HIPAA Notice of Privacy Practices
Love and Humble Medical Care
Effective Date: January 2025

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1. Introduction
This Notice of Privacy Practices ("Notice") describes how Love and Humble Medical Care ("we," "our," or "us") may use and disclose your protected health information (PHI) and how you can access your information. We are committed to safeguarding your privacy in compliance with the Health Insurance Portability and Accountability Act (HIPAA).

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2. Your Rights
Under HIPAA, you have the following rights regarding your PHI:

• Access Your Records: You can request to see or obtain a copy of your medical records.

• Request Amendments: If you believe information in your records is incorrect or incomplete, you may request a correction.

• Request Restrictions: You can ask us not to share certain information for treatment, payment, or healthcare operations.

• Confidential Communications: You can request that we contact you in a specific way (e.g., home phone, email).

• Accounting of Disclosures: You can request a list of instances where your PHI was shared, except for routine uses like treatment or payment.

• File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services.

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3. How We Use and Disclose Your PHI
We may use or disclose your PHI without your authorization in the following circumstances:

• For Treatment: To provide, coordinate, or manage your healthcare services with other professionals.

• For Payment: To process billing and insurance claims related to your care.

• For Healthcare Operations: To evaluate and improve our services and ensure quality care.

• As Required by Law: When mandated by law, such as reporting abuse or public health concerns.

• For Public Safety: To prevent or reduce serious threats to health or safety.

• To Business Associates: Third-party service providers who assist in healthcare operations, under HIPAA compliance agreements.

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4. Uses and Disclosures Requiring Authorization
We will not use or share your PHI for marketing, sale of information, or most uses of psychotherapy notes without your written consent. You may revoke your authorization at any time in writing.

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5. Our Responsibilities

• We are required by law to maintain the privacy and security of your PHI.

• We will notify you promptly if a breach occurs that may have compromised your information.

• We will follow the privacy practices described in this Notice unless legally required to change them.

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6. Changes to This Notice
We reserve the right to update this Notice as needed. Any changes will be posted on our website with an updated effective date.

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7. Contact Us
If you have any questions about this Notice or wish to exercise your rights, please contact:

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Love and Humble Medical Care

9844 Lori Rd, Suite 102 Chesterfield, VA 23832
571-622-3525
info@loveandhumblemedicalcare.com

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If you believe we have violated your privacy rights, you may file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights at www.hhs.gov/ocr/privacy/hipaa/complaints.

You will not be penalized for filing a complaint.