Envive, P.C.
Privacy Policy
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE READ IT CAREFULLY.
WHO WE ARE AND OUR LEGAL OBLIGATIONS TO YOU
You are coming to Envive, P.C. (“Envive”) to receive medical care. Envive has several locations, namely Sioux Falls, SD; Brandon, SD; Larchwood, IA. All Envive locations are full service chiropractic care providers offering additional services such as physical therapy, acupuncture and nutrition counseling.
The law requires us to protect the privacy of your health information and to provide you with notice of our legal duties and privacy practices with respect to this health information. This Notice of Privacy Practices outlines our legal obligations regarding your health information. We are required to comply with the terms of this Notice of Privacy Practices, effective April 14, 2003. We reserve the right to change the terms of this Notice of Privacy Practices and to make the new terms effective for all health information we possess. We will communicate any changes by providing you with a new copy of the Notice of Privacy Practices the next time you receive treatment at our facility after any such change.
HOW WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION
We collect health information from you and store it in a chart or on our computer system. This is your medical record. Although this record belongs to Envive, the information in the record belongs to you. The law allows us to use or disclose your health information for the following purposes:
- For Treatment. We may use your health information to provide you with medical treatment or services. For example, if you are receiving chiropractic care at our facility, a chiropractor may review your medical record and release medical information if it is necessary to provide you treatment.
- For Payment. We may use and disclose your health information for purposes of receiving payment for treatment and services that you receive. For example, we may send a bill for your services to your health insurance company, and this bill may contain certain information such as your name and the service we provided to you.
- For Health Care Operations. We may use and disclose your health information for the operation of our facility. For example, we may disclose information to our employees for training purposes, to evaluate performances, to assess the quality of care provided in our facility, and to determine how to improve the health care we provide.
- Follow Up Contact. We may use your health information to check on you or to provide you with information regarding other treatment or treatment options.
- Directories. Unless you inform us that you do not want us to do this, we will disclose your location and general condition to persons who call us and request you by name.
- Notification. We may also disclose your health information to notify or assist in notifying a family member, your personal representative, or other persons responsible for your care about your location or general condition
- Public Health Agencies. We may use or disclose your health information for public health activities such as assisting public health authorities in preventing or tracking disease and maintaining customer records of medical supplies in the event of product recall. We are required to report initial diagnosis of sexually transmitted diseases and communicable diseases to state public health agencies.
- Health and Safety and Law Enforcement. We are required to disclose information to law enforcement if we suspect child abuse or neglect. In the exercise of our professional judgment, we may report information in the case of adult abuse. Your health information may also be disclosed to avert a serious threat to health or safety of you or any other person. Finally, we may disclose health information to assist law enforcement officials in their duties.
- Required by Law. We will disclose health information if we are required to by law, such as pursuant to a judicial or administrative subpoena. We may also be required to disclose information for specialized government functions such as protection of public officials or reporting to various branches of the armed services.
- Fundraising. We might contact you to raise funds for our facility or to raise political awareness for issues related to health care. You are entitled to opt out of such contacts.
- Health Information. We might send you general newsletters or other information that promotes your health as well as other helpful information regarding our facility.
- Worker’s Compensation. Your health information may be used or disclosed in order to comply with laws and regulations related to Worker’s Compensation.
- Other Uses. Other uses and disclosures will be made only with your written authorization and you may revoke the authorization except to the extent we have taken action in reliance upon the authorization.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have certain rights with respect to your health information. They are listed below. If you would like to exercise any of these rights or if you have questions regarding your rights, please contact: Envive, P.C., Attn: Privacy Officer, 412 S. 1st Ave, Sioux Falls, SD 57104.
- You have the right to request that we limit our uses and disclosures of your health information, as you specify. We may not agree to your request.
- You have the right to request that we communicate with you through alternative means or locations, and we will respect any reasonable requests.
- You have the right to review and obtain a copy of your health information. We have the right to charge you a fee for the cost of providing you with such a copy.
- You have the right to request that we amend your health information. We will review your request but not necessarily make the amendments you request.
- You have the right to obtain an accounting of disclosures that we have made of your health information except disclosures for treatment, payment, health care operations, disclosures authorized by you, and disclosures for certain government functions.
- You have the right to revoke any authorization you made for the use or disclosure of your health information except to the extent we have already relied on the authorization.
- You have the right to receive a paper copy of this notice.
COMPLAINTS
You may complain to us if you think we have violated your privacy rights. We will listen to your complaint and do our best to address it. You will not be retaliated against for bringing a complaint. Please direct complaints to Envive, P.C., Attn: Privacy Officer, 412 S. 1st Ave, Sioux Falls, SD 57104. You can also file a complaint with the Department of Health and Human Services, Office of Civil Rights.