HIPAA Notice

Our Pledge to You

Infusion Sciences is committed to maintaining the privacy and security of your protected health information (PHI). This notice describes how we may use and disclose your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

How We May Use Your Health Information

We may use and disclose your health information for:

• Treatment — to provide, coordinate, and manage your care.
• Payment — to bill and collect payment for the services we provide.
• Healthcare operations — to support the quality and safety of our practice.

When We Need Your Authorization

For uses and disclosures beyond treatment, payment, and operations, we will obtain your written authorization. You may revoke that authorization at any time in writing.

Your Rights Under HIPAA

You have the right to:

• Inspect and request a copy of your health records.
• Request an amendment to your records if you believe they are inaccurate.
• Request confidential communications in a certain way or at a certain location.
• Ask us to limit what we use or disclose about you.
• Receive an accounting of certain disclosures we have made.
• Obtain a paper copy of this notice upon request.

Our Responsibilities

We are required by law to maintain the privacy of your health information, provide this notice of our duties, and notify you in the event of a breach of unsecured health information. We will not use or disclose your information without your permission, except as described in this notice or as required by law.

Safeguards We Maintain

We maintain administrative, physical, and technical safeguards that comply with federal and state regulations to protect your health information against unauthorized use or disclosure.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.