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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.

I. Your Rights

You have the right to:

• Get a copy of your medical records.
• Correct your medical records if you believe there’s an error.
• Request confidential communication.
• Ask us to limit what we share.
• Get a list of those with whom we’ve shared your information.
• Get a copy of this privacy notice.
• Choose someone to act for you if you have a legal guardian or medical power of attorney.
• File a complaint if you believe your privacy rights have been violated.

II. Your Choices

You have some choices in the way we use and share information when:

• You give permission to share your information with your family, close friends, or others involved in your care.
• We use your information for fundraising.
• We share information for disaster relief.

III. Our Uses and Disclosures

We may use and share your information as we:

• Treat you: We can use your health information and share it with other professionals who are treating you.
  • Example: A doctor treating you asks another doctor about your overall health condition.
• Run our organization: We can use and share your health information to run our clinic, improve your care, and contact you when necessary.
  • Example: We use health information about you to manage your treatment and services.
• Bill for your services: We can use and share your health information to bill and get payment from health plans or other entities.
  • Example: We give information about you to your health insurance plan so it will pay for your services.

IV. How Else We May Use or Share Your Information

We are allowed or required to share your information in other ways, usually for public good, such as:

• Helping with public health and safety issues.
• Doing research.
• Complying with the law.
• Responding to organ and tissue donation requests.
• Working with a medical examiner or funeral director.
• Addressing workers’ compensation, law enforcement, and other government requests.
• Responding to lawsuits and legal actions.

V. Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time.

VI. Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

VII. Contact Information

If you have any questions about this notice or believe your privacy rights have been violated, you can contact:

Privacy Officer
PrimeCare North LLC
1881 N University Dr, Ste 103, Coral Springs, FL 33071
(954) 516-0070
office@primecarenorth.com

You can also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.