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.

Our Commitment

Meadow Health, LLC ("Meadow") is required by law to maintain the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

Protected health information ("PHI") means information that identifies you and relates to your physical or mental health, the care you receive, or payment for that care.

How We May Use and Disclose Your Health Information

For treatment

We use your health information to provide you with care. For example, your nurse practitioner reviews your intake responses and laboratory results to build your treatment plan. We may share information with laboratories that perform your testing and with pharmacies that fill your prescriptions.

For payment

We use and disclose your information to bill and collect payment for services. For example, we share the information necessary to process your payment with our payment processor.

For health care operations

We may use your information to run our practice, evaluate the quality of care you receive, and train or review our clinical staff.

Business associates

We use vendors to perform services on our behalf, including our electronic health record platform. These vendors may receive your health information in order to perform those services. We require each of them to sign a Business Associate Agreement obligating them to protect your information.

As required or permitted by law

We may use or disclose your information when required by law, including for public health activities, reporting of abuse or neglect, health oversight activities, judicial or administrative proceedings, law enforcement purposes, and to avert a serious threat to health or safety.

Uses That Require Your Written Authorization

The following uses and disclosures will be made only with your written authorization:

If you give us authorization, you may revoke it in writing at any time. Revocation will not apply to information we have already used or disclosed in reliance on that authorization.

Meadow does not and will not sell your protected health information.

Your Rights

Get a copy of your health record

You can ask to see or receive an electronic or paper copy of your health record. We will provide it within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your record

You can ask us to correct health information you believe is incorrect or incomplete. We may say no, and if we do we will tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way, or to send mail to a different address. We will say yes to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information. We are not required to agree, and may say no if it would affect your care.

Get a list of those with whom we have shared information

You can request an accounting of disclosures — a list of the times we have shared your health information for six years prior to the date you ask. This excludes disclosures for treatment, payment, and health care operations, and certain other disclosures.

Get a copy of this notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically. We will provide one 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 verify that authority before taking any action.

File a complaint

If you believe your privacy rights have been violated, you can file a complaint with us at hello@meadowhealth.org, or with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue SW, Washington DC 20201, by calling 1-877-696-6775, or at hhs.gov/ocr/privacy/hipaa/complaints.

We will not retaliate against you for filing a complaint.

Breach Notification

We are required to notify you promptly if a breach occurs that may have compromised the privacy or security of your health information.

Changes to This Notice

We can change the terms of this notice, and the changes will apply to all information we hold about you. The new notice will be available on request, on our website, and in our patient portal.

Contact

Privacy questions and requests: hello@meadowhealth.org

Meadow Health, LLC · meadowhealth.org