HIPAA Notice of Privacy Practices

Our Commitment to Your Privacy

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

How We May Use and Disclose Your Health Information

For Treatment

We may use your health information to provide, coordinate, or manage your healthcare and related services. For example, we may share your information with other physicians or healthcare providers who are treating you, or with specialists to whom we refer you.

For Payment

We may use and disclose your health information to obtain payment for services we provide to you. For example, we may contact your health insurer to confirm coverage or submit claims for services rendered.

For Healthcare Operations

We may use and disclose your health information in connection with our healthcare operations, including quality assessment, employee review, training programs, accreditation, and other business activities.

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, including public health activities and reporting
• To report abuse, neglect, or domestic violence to appropriate authorities
• For health oversight activities by government agencies
• In response to court orders, subpoenas, or lawsuits
• For law enforcement purposes as required by law
• To coroners, medical examiners, and funeral directors
• For organ and tissue donation purposes
• For research purposes, subject to privacy board approval
• To avert a serious threat to health or safety
• For specialized government functions, including military and veterans activities
• For workers compensation purposes

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your health information not described in this Notice will be made only with your written authorization. You have the right to revoke an authorization at any time, except to the extent that we have already acted in reliance on the authorization. The following uses and disclosures require your written authorization:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures of your PHI for marketing purposes
• Disclosures that constitute a sale of your PHI

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your health information that we maintain. We may charge a reasonable fee for copies. To request access, submit a written request to [email protected].

Right to Amend

If you believe that health information we have about you is incorrect or incomplete, you may request that we amend the information. We may deny your request under certain circumstances.

Right to an Accounting of Disclosures

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

Right to Request Restrictions

You have the right to request restrictions on certain uses and disclosures of your health information. We are not required to agree to your request, except in limited circumstances required by law.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you may ask that we contact you only at a specific phone number.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this Notice at any time. You may request a copy by contacting us at [email protected].

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with us, contact:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting hhs.gov/ocr or calling 1-800-368-1019. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change this Notice at any time. We reserve the right to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on our website. The Notice will contain the effective date on the first page.

Contact Information

For questions about this Notice or our privacy practices, please contact us: