Notice of Privacy Practices

Kompassionate Kare Clinic, LLC is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

Your protected health information (PHI) includes any information about your health, health care services you receive, or payment for those services that can identify you. This includes medical records, test results, diagnoses, medications, appointment information, and billing records.

We may use and disclose your PHI for the following purposes without your written authorization:

• Treatment: To provide, coordinate, or manage your health care and related services, including consulting with other health care providers or referring you to a specialist.
• Payment: To obtain payment for services rendered, including billing your insurance plan, processing payments, and collecting balances.
• Health care operations: To support our business activities such as quality assessment, training, accreditation, licensing, and improving our services.

Federal and Florida law also permit us to use or disclose your PHI without your authorization in specific situations, including:

• As required by law, including court or administrative orders
• Public health activities and reporting
• Reports of abuse, neglect, or domestic violence
• Health oversight activities such as audits or inspections
• Law enforcement purposes as authorized by law
• To avert a serious threat to health or safety, as permitted by law
• Workers' compensation or similar programs as required by law
• To coroners, medical examiners, and funeral directors as necessary
• Organ and tissue donation purposes
• Research, under strict privacy protections

For any use or disclosure of your PHI that is not described above, we must obtain your written authorization. You may revoke an authorization at any time in writing, except to the extent that we have already acted in reliance on it.

You have the following rights under HIPAA:

• Right to inspect and copy: You may request to see or obtain a copy of your medical and billing records.
• Right to amend: You may request that we correct information you believe is inaccurate or incomplete.
• Right to an accounting of disclosures: You may request a list of certain disclosures we have made of your PHI.
• Right to request restrictions: You may ask us to limit how we use or disclose your PHI for treatment, payment, or health care operations.
• Right to confidential communications: You may request that we contact you at a specific address or phone number.
• Right to a paper copy: You may request a paper copy of this Notice at any time.

To exercise any of these rights, please contact us using the information below. We may ask you to submit your request in writing. We will respond within the timeframes required by law, generally 30 days, and will notify you if we need additional time.

We reserve the right to change this Notice and our privacy practices. Any revised Notice will apply to all of your PHI that we already maintain, as well as any information we receive in the future. The effective date will be posted at the top of the page. A copy of the current Notice will be available in our clinic and on our website.

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 Office for Civil Rights. We will not retaliate against you for filing a complaint.

If you have questions about this Notice or wish to exercise your privacy rights, please contact us: