Notice of Privacy Practices

Our Responsibilities

We are required by law to:

• maintain the privacy and security of protected health information;
• provide you with this Notice describing our legal duties and privacy practices;
• follow the terms of the Notice currently in effect; and
• notify affected individuals following a breach of unsecured protected health information when required by law.

How We May Use and Disclose Your Medical Information

Other Uses and Disclosures Permitted or Required by Law

We may use or disclose protected health information without your written authorization when permitted or required by law, including for purposes such as:

• public health activities;
• reporting abuse, neglect, or domestic violence when required or permitted;
• health oversight activities;
• judicial or administrative proceedings;
• law enforcement;
• preventing or reducing a serious threat to health or safety;
• workers' compensation or similar programs;
• certain government functions; and
• other disclosures required by law.

Disclosures to Employers

Submitting an FMLA or medical leave request does not automatically authorize unrestricted disclosure of your medical information to your employer.

When completing employer-requested medical certification, we seek to provide information relevant to the certification and leave request.

We do not intentionally disclose unrelated medical information merely because an employer requests FMLA documentation.

Additional disclosures may require your authorization unless otherwise permitted by law.

People Involved in Your Care or Payment

When permitted by law and appropriate under the circumstances, we may share limited information with a person involved in your care or payment for your care.

Uses and Disclosures Requiring Authorization

Uses or disclosures not otherwise permitted by law generally require your written authorization.

If you provide authorization, you may revoke it in writing at any time, except to the extent action has already been taken in reliance on that authorization.

Your Rights

You generally have the right to:

Electronic Communications

Telephone, text, and electronic communications involve certain privacy risks.

We use healthcare-oriented communication systems when appropriate, but you should avoid sending sensitive medical information through ordinary unsecured email.

Changes to This Notice

We reserve the right to change this Notice and our privacy practices as permitted by law.

A revised Notice will apply to information we maintain and will be made available on our website.

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