PRIVACY POLICY
OUR LEGAL RESPONSIBILITIES
We are required by law to give you this notice. It provides you on how we may use and
disclose protected health information about you and describes your rights and our
obligations regarding the use and disclosure of that information. We shall maintain the
privacy of protected health information and provide you with notice of our legal duties
and privacy practices with respect to your protected health information.
We have the right to change these policies at any time. If we change our privacy
policies, we will notify you of these changes immediately. This current policy is in effect
unless stated otherwise. If the policy is changed, it will apply to all your current and past
health information.
You may request a copy of our notice any time. You may contact Sparta TRT, LLC at
2690 S. Eagle Rd, Ste 100 Meridian Idaho 83642 at any time to request a copy of this
privacy policy.
HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION
The following examples describe ways that we may use your protected health
information for your treatment, payments, healthcare operations etc. but please be
advised that not every use or disclosure in a particular category will be listed.
Treatment: We may use and disclose your protected health information to provide you
with treatment. This includes disclosing your protected health information to other
medical providers, trainees, therapists, medical staff, and office staff that are involved in
your health care.
For example, your medical provider might need to consult with another provider to
coordinate your care. Also, the office staff may need to use and disclose your protected
health information to other individuals outside of our office such as the pharmacy when
a prescription is called in.
Health Care Operations: We may use or disclose your protected health information to
operate this medical practice. These activities include training students, reviewing cases
with employees, utilizing your information to improve the quality of care, and contacting
you by telephone, email, or text to remind you of your appointments.
If we must share your protected health information to third party “business associates”
such as a billing service, if so, we will have a written contract that contains terms that
will protect the privacy of your protected health information.
We may also use and disclose your protected health information for marketing activities.
For example, we might send you a thank you card in the mail with a coupon for
specialized services or products. We may also send you information about products or
services that might be of interest to you. You can contact us at any point to stop
receiving this information.
We will not use or disclose your protected health information for any purpose other than
those identified in this policy without your specific, written Authorization. You may give
us written authorization to use your protected health information or to disclose it to
anyone for any purpose. You can revoke this authorization at any time but will not affect
the protected health information that was shared while the authorization was in effect.
Appointment reminders: We may contact you as a reminder that you have an
appointment for your initial visit, follow up visit, or lab work via text, phone or email.
Others Involved in Your Health Care: We may disclose protected health information
about you to your family members or friends if we obtain your verbal agreement to do
so, or if we give you an opportunity to object to such a disclosure and you do not raise
an objection. For example, we may assume that if your spouse or friend is present
during your evaluation, that we can disclose protected professional information to this
person. If you are unable to agree or object to such a disclosure, we may disclose such
information as necessary if we determine that it is in your best interest based on our
professional judgment if there is an urgent or emergent need.
Organ Donation: If you are an organ donor, we may release protected health
information to organizations that handle organ procurement or organ, eye or tissue
transplantation if it is necessary to facilitate this process.
Public Health Risks: We may disclose your protected health information, if necessary,
in order to prevent or control disease, report adverse events from medications or
products, prevent injury, disability or death. This information may be disclosed to
healthcare systems, government agencies, or public health authorities. We may have to
disclose your protected health information to the Food and Drug Administration to report
adverse events, defects, problems, enable recalls etc. if required by FDA regulation.
Health Oversight Activities: We may disclose protected health information to health
oversight agencies for audits, investigations, inspections or licensing purposes. These
disclosures might be necessary for state and federal agencies to monitor healthcare
systems and compliance with civil law.
Required by Law: We will disclose protected health information about you when
required to do so by federal, state and/or local law.
Workman’s compensation: We may disclose your protected health information to
workman’s comp or similar programs.
Lawsuits: We may disclose your protected health information in response to a court
action, administrative action or a subpoena.
Law Enforcement: We may release protected health information to a law enforcement
official in response to a court order, subpoena, warrant, subject to all applicable legal
requirements.
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION
Access to medical records: You have the right to access and receive copies of your
protected health information that we use to make decisions about your care. You must
submit a written request to obtain your protected health information to the individual
listed at the end of this privacy policy. We reserve the right to charge you a fee for the
time it takes to obtain and copy the protected health information and provide it to you.
Amendment: If you believe the protected health information, we have about you is
incorrect or incomplete, you may ask us to amend the information You will need to
submit a written request on why you feel the health information should be amended. We
may deny your request to amend if you did not send a written request or give a reason
on why it should be amended. If we deny your request, we will provide you a written
explanation. We may deny your request if we believe the protected health information is
accurate and complete.
Accounting of Disclosures: You have the right to receive a list of instances in which
we disclosed your personal health information unless the disclosure was used for
treatment, payment, healthcare operations, was pursuant to a valid authorization and as
otherwise provided in applicable federal and state laws and regulations. You must
submit a written request to obtain this “accounting of disclosures” to the individual listed
at the bottom of this policy. After your request has been approved, we will provide you
the dates of the disclosure, the name of the individual or entity we disclosed the
information to, a description of the information that was disclosed, the reason why it was
disclosed, and any additional pertinent information. This information may not be longer
than (STATUTE OF LIMITATIONS) years ago prior to the date the accounting is
requested. We reserve the right to charge a reasonable fee for this process.
Restriction Requests: You have the right to request a restriction or limitation on the
protected health information we use or disclose about you for treatment, payment, or
healthcare operations. We shall accommodate your request except where the
disclosure is required by law. We require this be a written request submitted to the
individual at the end of this policy.
Confidential Communication: You have the right to request that we communicate with
you about healthcare matters in a certain way and at a certain location. We must
accommodate your request if it is reasonable and allows us to continue to collect
payments and bill you.
Paper copy of this notice: You may request a hard copy of this practice policy if you
review and sign it via electronic means. To obtain this copy, contact the individual at the
end of this privacy policy.
Complaints: If you believe your privacy rights have been violated, you may file a
complaint with our office. You also file a complaint with the U.S. Department of Health
and Human Services. We will provide you with the address to file your complaint with
the U.S. Department of Health and Human Services upon request.