HIPAA Notice of Privacy Practices

Our Commitment to Your Privacy

Nu Health Care System creates and maintains records describing your health history, symptoms, examinations, test results, diagnoses, and treatment plans. We are required by law to:

• Maintain the privacy of your protected health information (PHI)
• Provide you with this Notice of Privacy Practices
• Follow the terms of this Notice
• Notify you in the event of a breach of your unsecured PHI

How We May Use and Disclose Your Health Information

Treatment

We may use and share your health information to provide, coordinate, or manage your healthcare and related services. For example, we may share information with other healthcare providers involved in your care.

Payment

We may use and share your health information to obtain payment for services we provide. This includes billing, claims management, and coordination with your insurance company or health plan.

Healthcare Operations

We may use and share your health information to support the business activities of our organization, including quality assessment, training, compliance reviews, and operational planning.

Other Permitted Uses and Disclosures

We may also use or disclose your health information without your authorization for the following purposes:

• As required by law
• For public health activities and reporting
• To report abuse, neglect, or domestic violence
• For health oversight activities
• For judicial and administrative proceedings
• For law enforcement purposes
• To avert a serious threat to health or safety
• For workers' compensation purposes
• For research purposes under certain conditions

Your Rights Regarding Your Health Information

Right to Access Your Records

You have the right to inspect and obtain a copy of your protected health information maintained in our records. Requests may be submitted in writing to our Privacy Officer.

Right to Request Amendments

If you believe that health information we have about you is incorrect or incomplete, you have the right to request that we amend your information.

Right to an Accounting of Disclosures

You have the right to request a list of disclosures we have made of your health information for purposes other than treatment, payment, or healthcare operations.

Right to Request Restrictions

You have the right to request that we restrict certain uses and disclosures of your health information. We are not required to agree to your request, except where you request that we not disclose your information to your health plan for services you paid for out-of-pocket in full.

Right to Request Confidential Communications

You have the right to request that we communicate with you about your health matters in a certain way or at a certain location (for example, home or work phone only).

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice upon request, even if you have agreed to receive it electronically.

Right to be Notified of a Breach

You have the right to be notified if we discover a breach of your unsecured protected health information, in accordance with federal law.

Uses and Disclosures Requiring Your Authorization

The following uses and disclosures will be made only with your written authorization:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures for marketing purposes
• Sales of your protected health information
• Any other use or disclosure not described in this Notice

You may revoke your authorization at any time in writing, except to the extent that we have already taken action in reliance on the authorization.

Changes to This Notice

We reserve the right to change this Notice and the privacy practices described in it. Any revised Notice will apply to health information we already have about you as well as any future information we receive. We will post a current copy of this Notice at our facility and on our website. You may request a copy of the current Notice at any time.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Nu Health Care System or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W., Washington, D.C. 20201
Toll Free: 1-877-696-6775 | www.hhs.gov/ocr