Effective Date: January 1, 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.
⚕️ Important Legal Notice
This Notice of Privacy Practices ("Notice") describes how Hale Nudge Healthcare may use and disclose your Protected Health Information (PHI) to carry out treatment, payment, or health care operations, and for other purposes permitted or required by law. It also describes your rights regarding your PHI. We are required by law to maintain the privacy of your PHI and to provide you with this Notice.
You have the right to inspect and obtain a copy of your health information that we maintain, including medical records and billing records. We may charge a reasonable fee for copying. We will respond to your request within 30 days. In limited circumstances, we may deny access to certain information.
If you believe that health information we have about you is incorrect or incomplete, you may request that we amend the information. We may deny your request if we did not create the information, if the information is not part of our records, or if we believe the information is accurate and complete.
You have the right to request a list of certain disclosures we have made of your health information during the six years prior to your request. This list will not include disclosures made for treatment, payment, or health care operations, or disclosures you authorized.
You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or health care operations. We are not required to agree to your request, except in limited circumstances (e.g., when you pay for a service out of pocket in full).
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 ask that we only contact you by mail or at a specific phone number. We will accommodate reasonable requests.
You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically. To obtain a paper copy, please contact us using the information provided below.
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 (HHS) Office for Civil Rights. You will not be penalized for filing a complaint. Contact HHS at: hhs.gov/ocr or 1-800-368-1019.
The following describes the ways we may use and disclose health information about you. For each category, we will explain what we mean and provide an example.
We may use your health information to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, aides, and other personnel involved in your care. For example, a nurse treating you for wound care may share information with a physician to coordinate your treatment plan.
We may use and disclose your health information to bill and collect payment for services we provide to you. For example, we may share information about your care with Medicare, Medicaid, your insurance company, or other payers to obtain payment for services rendered.
We may use and disclose your health information for our business operations, including quality assessment, employee training, licensing, and conducting audits. For example, we may use information to evaluate the performance of our staff or to assess the quality of care we provide.
We will disclose health information about you when required to do so by federal, state, or local law, including disclosures to public health authorities, law enforcement, or to comply with court orders or subpoenas.
We may disclose health information for public health activities, such as reporting communicable diseases to public health authorities, reporting adverse reactions to medications to the FDA, or notifying appropriate authorities of suspected abuse or neglect.
Under certain circumstances, we may use and disclose medical information about you for research purposes. All research projects are subject to a review process to balance the research needs with privacy protection.
Other uses and disclosures of your health information not described in this Notice will be made only with your written authorization. This includes, but is not limited to:
You may revoke your authorization at any time in writing, except to the extent that we have already taken action in reliance on that authorization.
Hale Nudge Healthcare
500 W Lanier Ave Suit 802B, Fayetteville, GA 30214
(404) 444-7166
info@halenudgehealthcare.com
U.S. Dept. of Health & Human Services
www.hhs.gov/ocr
Phone: 1-800-368-1019
TDD: 1-800-537-7697
Important: You will not be penalized or retaliated against for filing a complaint about our privacy practices with us or with the HHS Office for Civil Rights.