
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Effective Date: 3/31/2022
Summary
This is a summary of how we may use and disclose your health information and your rights and choices when it comes to your information. We will explain these in more detail on the following pages.
Our Uses and Disclosures
We may use and disclose your information as we:
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Treat you.
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Bill for services.
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Run our organization.
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Comply with the law.
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Address workers' compensation, law enforcement, or other government requests.
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Respond to lawsuits and legal actions.
Your Choices
You have some choices about how we use and share information as we:
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Communicate with you.
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Tell family and friends about your condition.
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Provide disaster relief.
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Market our services.
Your Rights
You have the right to:
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Request a copy of your paper or electronic protected health information.
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Correct your protected health information.
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Ask us to limit the information we share, in some cases.
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Get a list of those with whom we've shared your information.
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Request confidential communication.
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Get a copy of this privacy notice.
PURPOSE
Foothills Heart & Vascular Screenings, LLC (“Foothills Screenings”) is issuing this Notice to you to provide you with information about our privacy practices, obligations and your rights concerning your personal health information. Your personal health information is any individually identifiable health information transmitted or maintained in any form or medium, held by Foothills Screenings or its contracted service providers. If you have questions about any part of this Notice or if you want information about the privacy practices at Foothills Screenings, please contact:
Foothills Screenings Screening, Attn: Privacy Officer
USE OR DISCLOSURE OF HEALTH INFORMATION
Foothills Screenings is committed to protecting the confidentiality of your health information. Accordingly, while we are not directly subject to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) we have adopted many of its principles, as described in this Notice. Except as described in this Notice, Foothills Screenings will not use or disclose your health information without your written authorization. Your health information may be used for the following purposes:
Delivery of services. Foothills Screenings may use and disclose your health information for treatment purposes including the delivery of healthcare services, defined as those activities necessary for the provision of services and the delivery of results. For example, we may use your personal information to schedule your appointment and interpret your results. At the site, an employee of Foothills Screenings may call your name for your appointment.
Healthcare operations. Foothills Screenings may use your health information for the purposes of its healthcare operations. Healthcare operations may include quality assessment, protocol development, review of competence/qualification of Foothills Screenings staff, training programs, conducting, or arranging for medical review, legal services & auditing functions, and general administrative activities, including management actions relating to privacy, customer service, resolution of internal grievances, and creation of de-identified information.
Payment. Foothills Screenings may use your health information for payment purposes. For example, a bill may be sent to you to seek payment for the health care services provided by Foothills Screenings to you. The bill may contain or be accompanied by information that identifies you, your health condition, and the healthcare services you received.
Appointment reminders and test results. Foothills Screenings may contact you to provide appointment reminders, test results or, subject to applicable law, to give you information about treatments or health-related services that may be of interest to you. This may include voice mail messages, texts, postcards, letters, e-mail and other forms of communication.
Family and friends. With your approval and using our professional judgment, your health information may be disclosed to family or friends who are directly involved in your care. If you are unavailable, incapacitated, or in an emergency medical situation, and we determine that a limited disclosure may be in your best interest, we may share limited health information with such individuals without your approval.
Service Providers (known under HIPAA as Business Associates). In some instances, Foothills Screenings may contract with service providers for the services Foothills Screenings provides. For example, Foothills Screenings may use an outside company to mail results of your health services to you. Foothills Screenings may disclose your health information to these service providers so that they can perform the work that Foothills Screenings asks them to do. However, to protect your health information, our service providers are required by contract to protect the privacy of your information.
Other uses and disclosures of health information. We may use or disclose health information about you without your prior authorization for government or legal purposes, such as for public health purposes, required abuse or neglect reporting, health oversight audits or inspections, or in response to valid judicial or administrative orders. Foothills Screenings may also combine health information about many of its customers to decide which additional services should be offered.
USES AND DISCLOSURES ACCORDING TO YOUR AUTHORIZATION
In addition to the uses and disclosures described above, Foothills Screenings may use and disclose your health information if you provide Foothills Screenings written authorization to do so. You may authorize Foothills Screenings to use or disclose your health information to anyone for any purpose. If you give us an authorization, you may revoke it at any time by delivering written notice of your revocation to the Foothills Screenings Privacy Officer at the address listed at the bottom of this notice. Your revocation will not affect any use or disclosure of your health information permitted while the authorization was in effect. Unless you give us a written authorization, we will use or disclose your health information except as set forth in this Notice. Foothills Screenings will obtain your authorization for any use or disclosure of your health information for marketing purposes and for disclosures that constitute the sale of your health information.
YOUR HEALTH INFORMATION RIGHTS
Restrictions on use and disclosure of health information. You may request restrictions on certain uses and disclosures of your health information. These restrictions must be made in writing and signed by you or your representative. Foothills Screenings is not required to agree to your restrictions. We cannot agree to limit uses/disclosures that are required by law. In the event of a termination of an agreed-to restriction by us, we will not notify you of such termination. You may terminate, in writing or orally, any agreed-to restriction by sending such terminations to the Privacy Officer.
Access and/or copying health information. You may request and receive a copy of your health information in Foothills Screenings’ possession. You have the right to inspect and copy your health information. If you request copies, we may charge a fee for the cost of copying.
Amendments to health information. You may request that your health information be amended or corrected. Foothills Screenings is not required to change your health information but if we deny we will tell you why and how you can disagree with the denial.
Accounting for disclosures of health information. You may request and receive an accounting of disclosures of your health information made by Foothills Screenings, except that Foothills Screenings does not have to account for the disclosures for delivery of services or business operations as described above, information provided to you, or certain government functions described above.
Right to paper copy. You may request and receive a paper copy of this Notice of Privacy Practices. If you would like to have a more detailed explanation of these rights or you would like to understand one or more of these rights, please contact the Foothills Screenings Privacy Officer listed at the bottom of this notice.
Breach of Protected Health Information. If there is ever a breach of your protected health information that is held by Foothills Screenings or one of its service providers, you will be notified in accordance with State and Federal laws.
Right to Revoke Authorization to Share Protected Health Information: To the extent you have authorized us to share your health information, you may revoke that authorization at any time by contacting the Privacy Officer by mail or email, at the address located at the bottom of this notice.
CHANGES TO THIS NOTICE
Foothills Screenings reserves the right to amend this Notice of Privacy Practices at any time in the future. Any amendments will be applied prospectively and will be made in compliance with applicable laws. Until such amendment is made, Foothills Screenings is required by law to comply with this Notice.
COMPLAINTS
If you believe that we may have violated your privacy rights, or you disagree with a decision about your health information, you may file a complaint with the Foothills Screenings Privacy Officer at the address listed below.
FOOTHILLS SCREENINGS WILL NOT RETALIATE AGAINST YOU FOR FILING A COMPLAINT.
CONTACT US
Foothills Heart & Vascular Screenings
35302 SE Center St., Suite 103
Snoqualmie, WA 98065
(425) 331-0512
ashley@foothillsscreenings.com
This policy was last revised on March 23, 2023