THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy
Kali Health Clinic ("Kali," "we," "us") is required by law to maintain the privacy of your protected health information ("PHI"), provide you with this notice of our legal duties and privacy practices, and abide by the terms of this notice while it is in effect.
How We May Use and Disclose Your Health Information
- Treatment: We may use and disclose your PHI to provide, coordinate, or manage your care and related services, including telehealth visits, prescriptions, and referrals.
- Payment: We may use and disclose your PHI to bill and collect payment for services, including generating superbills for insurance reimbursement submission.
- Healthcare Operations: We may use your PHI for quality assessment, staff training, and other operational purposes necessary to run our practice.
- As Required by Law: We will disclose your PHI when required by federal, state, or local law.
Your Rights Regarding Your Health Information
- Right to request restrictions on certain uses and disclosures of your PHI
- Right to receive confidential communications by alternative means
- Right to inspect and obtain a copy of your PHI
- Right to request amendment of your PHI
- Right to receive an accounting of disclosures of your PHI
- Right to obtain a paper copy of this notice upon request
- Right to file a complaint if you believe your privacy rights have been violated, either with us directly or with the U.S. Department of Health and Human Services, without retaliation
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information, notify you promptly if a breach occurs that may have compromised the privacy or security of your information, and follow the terms of this notice currently in effect.
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.
Contact Us
If you have questions about this notice or would like to exercise any of the rights described above, please contact us at:
Kali Health Clinic / Alexandra Kile, Privacy Officer
akile@kalihealthclinic.com
(475) 277-2509