Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Your Rights

You have the right to:

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communications
  • Ask us to limit the information we share
  • Get a list of those with whom we have shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

Your Choices

You have choices in the way we use and share information when we:

  • Share information with family, friends, or others involved in your care
  • Provide disaster relief
  • Provide mental health care
  • Market our services or provide educational information

In these cases we never share your information unless you give us written permission:

  • Marketing purposes involving personal health information
  • Sale of your information
  • Most sharing of psychotherapy notes

Our Uses and Disclosures

We may use and share your information as we:

  • Treat you
  • Run our organization
  • Bill for your services
  • Help with public health and safety issues
  • Do research
  • Comply with the law
  • Respond to lawsuits and legal actions

Electronic Communication and SMS

The Fatigue Clinic may communicate with patients using electronic methods including phone calls, voicemail, email, secure patient portal messaging, and text message (SMS).

SMS messages are sent only to patients who have explicitly opted in. We use SMS to send appointment reminders, care updates, and program information.

Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time. Reply HELP for more information. We do not sell or share your phone number with third parties for marketing purposes.
 

Your Rights in Detail

Get a copy of your medical record. You can ask to see or receive an electronic or paper copy of your medical record and other health information we maintain about you. We will provide a copy or summary of your information, usually within 30 days of your request. A reasonable fee may apply.

Ask us to correct your medical record. You may request correction of health information you believe is incorrect or incomplete. We may deny the request but will explain the reason in writing within 60 days.

Request confidential communications. You may request that we contact you in a specific way, such as by phone, email, or through the patient portal. We will honor reasonable requests.

Ask us to limit what we use or share. You may ask us not to use or share certain health information for treatment, payment, or operations. We are not required to agree if it could affect your care.

Get a list of disclosures. You may request a list of times we shared your health information for six years prior to your request. The first list each year is free. Additional requests may involve a reasonable fee.

Choose someone to act for you. If someone has legal authority to act on your behalf, such as a medical power of attorney, that person may exercise your rights regarding your health information.

File a complaint. If you believe your privacy rights have been violated, you may contact us or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will notify you if a breach occurs that may compromise your information.
  • We must follow the privacy practices described in this notice and provide you with a copy.
  • We will not use or share your information other than as described here unless you provide written permission. You may revoke that permission at any time in writing.

Changes to This Notice

We may change the terms of this notice, and the updated notice will apply to all information we maintain. The current notice will always be available at this page and upon request.

Contact Us

For privacy-related questions or to exercise your rights, contact our Privacy and HIPAA Compliance Officer:

Alissa Goodwin, MD

Privacy Officer and HIPAA Compliance Officer

The Fatigue Clinic

Email: [email protected]

Phone: 530-568-0056

Website: thefatigueclinic.org