Notice of Privacy Practices

Our Commitment to Your Privacy

Dripping IV Solutions ("Dripping IV Solutions," "we," "us," or "our") is committed to protecting your protected health information (PHI). We are required by law to maintain the privacy and security of your PHI, provide you with this Notice of our legal duties and privacy practices, notify you following a breach of unsecured PHI, and follow the terms of the Notice currently in effect. This Notice applies to all records of your care generated or maintained by Dripping IV Solutions.

How We May Use and Disclose Your PHI

We may use and disclose your protected health information for the following purposes without your written authorization:

Treatment

We may use your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may share your information with other healthcare providers involved in your care, such as specialists, laboratories, or pharmacies.

Payment

We may use and disclose your PHI to obtain payment for healthcare services provided to you. This may include billing, claims management, and collection activities.

Healthcare Operations

We may use and disclose your PHI for our healthcare operations, which include quality assessment, staff training, business management, and other activities necessary to run our practice and provide quality care.

Other Permitted Uses and Disclosures

We may also use or disclose your PHI without your authorization in the following situations:

• As required by law: When federal, state, or local law requires disclosure
• Public health activities: For disease prevention, injury or disability reporting, and other public health purposes
• Health oversight: For audits, investigations, inspections, and other activities authorized by law
• Judicial and administrative proceedings: In response to a court or administrative order, or in certain circumstances, a subpoena
• Law enforcement: For certain law enforcement purposes, including reporting certain types of wounds or injuries
• To avert serious threat: When necessary to prevent or lessen a serious and imminent threat to your health or safety or the health or safety of others
• Workers' compensation: As authorized by and to the extent necessary to comply with workers' compensation laws
• Coroners, funeral directors, and organ donation: As necessary for these parties to carry out their duties
• Military and veterans: If you are a member of the armed forces, as required by military command authorities
• Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official

Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your PHI for the following purposes:

• Marketing: Using your PHI to send you marketing communications (except for face-to-face communications and promotional gifts of nominal value)
• Sale of PHI: We will never sell your PHI
• Psychotherapy notes: If applicable, using or disclosing psychotherapy notes
• Other uses: Any other use or disclosure not described in this Notice

You may revoke an authorization at any time by submitting a written request. Revocation will not affect any use or disclosure made in reliance on the authorization prior to revocation.

Your Rights Regarding Your PHI

Right to Access

You have the right to inspect and obtain a copy of your PHI maintained by Dripping IV Solutions. To request access, submit a written request to our Privacy Officer. We may charge a reasonable, cost-based fee for copies. We will respond to your request within 30 days.

Right to Request Amendment

You have the right to request that we amend your PHI if you believe it is incorrect or incomplete. Submit your request in writing with a reason for the amendment. We may deny your request in certain circumstances and will provide a written explanation if we do.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your PHI. This list does not include disclosures made for treatment, payment, healthcare operations, or certain other purposes. Your first request within a 12-month period will be free; we may charge for additional requests.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, except if you request that we not disclose PHI to a health plan for services you have paid for in full out of pocket.

Right to Request Confidential Communications

You have the right to request that we communicate with you about your health information in a specific way or at a specific location. For example, you may request that we contact you only at your work address or by email. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically. Contact our Privacy Officer to request a paper copy.

Right to Be Notified of a Breach

You have the right to be notified if there is a breach of your unsecured PHI. We will notify you in accordance with federal and state 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. The current Notice will be posted on our website and available at our office. Each version will have an effective date listed.

Complaints

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 or retaliated against for filing a complaint.

File a Complaint with Dripping IV Solutions

Contact our Privacy Officer using the information below.

File a Complaint with HHS

File a Complaint with the Texas Attorney General

Privacy Officer Contact Information

For questions about this Notice, to exercise your rights, or to file a complaint, contact our Privacy Officer:

Acknowledgment

You will be asked to sign an acknowledgment that you have received this Notice of Privacy Practices. If you decline to sign, we will still provide you with care, but we will document that the acknowledgment was not obtained. A copy of this Notice is available at our office and on our website at all times.