HIPAA Notice of Privacy Practices
At R&R IV Drip Bar, LCC, Our medical director, Dr. Rebecca L. Russo; DNP, FNP-C, MSFN and Owner, understands that health information about you is very personal and we are mandated by the Health Insurance Portability and Accountability Act (HIPAA) to protect your health information. We create a record of the care and services you receive from us, and this record helps to provide you with quality care and to comply with certain legal requirements. This Notice applies to all of the records of your care generated by us, and informs you about the ways in which we may use and disclose information about you. We also describe your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information.
We are required by law to:
Make sure that health information that identifies you is kept private
Give you this Notice of our legal duties and privacy practices with respect to health information about you
Follow the terms of Notice that are currently in effect
How we may use and disclose health information about you:
For treatment
For payment
For healthcare operations
For appointment reminders
As required by law
As required by the Military or Veterans and Workers Compensation
Coroners, health examiners, and funeral directors
National Security and Intelligence activities
Protective Services for the President and others
Security Officials for Inmates
Public health risks
Health oversight activities
Lawsuits and disputes
Law enforcement
To avert a serious threat to health and safety
Your rights regarding Health Information about you:
Right to inspect and copy
Right to amend
Right to Accounting of Disclosures
Right to Request Restrictions
Right to Request Confidential Communication
Your Medical Records: The original copy of your paper and/or electronic medical record is the property of R&R IV Drip Bar, LLC and the medical director. You may request a copy of your records to be transferred by completing a medical records release form. We require 14 business days from the date of your request to prepare and send your records unless the records are for urgent or life threatening health issues.
Changes to this Notice: We reserve the right to change this Notice. We will post a copy of the current Notice in our facility with the current effective date.
Complaints: If you believe that your privacy rights have been violated, you may file a complaint with us. All complaints must be in writing. Please contact the administrator where you were treated to file a complaint. For complete, detailed information regarding privacy law, visit: www.cms.gov/hipaa.
Permission to Share your Health Information: We are required to follow certain federal guidelines and laws regarding the confidentiality of your personal health information. One of these prevents us from discussing anything in your medical file with anyone other than yourself or other medical personnel involved in your care. If you would like us to discuss lab results or other personal information with your significant other, family members, or any other individuals, please fill in their name and relationship to you when you fill out the form prior to your appointment.