Notice of Privacy Practices

Our commitment

Lifetime Vitality Clinic is required by law to keep your health information private, to give you this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

How we may use and share your health information

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

• Treatment. To provide, coordinate, and manage your care among the providers and staff involved in your treatment.
• Payment. To bill and obtain payment for the care we provide, including verifying coverage and sharing information with your health plan.
• Healthcare operations. To support the business activities of the clinic, such as quality assessment, staff training, and care improvement.
• Appointment reminders and care. To remind you of appointments and to tell you about treatment options or health-related services.
• People involved in your care. With your agreement, to share relevant information with family members, friends, or others you involve in your care.
• As required or permitted by law. Including public health activities; reporting of abuse, neglect, or domestic violence; health oversight activities; judicial and administrative proceedings; law enforcement purposes; coroners, medical examiners, and funeral directors; organ and tissue donation; research conducted under established privacy safeguards; to avert a serious threat to health or safety; specialized government functions such as military and veterans’ activities; workers’ compensation; and national security.

Uses requiring your written authorization

Most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and any sale of your health information require your written authorization. If you provide authorization, you may revoke it in writing at any time, and we will no longer use or share your information for the reasons covered by that authorization going forward.

Your rights

You have the following rights regarding your health information:

• Inspect and obtain a copy of your medical and billing records.
• Request a correction or amendment to your records.
• Request an accounting of certain disclosures we have made.
• Request restrictions on how we use or share your information.
• Request confidential communications, such as by alternate means or location.
• Receive a paper copy of this Notice upon request.
• Be notified following a breach of your unsecured health information.

Our duties

We are required to maintain the privacy of your health information, to provide you with this Notice and follow its terms, and to notify you if a breach of your unsecured health information occurs. We reserve the right to change this Notice, and to make the revised Notice effective for information we already have as well as any information we receive in the future. We will post the current version of this Notice at our office and on our website.

Questions and complaints

If you have questions about this Notice or believe your privacy rights have been violated, contact our Privacy Officer:

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at www.hhs.gov/ocr or 1-800-368-1019. We will not retaliate against you for filing a complaint.