Notice of Privacy Practices

Our commitment to your privacy

Lowcountry Vitality (“we,” “us,” or “our”) is required by law to protect the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices regarding your PHI, to notify you following a breach of unsecured PHI, and to follow the terms of the Notice currently in effect. PHI is information that may identify you and that relates to your past, present, or future physical or mental health, the health care you receive from us, or payment for that care.

How we may use and disclose your health information

The following describes the ways we may use and disclose your PHI. Not every use or disclosure will be listed, but all permitted uses fall within one of these categories.

For treatment

We use and disclose your PHI to provide, coordinate, and manage your care. For example, our founding Physician Assistant performs a good-faith examination and reviews your intake to determine whether IV therapy or our weight-management program is appropriate; our registered nurses use your information to safely administer services; and we may share information with our supervising physician, your pharmacy, a laboratory, or other providers involved in your care.

For payment

We use and disclose your PHI to obtain payment for the services we provide. For example, we may use your information to process card or HSA/FSA payments through our payment processor and to maintain billing records. We are a cash-pay service and do not bill health insurance; see your right to restrict disclosures to a health plan below.

For health care operations

We use and disclose your PHI to run our practice and improve care. Examples include quality assessment, training and competency review of our clinical staff, care coordination, business management, and contacting you about services or appointments.

Appointment reminders and communications

We may contact you by phone, text message, email, or our secure messaging platform to confirm requests, provide appointment reminders, deliver intake or aftercare instructions, or share information about treatment alternatives or health-related services that may interest you.

Individuals involved in your care

Unless you object, we may share relevant PHI with a family member, friend, or other person you identify as involved in your care or payment for your care.

Business associates

We may disclose your PHI to third parties that perform services on our behalf — such as our scheduling/records platform, secure-messaging/telehealth platform, laboratory, billing or payment vendor, and IT providers. Each business associate is required by written agreement to safeguard your PHI.

Uses and disclosures we may make without your authorization

We may use or disclose your PHI without your authorization in the following circumstances, as permitted or required by law:

Uses and disclosures that require your written authorization

Other uses and disclosures will be made only with your written authorization, including:

You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Your rights regarding your health information

Right to request restrictions

You may ask us to restrict how we use or disclose your PHI for treatment, payment, or health care operations. We are not generally required to agree, except as noted below.

Right to restrict disclosures to a health plan (out-of-pocket)

If you pay for a service in full, out of pocket, you have the right to request that we not disclose PHI about that service to a health plan for payment or operations, and we will honor that request as required by law. (As a cash-pay practice, this is generally the default.)

Right to confidential communications

You may request that we communicate with you in a certain way or at a certain location — for example, by a specific phone number or email address. We will accommodate reasonable requests.

Right to inspect and copy

You have the right to inspect and obtain a copy of your PHI in our designated record set, including an electronic copy of electronically maintained records. We may charge a reasonable, cost-based fee. We may deny access in limited circumstances, some of which are reviewable.

Right to amend

If you believe PHI we have about you is incorrect or incomplete, you may request that we amend it. We may deny your request in certain cases and will explain any denial in writing.

Right to an accounting of disclosures

You have the right to request a list of certain disclosures we have made of your PHI, other than disclosures for treatment, payment, health care operations, and certain other exceptions.

Right to a paper copy of this Notice

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

Right to be notified of a breach

You have the right to be notified if there is a breach of your unsecured PHI.

To exercise any of these rights, contact our Privacy Officer using the information below. Some requests must be made in writing.

Our responsibilities

Changes to this Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any information we receive in the future. The current Notice will be posted on this website and available at our point of care, with its effective date shown. You may request a copy of the current Notice at any time.

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. We will not retaliate against you for filing a complaint.

U.S. Department of Health and Human Services, Office for Civil Rights
Online: ocrportal.hhs.gov/ocr/cp
Phone: 1-800-368-1019 · TDD: 1-800-537-7697 · Email: OCRComplaint@hhs.gov
Regional office serving South Carolina: Office for Civil Rights, Sam Nunn Atlanta Federal Center, Suite 16T70, 61 Forsyth Street, S.W., Atlanta, GA 30303-8909

Contact / Privacy Officer

Lowcountry Vitality — Privacy Officer
[Privacy Officer name and title]
Email: hello@lowcountryvitality.com
Greater Charleston, South Carolina
[Add registered business name, mailing address, and phone before publishing.]

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