Summary

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 Legal Duty

Healingly LLC is required by law to:

• Maintain the privacy of your protected health information (PHI).
• Provide you with notice of our legal duties and privacy practices.
• Follow the terms of this notice currently in effect.

We are required by law to maintain the privacy and security of your Protected Health Information (PHI). We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.

We reserve the right to change our privacy practices and update this notice at any time. Any revised notice will apply to all protected health information we maintain.

You may request a copy of the current notice at any time.

How We May Use and Disclose Your Health Information

Your protected health information may be used and disclosed for the following purposes:

Treatment

We may use and disclose your health information to provide, coordinate, or manage your health care.

Examples include:

• Sharing information with pharmacies for prescriptions
• Consulting with other healthcare providers involved in your care
• Reviewing lab results or diagnostic testing

Payment

We may use your information to obtain payment for services provided. Examples include:

• Processing payment for services
• Providing documentation for patient-submitted insurance reimbursement (if requested)

Healthcare Operations

We may use health information to operate our medical practice.

Examples include:

• Quality improvement activities
• Staff training
• Business management and administrative activities
• Appointment reminders

Additional Permitted Disclosures

We may disclose your health information when required by law, including:

• Public health reporting
• Health oversight activities
• Law enforcement requests
• Court orders or subpoenas
• Workers’ compensation claims

Any use or disclosure of your Protected Health Information not described in this Notice generally requires your written authorization. You may revoke your authorization at any time in writing, except to the extent that action has already been taken in reliance upon that authorization.

Communication With Patients

We may contact you for the following purposes:

• Appointment reminders
• Follow-up care instructions
• Lab Results
• Information related to your care

Communication methods may include:

• Phone calls
• Secure patient portal messages
• Email
• Text messages

You may request limitations on how we communicate with you.

Your Rights

You have the following rights regarding your protected health information:

Rights to Access

You have the right to inspect and obtain a copy of your medical records.

Requests must be made in writing.

Rights to Amend

If you believe information in your record is incorrect or incomplete, you may request that it be amended.

Rights to Request Restrictions

You may request restrictions on how your health information is used or disclosed.

We will consider your request, but we are not required to agree to it in all cases.

Rights to Confidential Communication

You may request that we communicate with you in a specific way or at a specific location.

Rights to Accounting Disclosures

You may request a list of certain disclosures we have made of your protected health information.

Rights to Receive a Paper Copy of This Notice

You have the right to obtain a paper copy of this Notice of Privacy Practices at any time, even if you have agreed to receive it electronically.

Rights to Revoke Authorization

If you provide written authorization for uses or disclosures of your Protected Health Information, you may revoke that authorization at any time in writing, except to the extent that action has already been taken in reliance upon the authorization.

How to Excercise Your Rights

To exercise any of the rights described in this Notice, including requests to inspect, obtain copies of, amend, restrict, or receive an accounting of disclosures of your health information, please submit your request in writing to:

Bonnie Harper Spellman, FNP-C
Healingly LLC
2014 W. Pinhook Rd.
PMB #17045275
Lafayette, LA 70508

Phone: 337-213-1242
Email: [email protected]

Requests will be processed in accordance with applicable federal and state laws.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Healingly LLC by mail, telephone, or email using the contact information below, or you may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

For questions regarding this privacy notice or to file a complaint, contact:

Bonnie Harper Spellman, FNP-C
Healingly LLC
2014 W. Pinhook Rd.
PMB #17045275
Lafayette, LA 70508

Phone: 337-213-1242
Email: [email protected]