NOTICE OF PRIVACY PRACTICES
VIDA CARE MEDICAL CENTER
Your Information. Your Rights. Our Responsibilities.
This Notice explains how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.
I. OUR COMMITMENT TO PRIVACY
Vida Care Medical Center, PLLC complies with the Health Insurance Portability and Accountability Act (“HIPAA”) regulations. We are committed to safeguarding your Protected Health Information (“PHI”) as outlined in this Notice.
II. SCOPE OF THIS NOTICE
PHI refers to information that identifies you, such as your name, address, and medical details, as well as the health services you receive. This Notice outlines how Vida Care Medical Center collects, uses, and shares PHI. It applies to all forms of PHI, including paper, electronic, andverbal records. Our privacy practices apply to all staff, contractors, and agents associated with Vida Care Medical Center
III. OUR RESPONSIBILITIES
We are legally required and committed to protect the privacy and security of your PHI. We will inform you promptly if a breach compromises your information. We will adhere to the terms of this Notice. We will obtain your written consent for uses not covered by this Notice. You may withdraw your consent in writing at any time. Upon receipt, we will comply moving forward.
For more information, please visit: https://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.%c2%a0
IV. YOUR RIGHTS
Access to Your Records
You can request to see or obtain a copy of your medical records in electronic or paper format. We will respond within 30 days and may charge a reasonable fee.
Request Corrections
If you believe your health information is incomplete or inaccurate, you can request a correction. If we deny your request, we will provide a written explanation within 60 days.
Confidential Communications
You can request to be contacted in a specific way (e.g., home or office phone) or at a different address. We will accommodate reasonable requests.
Limitations on Use and Disclosure
You can request restrictions on how your information is used for treatment, payment, or healthcare operations. While we are not obligated to agree, especially if it would affect your care, we will honor requests for services paid entirely out-of-pocket unless otherwise required by law. This is regarding sharing information for the purpose of payment or our operation with your health insurer.
Accounting of Disclosures
You may request a list of disclosures made in the past six years, excluding those related to treatment, payment, and healthcare operations. One list per year is provided at no charge;additional lists may incur a fee.
Copy of This Notice
You may request a paper copy of this Notice at any time, even if you have agreed to electronic access.
Authorized Representative
If you designate someone to act on your behalf through medical power of attorney or legal guardianship, we will confirm their authority before taking action.
File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with Vida Care Medical Center, Privacy Officer: 6424 Bermuda Dunes Dr., Plano, TX 75093 | 214-501-2237 |
www.vidacare360.com or U.S. Department of Health and Human Services: 200 Independence Avenue, SW, Washington, D.C. 20201 | 877-696-6775 |
www.hhs.gov/ocr/privacy/hipaa/complaints
We will not retaliate against you for filing a complaint.
V. YOUR CHOICES
You can specify how we share your information with your family, friends, or others involved in your care, as well as in cases of disaster relief situation. In emergencies, we may act in your best interest if you cannot communicate your preferences. We will never use or share your information for marketing, sale, or psychotherapy notes without
written consent
VI. HOW WE USE AND DISCLOSE YOUR HEALTH INFORMATION
Typical Uses
Treatment: Sharing information with healthcare providers involved in your care.
Payment: Using information for billing and insurance claims.
Healthcare Operations: Improving services and quality of care.
Additional Uses
Appointment reminders and treatment options. Participation in Health Information Exchange. Public health and safety activities (e.g., disease prevention, abuse reporting). Research (under strict conditions). Legal and regulatory requirements (e.g., law enforcement, lawsuits).
Special Cases
Organ and tissue donation. Coroner, medical examiner, or funeral director requests. Workers’ compensation claims.
Authorization
Authorization For any other use not described here, we require your explicit written consent. You may revoke this authorization at any time.
IV Test Results
HIV results are disclosed only under specific circumstances, such as healthcare services, billing, court orders, or organ donation.
VII. CHANGES TO THIS NOTICE
We may revise this Notice at any time. Changes will apply to all PHI we maintain. The latest version will be available at our facilities, on our website, and through our mobile app.
VIII. CONTACT US
Medical Records Requests
Complete the medical release form available at www.vidacare360.com. Submit the form to Vida Care Medical Center, HIM Department: 2601 Forest Ln., Garland, TX 75042. Fax: (888)220-2509
Privacy-Related Requests
Send written requests for amendments, disclosures, restrictions, or confidential communications to Vida Care Medical Center, HIM Department: 2601 Forest Ln., Garland, TX 75042
This revised Notice is effective as of November 25, 2024