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
Valiant Men's Health is committed to protecting your health information. We are required by law to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
"Protected Health Information" (PHI) is information about you — including demographic information — that may identify you and that relates to your past, present, or future physical or mental health, the provision of healthcare services, or payment for those services.
1. How We May Use and Disclose Your Health Information
The following categories describe the ways we use and disclose health information without requiring your specific written authorization:
- Treatment. We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may share your information with specialists, labs, or other providers involved in your care.
- Healthcare operations. We may use and disclose your PHI for operational purposes such as quality improvement, training, and administrative functions necessary to run our practice.
- Required by law. We will disclose your PHI when required to do so by federal, state, or local law, including disclosures to public health authorities or in response to legal proceedings.
- Public health activities. We may disclose your PHI to public health authorities to prevent or control disease, report adverse events, or comply with mandatory reporting requirements.
- Health oversight activities. We may disclose your PHI to government agencies for audits, investigations, and inspections as authorized by law.
- Serious threat to health or safety. We may use or disclose your PHI if we believe in good faith that it is necessary to prevent or lessen a serious and imminent threat to a person's or the public's health or safety.
As a direct primary care practice, we do not bill insurance for physician visits and therefore do not routinely share your PHI with insurers for payment purposes.
2. Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. You may revoke any authorization you have given us at any time, in writing, except to the extent that we have already taken action in reliance on it. This includes, but is not limited to:
- Most uses and disclosures of psychotherapy notes
- Uses and disclosures of PHI for marketing purposes
- Disclosures that constitute a sale of PHI
3. Your Rights Regarding Your Health Information
You have the following rights with respect to your PHI:
- Right to access. You have the right to inspect and receive a copy of your medical records and other PHI. We will respond to your request within 30 days. We may charge a reasonable fee for copies.
- Right to amend. If you believe your PHI is incorrect or incomplete, you may request that we amend it. We may deny your request under certain circumstances, but will explain our reasons in writing.
- Right to an accounting of disclosures. You have the right to request a list of certain disclosures we have made of your PHI in the past six years, other than disclosures for treatment, payment, and operations.
- Right to request restrictions. You may request restrictions on how we use or disclose your PHI. We are not required to agree to your request, but will notify you if we cannot accommodate it.
- Right to confidential communications. You may request that we communicate with you in a specific way or at a specific location (e.g., only by email or only at a certain phone number).
- Right to a paper copy of this notice. You have the right to receive a paper copy of this Notice at any time, even if you have previously agreed to receive it electronically.
4. Our Duties
We are required by law to:
- Maintain the privacy of your PHI
- Provide you with this Notice of our legal duties and privacy practices
- Notify you following a breach of your unsecured PHI
- Abide by the terms of the Notice currently in effect
We reserve the right to change our privacy practices and the terms of this Notice. If we make material changes, we will post the revised Notice on our website and make it available to you at your next visit.
5. How to Exercise Your Rights
To exercise any of the rights described above, please submit a written request to us at:
Valiant Men's Health — Privacy Officer
Richmond, Virginia
hello@valiantmenshealth.com
We will respond to your request in a timely manner and in accordance with applicable law.
6. How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. To file a complaint with us, contact us at the address above. To file a complaint with HHS, visit hhs.gov/ocr.
We will not retaliate against you for filing a complaint.