclose Your PHI
- Treatment. We may use and disclose PHI to provide, coordinate, or manage your health care and related services, including coordination with pharmacies, laboratories, and other providers involved in your care.
- Payment. We may use and disclose PHI to obtain payment for the services we provide, such as billing you or, when applicable, verifying HSA/FSA eligibility.
- Health Care Operations. We may use and disclose PHI for internal operations such as quality improvement, staff training, and business planning.
- Appointment reminders & health-related communications. We may contact you to remind you of appointments or share information about treatment options.
- As required by law. We will disclose PHI when required by federal, state, or local law.
Uses and Disclosures That Require Your Authorization
Most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and disclosures that constitute a sale of PHI require your written authorization. You may revoke your authorization at any time in writing, except to the extent we have already relied on it.
Your Rights
- Request access to and a copy of your PHI.
- Request an amendment to PHI that you believe is inaccurate or incomplete.
- Request an accounting of certain disclosures we have made of your PHI.
- Request restrictions on certain uses and disclosures of your PHI.
- Request confidential communications by alternative means or at an alternative location.
- Receive a paper copy of this notice, even if you have agreed to receive it electronically.
Breach Notification
We will notify you following the discovery of a breach of unsecured PHI in accordance with applicable law.
Changes to This Notice
We reserve the right to change this notice and to make the revised notice effective for PHI we already have about you as well as any information we receive in the future.
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. We will not retaliate against you for filing a complaint.
Contact
Fleurant Signature Health · Privacy Officer · 1365 18th Street, Suite 4 · Vero Beach, FL 32960.
