HIPAA Notice of Privacy Practices – Menopause Clinic DE

Effective Date

This Notice is effective as of May 2025.

Purpose of This Notice

This notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Responsibilities

We are required by law to:
– Maintain the privacy and security of your protected health information (PHI)
– Provide you with this Notice of our legal duties and privacy practices
– Notify you if a breach occurs that may compromise the privacy or security of your PHI
– Follow the duties and privacy practices described in this Notice

Your Rights

You have the right to:
– Get a copy of your medical record
– Correct your medical record
– Request confidential communication
– Ask us to limit the information we share
– Get a list of those with whom we’ve shared information
– Get a copy of this privacy notice
– Choose someone to act for you
– File a complaint if you believe your rights are violated

How We May Use and Disclose Your Information

We may use and share your information for:
– Treatment: To provide you with medical treatment or services
– Payment: To bill and collect payment for services provided
– Healthcare Operations: For quality assessment, licensing, and training
– Public Health and Safety: For disease control, abuse reporting, and FDA oversight
– Legal Requirements: When required by law or for legal proceedings

Uses and Disclosures That Require Your Authorization

We will not use or share your information for marketing purposes, the sale of your information, or other uses not described in this notice unless you give us written permission.

Revoking Authorization

If you provide authorization for us to use or disclose your PHI, you may revoke that authorization in writing at any time.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact Information

For questions or to file a complaint, contact:
Privacy Officer
Menopause Clinic DE
4923 Ogletown Stanton Road Ste 120
Newark, DE 19713
Phone: 302-770-0030
Email: info@menopauseclinicde.com