Notice of Privacy Practices

Our Commitment

Paragon Sports Medicine is required by law to protect the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

Protected health information, or PHI, means information about you that could identify you and that relates to your health, your care, or payment for that care.

How We May Use and Disclose Your Information Without Your Authorization

For Treatment

We use your information to provide and coordinate your care. For example, a physician and a nurse practitioner in our practice may both review your records, and we may share information with a laboratory, an imaging center, a compounding pharmacy, or a specialist involved in your care.

For Payment

We use your information to bill and collect payment. For example, we may send information to your insurer to determine coverage or obtain prior authorization.

For Health Care Operations

We use your information to run the practice. For example, for quality review, staff training, licensing, business planning, and audits.

Appointment Reminders and Health Information

We may contact you about appointments, and we may tell you about treatment alternatives or health-related benefits and services that may interest you.

People Involved in Your Care

Unless you object, we may share information relevant to your care with a family member, friend, or other person you have involved.

As Required or Permitted by Law

We may use or disclose your information for public health activities, reporting suspected abuse or neglect, health oversight activities, judicial and administrative proceedings, law enforcement purposes, coroners and funeral directors, organ donation, approved research, to avert a serious threat to health or safety, for specialized government functions including military and national security, and for workers' compensation.

Uses That Require Your Written Authorization

We will obtain your written authorization before we use or disclose your information for any of the following, and for any other purpose not described in this notice:

• Most uses and disclosures of psychotherapy notes.
• Marketing communications, where we receive payment from a third party for making them.
• Any sale of your protected health information.
• Use of your photograph, image, likeness, or story in our marketing, including on our website and social media.

You may revoke an authorization in writing at any time. Revocation does not apply to anything we have already done in reliance on it.

Your Rights

Get a Copy of Your Record

You can ask to see or receive an electronic or paper copy of your medical and billing records. We will provide it, usually within 30 days, and may charge a reasonable, cost-based fee.

Ask Us to Correct Your Record

If you believe information about you is incorrect or incomplete, you can ask us to amend it. We may deny the request, and if we do we will tell you why in writing.

Request Confidential Communications

You can ask us to contact you in a specific way, or at a specific address or number. We will accommodate reasonable requests.

Ask Us to Limit What We Use or Share

You can ask us to restrict certain uses or disclosures. We are not required to agree, with one exception: if you pay for a service in full out of pocket, you can require us not to share information about that service with your health plan, and we must agree.

Get a List of Disclosures

You can ask for an accounting of certain disclosures we have made in the six years before your request.

Get a Paper Copy of This Notice

You can ask for a paper copy at any time, even if you agreed to receive it electronically.

Choose Someone to Act for You

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights.

Be Notified of a Breach

We will notify you if a breach occurs that may have compromised the privacy or security of your information.

To exercise any of these rights, contact our Privacy Officer using the details below. Most requests must be made in writing.

Our Duties

We are required by law to maintain the privacy and security of your protected health information, to notify you promptly if a breach occurs, to follow the duties and privacy practices described in this notice, and to give you a copy of it.

We will not use or share your information other than as described here unless you tell us in writing that we may.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at the address below, or with the U.S. Department of Health and Human Services Office for Civil Rights at:

U.S. Department of Health and Human Services Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
1-877-696-6775
hhs.gov/hipaa/filing-a-complaint

We will not retaliate against you for filing a complaint.

Changes to This Notice

We may change this notice and the changes will apply to all information we hold. The revised notice will be posted on this page and available in our office.

Privacy Officer

Paragon Sports Medicine, LLC
3280 Howell Mill Rd NW, Suite 250
Atlanta, GA 30327
470 270 8978
privacy@paragonsportsmedicine.com