Notice of Privacy Practices

OUR COMMITMENT TO YOUR PRIVACY

ElleMedicine, PLLC is committed to maintaining the privacy of your protected health information ("PHI"). We are required by law to provide you with this Notice of Privacy Practices and to inform you of our legal duties and privacy practices with respect to your PHI. We must follow the privacy practices described in this Notice while it is in effect.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use or disclose your health information for the following purposes:

1. Treatment

We may use and share your health information to provide, coordinate, or manage your care. For example, we may consult with other healthcare providers regarding your treatment.

2. Payment

We may use and disclose your health information to obtain payment for healthcare services provided to you. For example, we may contact your health insurance plan.

3. Healthcare Operations

We may use and disclose your information for our day-to-day operations, including quality assessment, training, credentialing, and administrative functions.

4. As Required by Law

We will disclose your information when required by federal, state, or local law.

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5. Public Health and Safety

We may disclose health information for public health activities such as reporting diseases or adverse events, and to prevent or lessen a serious and imminent threat to health or safety.

6. Health Oversight Activities

We may disclose your information to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, and licensure.

7. Legal Proceedings and Law Enforcement

We may disclose PHI in response to a court or administrative order, or in response to a subpoena, discovery request, or other lawful process.

8. Business Associates

We may disclose your information to third-party service providers ("business associates") who assist us with administrative or operational support, provided they agree to safeguard your information.

9. Appointment Reminders and Communications

 We may contact you to remind you of appointments or provide information about treatment alternatives or health-related benefits and services.

YOUR RIGHTS

You have the following rights regarding your PHI:

1. Right to Access

You may request to inspect or receive a copy of your medical records. Requests must be in writing. We may charge a reasonable fee for copies.

2. Right to Request an Amendment

If you believe your health information is incorrect or incomplete, you may request an amendment. We may deny your request in certain circumstances.

3. Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your PHI in the past six years.

4. Right to Request Restrictions

You may request that we restrict certain uses and disclosures of your health information. While we are not required to agree to all restrictions, we will comply with any restriction to which we do agree.

5. Right to Request Confidential Communications

You may request that we communicate with you in a specific way or at a certain location(e.g., home phone or email).

6. Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this Notice at any time upon request.

CHANGES TO THIS NOTICE

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by law. The new terms will be effective for all PHI we maintain, including information created or received before the change. We will make the revised Notice available upon request and post it in our office and on our website.

QUESTIONS OR COMPLAINTS

If you have any questions about this Notice or wish to file a complaint, please contact:

Privacy Officer

Elle Medicine, PLLC

9201 North Central Expressway, Suite 370

Dallas, TX 75225

Phone: (214) 238-8400

Email: privacy@ellemedicine.com

You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect the quality of care you receive.

Thank you for trusting Elle Medicine with your care. We are honored to serve you.