HIPAA Notice of Privacy Practices (NPP)

Gascon Medical Center
Effective Date: [Insert Date]

This Notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.

1. Our Commitment to Your Privacy

Gascon Medical Center is required by law to maintain the privacy of your protected health information (PHI), provide you with this Notice, follow the terms of this Notice, and notify you if a breach occurs that may compromise the privacy of your PHI.

2. How We May Use and Disclose Your Health Information

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

A. Treatment

To provide, coordinate, or manage your healthcare. Example: sharing information with specialists, labs, pharmacies, or other providers involved in your care.

B. Payment

To bill and receive payment for healthcare services. Example: submitting lab orders, verifying services, or communicating with healthcare clearinghouses.

C. Healthcare Operations

For quality improvement, staff training, licensing, auditing, or business management.

3. Other Uses and Disclosures Allowed by Law

We may disclose PHI in certain situations without your authorization:

• Public health activities
• Reporting abuse, neglect, or domestic violence
• Health oversight activities
• Legal proceedings and court orders
• Law enforcement purposes
• Coroners, medical examiners, and funeral directors
• Organ donation organizations
• Research (under strict protocols)
• To prevent a serious threat to health or safety
• Workers’ compensation cases

4. Uses Requiring Your Written Authorization

We will obtain your written authorization before using or disclosing PHI for:

• Marketing purposes
• Sale of health information
• Most sharing of psychotherapy notes
• Any use not described in this Notice
  You may revoke your authorization at any time in writing.

5. Your Rights Regarding Your PHI

You have the following rights:

A. Right to Access and Copies

You may request to view or obtain a copy of your medical records. Fees may apply for printing or electronic copies.

B. Right to Amend

You may request corrections to your PHI if you believe it is inaccurate or incomplete.

C. Right to Confidential Communications

You may request that we contact you in a certain way (e.g., at work instead of home).

D. Right to Request Restrictions

You may request limits on how we use or disclose your PHI. While we are not required to agree, we will comply when legally possible.

E. Right to an Accounting of Disclosures

You may request a list of certain disclosures made without your authorization.

F. Right to a Paper or Electronic Copy of This Notice

You may request this Notice at any time.

G. Right to Breach Notification

You will be notified if a breach occurs involving your unsecured PHI.

6. Our Responsibilities

Gascon Medical Center is required to:

• Maintain the privacy of your PHI
• Follow the terms of this Notice
• Notify you if we change our privacy practices
• Inform you of any breach of unsecured PHI

We reserve the right to update this Notice at any time and will post the revised version in our office and on our website.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Gascon Medical Center
Attn: Privacy Officer
Phone: 786-803-2593
Email: info@gasconmedicalcenter.com

You may also file a complaint with:
U.S. Department of Health & Human Services (HHS)
Office for Civil Rights (OCR)
Website: https://www.hhs.gov/ocr

We will not retaliate against you for filing a complaint.

8. Contact Information

For questions about this Notice or your rights:

Gascon Medical Center
Phone: 786-803-2593
Email: info@gasconmedicalcenter.com
Website: https://gasconmedicalcenter.com