HIPAA Notice

Notice of Privacy Practices / HIPPA

Effective Date: 05-15-2026

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

Your Rights

You have the right to:

• Access and obtain a copy of your health records
• Request corrections to your health information
• Request confidential communication (for example, using a different address or phone number)
• Request limits on how we use or share your information
• Receive a list of certain disclosures of your health information
• Obtain a paper copy of this Notice at any time
• File a complaint if you believe your privacy rights have been violated

How We Use and Share Your Information

We may use and disclose your health information for the following purposes:

Treatment: We may use your information to provide, coordinate, or manage your care with other healthcare providers.

Payment: We may use your information to bill and receive payment for services provided.

Healthcare Operations: We may use your information for administrative purposes, quality improvement, and business operations.

Other Uses and Disclosures

We may also use or share your information without your permission in certain situations, including:

• When required by law
• To prevent or reduce a serious threat to health or safety
• For public health activities (such as reporting diseases)
• For health oversight activities (such as audits or investigations)
• For law enforcement purposes
• In response to court or administrative orders
• For organ and tissue donation processes
• For medical examiner or funeral director activities

Your Authorization: For uses and disclosures not described in this Notice, we will obtain your written authorization before using or sharing your information.

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your protected health information (PHI)
• Provide you with this Notice of our legal duties and privacy practices
• Abide by the terms of this Notice currently in effect
• Notify you in the event of a breach of unsecured PHI

Changes to This Notice: We reserve the right to change this Notice and make the revised version effective for all information we maintain. The updated Notice will be available upon request and posted on our website.

Contact Information

If you have questions or want to exercise your rights, please contact:

Privacy Officer: Clinton Sexton
Phone: (630) 338-2125
Email: [email protected]

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.