Effective Date: May 1, 2026 · Version 1.0
HIPAA Notice of Privacy Practices
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
Clear Access Care PLLC ("Practice") is committed to protecting the privacy of your medical information. This Notice describes how we may use and disclose your Protected Health Information ("PHI") and your rights under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA").
How We May Use and Disclose Your Information
We may use and disclose your PHI for the following purposes:
1. Treatment
We may use and share your medical information to provide, coordinate, or manage your healthcare.
- ·Discussing your care with specialists
- ·Sending prescriptions to pharmacies
- ·Coordinating lab or imaging services
2. Payment
Although Practice does not bill insurance for services under the DPC model, we may use your information to:
- ·Process payments
- ·Maintain billing records
- ·Address account-related matters
3. Healthcare Operations
We may use your information to operate and improve our practice.
- ·Quality improvement
- ·Staff training
- ·Internal administrative functions
4. As Required by Law
We may disclose your PHI when required by federal or state law, including:
- ·Public health reporting
- ·Law enforcement requests
- ·Court orders or subpoenas
5. Public Health and Safety
We may disclose information to:
- ·Prevent serious threats to health or safety
- ·Report communicable diseases
- ·Comply with regulatory requirements
6. Business Associates
We may share your PHI with third-party vendors (e.g., EMR systems, billing providers) who assist in operating our practice. These entities are required by law and by written agreements to safeguard your information.
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before using or disclosing your PHI for purposes not described in this Notice, including:
- ·Marketing communications (where required)
- ·Sale of PHI
- ·Certain disclosures of psychotherapy notes (if applicable)
You may revoke your authorization at any time in writing.
Electronic Communications
Practice may communicate with you via email, text message, or other electronic means. While we take reasonable precautions, these methods may not be fully secure.
By providing your contact information, you consent to such communications as further described in your Direct Primary Care Agreement with Practice.
Your Rights Regarding Your Information
You have the following rights:
1. Right to Access
You may request copies of your medical records. We may charge a reasonable, cost-based fee for copies, and we will respond to your request within the timeframes required by law.
2. Right to Amend
You may request corrections to your records if you believe they are inaccurate.
3. Right to an Accounting of Disclosures
You may request a list of certain disclosures of your PHI made over the past six (6) years, as required by law.
4. Right to Request Restrictions
You may request limits on how your information is used or disclosed. We are not required to agree to all requests. However, we will comply with requests to restrict disclosures to a health plan when services are paid out-of-pocket in full, as required by law.
5. Right to Confidential Communications
You may request that we contact you in a specific way (e.g., only by phone or email).
6. Right to a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
7. Right to Breach Notification
You have the right to be notified if your unsecured PHI is breached.
Our Responsibilities
We are required to:
- ·Maintain the privacy and security of your PHI
- ·Provide you with this Notice
- ·Notify you in the event of a breach of your unsecured PHI
- ·Follow the terms of this Notice currently in effect
Changes to This Notice
We reserve the right to change this Notice at any time. Updated versions will be available upon request and posted in our office and/or on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Practice or directly with the U.S. Department of Health and Human Services:
U.S. Department of Health and Human Services — Office for Civil Rights
https://www.hhs.gov/ocr/privacy/hipaa/complaints/You will not be penalized for filing a complaint.
Contact Information
If you have questions about this Notice or your privacy rights, please contact:
Clear Access Care PLLC dba Clear Access MD
9122 Town Center Pkwy, Suite 105
Lakewood Ranch, FL 34202
(941) 322-7202support@clearaccessmd.com