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 Duty to Safeguard Your Protected Health Information
Dynamic Regenerative Medicine, PLLC is required by law to maintain the privacy of your protected health information (PHI), to provide you with notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI. We are required to abide by the terms of this Notice while it is in effect.
How We May Use and Disclose Your PHI
Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services, including consultation with other healthcare providers involved in your care.
Payment: We may use and disclose your PHI to obtain payment for services rendered, including verification of insurance benefits and submission of claims.
Healthcare Operations: We may use and disclose your PHI for our operational activities, including quality assessment, training, and compliance activities.
Required by Law: We will disclose your PHI when required to do so by federal, state, or local law, including public health reporting requirements and responses to valid legal process.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization, which you may revoke at any time in writing. This includes most uses of psychotherapy notes, uses for marketing purposes, and sale of your PHI.
Your Rights Regarding Your PHI
You have the right to: request restrictions on uses and disclosures of your PHI; receive confidential communications; inspect and copy your PHI; request amendment of your PHI; receive an accounting of disclosures; and receive a paper copy of this Notice. To exercise these rights, contact us at (360) 827-2844 or 525 W 8th St, Vancouver, WA 98660.
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 for filing a complaint. To file a complaint with us, contact: Dynamic Regenerative Medicine, PLLC · 525 W 8th St, Vancouver, WA 98660 · (360) 827-2844.
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. We will post the current Notice on our website and make copies available at our office.