Get Well Clinic
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 REVIEW IT CAREFULLY.
Get Well Healthcare Services, LLC, doing business as Get Well Clinic (“Get Well Clinic,” “we,” “us,” or “our”), is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect. We serve patients in the State of Texas.
1. How we may use and disclose your health information
We may use and disclose your PHI for the following purposes without your written authorization:
- Treatment. We use your PHI to provide, coordinate, and manage your medical care — for example, sharing information with providers, our pharmacy partner, or other professionals involved in your treatment.
- Payment. We use your PHI to bill and collect payment for the services you receive — for example, processing your self-pay card payment or documenting services rendered.
- Healthcare operations. We use your PHI to run our practice — for example, quality review, staff training, scheduling, and administrative functions.
- Appointment reminders & care communications. We may contact you to remind you of appointments or to share information about treatment options and services.
2. Other uses and disclosures permitted or required by law
We may use or disclose your PHI without your authorization when permitted or required by law, including: as required by federal, state, or local law; for public health activities; to report abuse, neglect, or domestic violence; for health oversight activities; in response to a court order, subpoena, or lawful legal process; for law enforcement purposes; to coroners, medical examiners, or funeral directors; for organ donation; for approved research; to avert a serious threat to health or safety; for specialized government functions; and for workers’ compensation as authorized by law.
3. Uses and disclosures that require your written authorization
Other uses and disclosures of your PHI will be made only with your written authorization. This includes most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and any sale of PHI. We do not sell your PHI. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
4. Your rights regarding your health information
You have the following rights with respect to your PHI:
- Right to access. You may inspect and obtain a copy of your medical and billing records, in a form and format you request when readily producible. We may charge a reasonable, cost-based fee.
- Right to amend. You may request that we correct PHI you believe is incorrect or incomplete. We may deny your request under certain circumstances and will explain why in writing.
- Right to an accounting of disclosures. You may request a list of certain disclosures we made of your PHI.
- Right to request restrictions. You may ask us to limit how we use or disclose your PHI. We are not required to agree, except that we must agree to a request to restrict disclosure to a health plan when you have paid for the service in full out of pocket.
- Right to confidential communications. You may ask us to contact you in a specific way or at a specific location.
- Right to a paper copy of this Notice. You may request a paper copy at any time, even if you have agreed to receive it electronically.
- Right to be notified of a breach. We will notify you if a breach occurs that may have compromised the privacy or security of your PHI.
To exercise any of these rights, contact our Privacy Officer using the information below.
5. Our responsibilities
We are required by law to maintain the privacy and security of your PHI, to notify you following a breach of unsecured PHI, to follow the duties and privacy practices described in this Notice, and not to use or disclose your information other than as described here unless you tell us we may in writing. If you give us written permission, you may revoke it at any time.
6. Changes to this Notice
We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain. We will post the current Notice on our website and have copies available at our clinic. The effective date is shown at the top of this Notice.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us by contacting our Privacy Officer, or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.
8. Contact — Privacy Officer
To exercise your rights, ask questions, or file a complaint, contact our Privacy Officer:
Privacy Officer
Get Well Healthcare Services, LLC
d/b/a Get Well Clinic
1420 FM 1960 Bypass Rd E, Ste. 122
Humble, TX 77338
Phone: (832) 781-4340
Email: info@getwellclinic.com