Notice of Privacy Practices
Effective October 15, 2014
All employees and business associates of the Integrity Laboratories, LLC, will treat patient health information consistent with the requirements of the Notice. The following notice outlines your rights concerning your health information. Please read it carefully. If you have any questions, please contact our Compliance officer using the contact information below.
What information is protected?
Identifying information about you, including, but not limited to, your name, address, contact information, insurance status and information, your health condition, identifying numbers, and information identifying you as a patient of a medical practice.
Your rights and how to exercise them:
You have the right to:
Get a copy of your paper or electronic medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Correct your paper or electronic medical record. You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this. We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communication. You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests.
Ask us to limit the information we share
You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared your information. You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months. Get a copy of this privacy notice. You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you if you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you believe your privacy rights have been violated
You can complain if you feel we have violated your rights by contacting us using the information below:
You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting hhs.gov/ocr/privacy/hipaa/complaints/.
We will not retaliate against you for filing a complaint.
How we can use your protected information
We will obtain your written authorization before using your health information or sharing it with others outside of Integrity Laboratories, LLC, except as we describe in this Notice. We may use your protected information without your written authorization in the following ways:
To Provide Health Care Services
Treatment: We may use or disclose your health information to health care professionals involved in your treatment, such as the health care provider who orders your laboratory tests.
Payment: We may use or disclose your health information to obtain payment for the testing services we provide for you. These disclosures may include billing, collections, determining your eligibility, and obtaining authorization for testing services.
Healthcare Operations: We may use or disclose your health information for our health care operations, including, but not limited to, planning, administration of our laboratory, and accreditation.
Business Associates: We may use or disclose your health information to select “business associates,” who are third parties contracted to assist us in providing health care services. Business associates are contractually obligated to protect your information and to use it only in assisting us in providing health care services. They are not allowed to use your information for anything other than assisting us in providing health care services.
Other Uses Allowed or Required by Law
Friends and Family Involved in Your Care
We may disclose your health information to a friend or family member who has the legal right to act for you with regard to your health care.
When the Law Requires
We may disclose your health information if the law requires that we do so, and we will disclose only that which is necessary to comply with the law.
Public Health and Safety Activities: We may disclose your health information to public health officials or other government officials for public health activities. These officials must be authorized to receive such information. These activities may include preventing disease, helping with product recalls, preventing or reducing a serious threat to anyone’s health and safety, reporting adverse reactions to medications, and reporting suspected abuse, neglect, or domestic violence.
Health Oversight Activities: We may disclose your health information to health, regulatory, and licensing agencies that have oversight authority with regard to our laboratory.
Research: We can use or share your information for health research.
Respond to organ and tissue donation requests: We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director: We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address Worker’s Compensation, Law Enforcement, and Other Governmental Requests: We can use or share your health information for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, and for special government functions including military, national security, and presidential protective services.
Respond to Lawsuits and Legal Actions: We can share health information about you in response to a court or administrative order, or in response to a subpoena.
We must obtain your written authorization before using your health information or sharing it with others in the following ways:
Most uses and disclosures of psychotherapy notes (where appropriate),
Most uses and disclosures of protected health information for marketing purposes, and
Disclosures that constitute a sale of protected health information. We never market or sell personal information.
Your written authorization can be revoked at any time, and that revocation will be effective from the time that we receive it. Your revocation will not be retroactive.
We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
We have to meet many conditions in the law before we can share your information for these purposes. For more information see:
Changes & Contact
We can change the terms of this notice, and the changes will apply to all of the information we have about you. The new notice will be available upon request, in our office, and on our website.
To exercise any of your individual rights, or if you have any questions about this Notice, please contact us at: