Notice of Privacy Practices
Denver Sports and Holistic Medicine, INC
Effective Date: 01/01/2023
This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.
Denver Sports and Holistic Medicine is committed to protecting the privacy and confidentiality of your health information. Federal and state laws require us to maintain the privacy of your protected health information (PHI) and to provide you with this notice explaining our legal duties and privacy practices.
Protected health information includes any information that identifies you and relates to your health condition, treatment, or payment for healthcare services.
How We May Use and Disclose Your Health Information
We may use and disclose your protected health information for the following purposes without additional written authorization.
Treatment
We may use your health information to provide, coordinate, and manage your healthcare. This may include communication between healthcare providers involved in your care.
Examples include:
• Reviewing your medical history
• Developing treatment plans
• Communicating with your primary care physician or referring provider
• Coordinating care related to acupuncture, functional medicine, herbal medicine, or other services
Payment
We may use your health information to obtain payment for services provided.
Examples include:
• Processing payments for services
• Billing for laboratory testing or supplements
• Communicating with payment processors or billing services
Healthcare Operations
We may use health information for activities necessary to operate the clinic and improve the quality of care.
Examples include:
• Quality assessment and improvement activities
• Staff training and supervision
• Business management and administrative functions
• Legal compliance and auditing
Situations Where Your Information May Be Disclosed Without Your Authorization
Federal and state laws allow certain disclosures without your written consent, including:
Public Health Activities
We may disclose health information when required to report public health issues such as communicable diseases.
Health Oversight Activities
Government agencies may require access to records for audits, inspections, or licensure reviews.
Legal Proceedings
We may disclose information in response to a court order, subpoena, or other lawful process.
Law Enforcement
Information may be disclosed when required by law or in response to lawful law enforcement requests.
Serious Threat to Health or Safety
Information may be disclosed when necessary to prevent a serious threat to your health or the safety of others.
Workers’ Compensation
Information may be released when required for workers’ compensation claims.
Uses and Disclosures Requiring Authorization
Certain uses of your health information require your explicit written authorization.
These include:
• Marketing communications not related to treatment
• Use of identifiable patient information for promotional purposes
• Any other disclosures not described in this notice
You may revoke authorization at any time in writing, except where disclosure has already occurred.
Your Rights Regarding Your Health Information
You have the following rights regarding your protected health information.
Right to Access
You have the right to request access to your medical records.
Requests must be made in writing. We may charge a reasonable fee for copying or providing records.
Right to Request Corrections
If you believe information in your record is incorrect or incomplete, you may request an amendment.
We may deny the request if the record was not created by this clinic or if we believe the information is accurate.
Right to Request Restrictions
You may request restrictions on how your information is used or disclosed for treatment, payment, or healthcare operations.
While we will consider such requests, we are not required to agree to them except in certain circumstances required by law.
Right to Confidential Communication
You may request that we communicate with you using specific methods or locations.
For example:
• contacting you by email instead of phone
• sending mail to a different address
We will make reasonable efforts to accommodate such requests.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your health information made by the clinic within the previous six years.
Right to a Copy of This Notice
You may request a paper or electronic copy of this Notice of Privacy Practices at any time.
Our Responsibilities
Denver Sports and Holistic Medicine is required by law to:
• Maintain the privacy of your protected health information
• Provide this Notice of Privacy Practices
• Follow the privacy practices described in this notice
• Notify you if a breach occurs that may compromise the privacy or security of your health information
We reserve the right to update or revise this notice. Any updates will apply to all information maintained by the clinic and will be posted on our website and available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the clinic or with the U.S. Department of Health and Human Services.
Filing a complaint will not affect the quality of care you receive.
Contact Information
Denver Sports and Holistic Medicine, INC
1580 S Dahlia St
Denver, CO 80222
Phone: 720-459-9765
Website:
https://denversportsandholisticmedicine.com
Federal Complaint Contact
U.S. Department of Health and Human Services
Office for Civil Rights
https://www.hhs.gov/ocr/privacy/hipaa/complaints/