Legal
Notice of Privacy Practices (HIPAA)
How your medical data is used, shared, and protected under federal privacy rules.
Notice of Privacy Practices of ReGenovateMD PC
This notice describes how your medical records and related personal information may be used and disclosed by ReGenovateMD PC and how you are able to access this information. Please review it carefully. This consent form applies to all providers and all locations that I may receive care at through ReGenovateMD PC.
ReGenovateMD PC is required by law to maintain the privacy of your protected health information (PHI). This document provides you with notice of your privacy rights and the legal duties and privacy practices of your practitioners and ReGenovateMD PC with respect to your PHI. All terms of this notice regarding your PHI will be followed, unless terms are amended or added, to remain in accordance with federal and state law. If this notice changes, you will receive a copy of the revised notice via U.S. mail, to the last address you have provided for this communication purpose, or via email if you have indicated you prefer to receive electronic communication. At any time, you may request a paper copy of this notice, or an amended version, and one will be provided to you.
Understanding Your Protected Health Information
Protected health information is any identifiable patient information that contains:
Any information that concerns your health and medical status or personal identifying information;
Any information about medical or psychiatric care that has been, is being, or will be delivered to you;
Financial information regarding payment for your medical visits and procedures and insurance information; and
Any information about genetic testing, results, or information about you or your family members; a request for genetic services; clinical research participation that is related to genetics; or symptoms and/or diagnosis of a genetic disease or condition of either you or your family member(s).
The purpose of creating and storing your medical record is to document your hospital and clinic visits and communications between you and your health care providers. This process allows ReGenovateMD PC to provide informed and quality care to our patients and to remain in compliance with all applicable federal and state laws. Your medical record will contain, among other things, examinations and test or lab results, diagnoses, treatments, visit notes, prescription orders, and a plan for future care or treatment.
Your Health Information Rights
Although your health record is the physical property of ReGenovateMD PC, the information contained in it belongs to you. You have the following privacy rights:
Right to Request Restrictions
You may request restrictions on the use and disclosure of your PHI to carry out treatment, payment, or health care operations.
ReGenovateMD PC reserves the right to deny your request if agreeing to it would negatively affect your care.
If you pay out-of-pocket in full, you may request ReGenovateMD PC to not share that information with your insurer.
Right to Request Corrections
You may request corrections to health information you believe to be incorrect or incomplete. ReGenovateMD PC may deny your request and provide a written explanation within 60 days.
Right to Confidential Communications
You may specify how you prefer to be contacted (telephone, mail, email), and ReGenovateMD PC will do its best to accommodate your request.
Right to Request Additional Restrictions
You may request restrictions on:
Disclosure to family and friends;
Disclosure to those involved in your care;
Disclosure during disaster relief situations.
Right to an Accounting of Disclosures
You may request a list of disclosures of your health information for up to six years prior to your request date. This list excludes disclosures for payment, treatment, or healthcare operations.
One accounting is free each year; additional requests may incur a reasonable fee.
Right to File a Complaint
You may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
Address: 200 Independence Avenue, S.W., Washington, D.C. 20201
Phone: 1-877-696-6775
Right to Inspect and Copy PHI
You may inspect and copy your PHI unless disclosure could be harmful. Requests must be made in writing and fulfilled within 10 business days. Copying fees may apply.
Right to Revoke Authorization
You may revoke a previous authorization to release PHI at any time in writing. Previously released information cannot be retracted.
ReGenovateMD PC Responsibilities Regarding Your PHI
Maintain your information securely and notify you of any breach.
Follow the practices in this notice and stay updated with laws.
Obtain your consent for marketing or sale of PHI.
Ensure accurate representation of services in your PHI.
Uses or Disclosures Requiring Your Consent
Treatment, payment, or operations.
Sharing with agencies at your request.
Organ donation, health research (unless objected).
Without Your Consent (as allowed by law):
For related treatments by affiliated entities.
During emergencies or disasters.
If unable to obtain consent but treatment is required.
Military, national security, or correctional facilities.
Legal obligations, threats to health/safety, abuse/neglect, recalls, infectious disease reporting.
Special Provisions
Psychotherapy or Substance Use Records
Separate written consent is required for release of these records.
Mandated Reporting
Healthcare professionals may be required to report suspected abuse or neglect without your consent.
Medical Power of Attorney
Appointed individuals can access PHI only when you are incapacitated.
Guardianship
Court-appointed guardians may access and authorize your PHI.
Minors
Certain minors may access care and restrict parental access to PHI. This includes:
Emancipated minors
Married minors
Minors who are parents
Situations involving STDs, pregnancy, substance abuse, emergencies, or abuse/neglect risks
In such cases, parents may not be considered the minor's representative and may have limited or no access to PHI.
