Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed
Our Pledge Regarding Your Health Information
We understand that your health information is personal and private. We are committed to protecting your health information and complying with all applicable laws regarding the confidentiality of your medical information.
This Notice of Privacy Practices ("Notice") describes how we may use and disclose your protected health information (PHI) and your rights regarding that information.
Uses and Disclosures of Your Health Information
For Treatment:
We may use and disclose your health information to provide, coordinate, or manage your healthcare and any related services. This includes sharing information with doctors, nurses, and other healthcare professionals involved in your care.
For Payment:
We may use and disclose your health information to bill and receive payment for services provided to you. This may include communications with your insurance company, collection agencies, or others involved in the payment process.
For Healthcare Operations:
We may use and disclose your health information for our healthcare operations, including quality assessment, credentialing, training, and other administrative activities.
Other Permitted Uses and Disclosures
We may also use or disclose your health information:
• As required by law
• For public health activities
• To report abuse, neglect, or domestic violence
• For health oversight activities
• For judicial and administrative proceedings
• For law enforcement purposes
• To coroners, medical examiners, and funeral directors
• For organ and tissue donation
• For research purposes (with appropriate approvals)
• To prevent serious threats to health or safety
• For specialized government functions
• For workers' compensation
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You may request to inspect and obtain a copy of your health information.
Right to Amend
You may request that we amend your health information if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures
You may request a list of disclosures of your health information.
Right to Request Restrictions
You may request restrictions on certain uses and disclosures of your health information.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way or at a specific location.
Right to a Paper Copy
You may request a paper copy of this Notice at any time.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on our website and in our offices.
Contact Information
If you have questions about this Notice or want to exercise your rights, contact:
123 Healthcare Way, Suite 400
San Francisco, CA 94105
Email: legal@tectonichealth.com
Phone: 1-800-TECTONIC