HIPAA Notice of Privacy Practices

We are required by law to maintain the privacy and security of your protected health information (PHI), to provide this notice, and to follow its terms. We will notify you promptly if a breach occurs that may have compromised your information.

Treatment: sharing information with providers and pharmacies involved in your care.

Payment: billing and collecting payment for services and medication.

Health care operations: running our practice, improving care quality and contacting you when necessary.

As required by law, for public health and safety, health oversight, legal proceedings, law enforcement and other purposes permitted under HIPAA.

Other uses, including most marketing and any sale of PHI, require your written authorization, which you may revoke at any time.

Get an electronic or paper copy of your medical record.

Ask us to correct information you believe is incorrect or incomplete.

Request confidential communications by a specific method or at a specific address.

Ask us to limit what we use or share; we must agree if you paid in full out of pocket and ask us not to share with your health plan.

Get a list of certain disclosures we have made.

Get a paper copy of this notice and choose someone to act for you.

File a complaint with us 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.

We may change the terms of this notice, and the changes will apply to all information we hold. The new notice will be available on our website.

Keptide Health LLC, 2219 Caxton Ave., Clermont, FL 34711 · Phone: +1 914-579-9258 · Email: support@keptide.com