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Notice of Privacy Practices

Last updated: January 1, 2024

Compassionate Concierge Physicians, Inc. is committed to protecting the privacy and security of your Protected Health Information (PHI). This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

How We May Use or Disclose Your Protected Health Information

Treatment

We may disclose your PHI to other physicians and health care providers who are involved in your care for the purpose of coordinating your treatment.

Payment

We may use or disclose your PHI to insurance companies and other entities for the purpose of billing and collecting payment for services and items you may have received from us, including benefits verification and pre-authorization of services.

Health Care Operations

We may use or disclose your PHI for quality improvement, staff evaluation, creating de-identified data, and in connection with transfers in sales or mergers of our organization.

As Required by Law

We may use or disclose your PHI when required by federal, state, or local law.

Public Health Activities

We may disclose your PHI for public health activities including disease control, adverse event reporting, and FDA reporting.

To Report Abuse

We may disclose your PHI to report suspected abuse, neglect, or domestic violence to appropriate authorities as required or permitted by law.

Health Oversight Activities

We may disclose your PHI for health oversight activities including civil, administrative, or criminal investigations, licensure, and disciplinary actions.

Judicial and Administrative Proceedings

We may disclose your PHI in response to court orders, subpoenas, or protective orders.

Law Enforcement

We may disclose your PHI to law enforcement officials for purposes such as identification, location of suspects, or reporting suspected criminal activity.

Coroners and Cadaveric Donations

We may disclose your PHI to coroners, medical examiners, funeral directors, and organ procurement organizations as necessary.

Research Purposes

We may disclose your PHI for medical research purposes with limited data sets in accordance with applicable regulations.

Specialized Government Functions

We may disclose your PHI for national security, military, Presidential protection, and correctional facility purposes.

Workers' Compensation

We may disclose your PHI as authorized by workers' compensation laws and work site safety regulations.

Disaster Relief

We may disclose your PHI to emergency and disaster relief organizations to assist in notification efforts.

To Avert Serious Threat

We may use or disclose your PHI when necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health or safety of the public.

Family and Friends

We may disclose your PHI to family members or friends involved in your care or payment for your care, unless you object.

Information to Patient

We may use your PHI to send you appointment reminders, treatment options, and information about alternative care settings.

To Business Associates and Subcontractors

We may disclose your PHI to third parties who perform services on our behalf. These business associates are required to protect your PHI.

Your Rights Regarding Your PHI

Authorization

For uses and disclosures not covered in this Notice, we will obtain your written authorization before using or disclosing your PHI. You may revoke your authorization at any time in writing.

Request Restrictions

You have the right to request restrictions on the use or disclosure of your PHI. We must comply with your request to restrict disclosure for services you pay for entirely out-of-pocket.

Confidential Communications

You have the right to request that we communicate with you at a specific address or by a specific means of communication.

Inspect and Receive Copy of PHI

You have the right to review and receive a copy of your designated health records. Records are available in electronic format, and you may request transmission to a designated party.

Amend PHI

You have the right to request corrections to incorrect or incomplete information in your records. We will respond within 60 days.

Accounting of Disclosures

You have the right to receive an accounting of disclosures of your PHI from the previous 6 years. The first request within a 12-month period is free.

Paper Copy of This Notice

You have the right to receive a physical copy of this Notice of Privacy Practices at any time.

Complaints

You have the right to file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.

Breach Notification

We will notify you promptly if a breach of your unsecured PHI occurs.

Our Right to Change This Notice

We reserve the right to change this Notice and our privacy practices at any time. Changes will apply to all existing and future PHI. We will update this Notice before changes become effective.

Contact Information

Compassionate Concierge Physicians, Inc.
Attn: Chief Compliance Officer
1551 Professional Lane, Unit 102
Longmont, CO 80501
Email: info@ccpwounds.com