Privacy Policy
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Protect Your Personal Health Information
We understand that your health information is personal, and we are committed to protecting it. This Notice of Privacy Practices applies to all medical records we receive and maintain.
1) Safeguarding Your Protected Health Information
Individually identifiable information about your past, present, or future health, the care you receive, or payment for that care is considered “Protected Health Information” (PHI). We take steps to protect your PHI and only use or disclose the minimum necessary information when needed.
This notice explains how, when, and why your PHI may be used or shared.
2) How We May Use and Disclose Your Protected Health Information
We may use or share your PHI for treatment and healthcare operations. For other uses, we will typically ask for your written permission.
a) Treatment and Healthcare Operations
Your PHI may be shared with doctors, nurses, and other healthcare professionals involved in your care. It may also be shared with outside providers supporting your treatment or used to operate our clinic. Appointment reminders may be sent in accordance with your preferences and our confidentiality policies.
b) Uses Requiring Authorization
For uses beyond treatment and operations, we will request your authorization. However, your PHI may be disclosed without consent when required by law, for public health reasons, or to prevent harm to you or others.
3) Your Rights Regarding Your Protected Health Information
You have the following rights to access and manage your PHI:
a) Request Restrictions
You may request limits on how your PHI is used or shared. While we will consider your request, we are not required to agree, except as required by law.
b) Choose How We Contact You
You may request to be contacted in a specific way or at a specific location. We will honor reasonable requests.
c) Access Your Records
You may request to review or obtain copies of your PHI by submitting a written request. We will respond within 15 days. If access is denied, you will receive a written explanation.
d) Request Changes to Your Records
If you believe your records are incorrect or incomplete, you may request a correction. We will respond within 60 days and notify you of the outcome.
e) Request a Record of Disclosures
You may request a list of certain disclosures of your PHI. We will respond within 60 days.
4) Changes to This Privacy Policy
We may update this policy as permitted by law. Updates may reflect changes in regulations or practices. A revised notice will be available at your next visit or upon request.
5) Contact Information
If you need to request records or have questions about this policy, please contact us during business hours:
- Round Rock: Mon-Fri | 9AM – 5PM
- Cedar Park: Mon-Thurs | 12PM-8PM and Sat 9AM-1PM (closed Friday)
- Closed on major holidays
For privacy concerns, you may write to:
Privacy Official
Agape Women’s Clinic
104 E. Main St.
Round Rock, TX 78664
You may also leave a message at (512) 248-8200. Calls will be returned within 7 business days.