HIPAA Notice of Privacy Practices
Effective date: 2025
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 Legal Duty
We are required by law to:
- Maintain the privacy of your protected health information (PHI)
- Provide you with notice of our legal duties and privacy practices with respect to PHI
- Notify you following a breach of your unsecured PHI
- Abide by the terms of the notice currently in effect
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your PHI to provide you with medical treatment. For example, your physician may share your lab results and health history with a licensed pharmacy to fulfill your prescription, or transmit lab orders to our partner lab.
Payment
We may use and disclose your PHI to process payment for services. For example, we may include clinical information in billing records processed by our payment processor.
Healthcare Operations
We may use and disclose your PHI for healthcare operations including quality assessment, physician performance evaluation, compliance activities, clinical training, and program improvement.
Other Permitted or Required Uses and Disclosures
We may also use or disclose your PHI without your authorization for:
- Required by law: When required by federal, state, or local law
- Public health activities: Reporting of diseases, injuries, births, deaths, or abuse/neglect as required
- Health oversight: Audits, investigations, or licensing activities by health oversight agencies
- Judicial and administrative proceedings: In response to a court order, subpoena, or discovery request (with appropriate safeguards)
- Law enforcement: To identify suspects, report crimes, or respond to official requests
- Serious threats to health or safety: To prevent or lessen a serious and imminent threat to a person or the public
- Workers' compensation: As authorized by state workers' compensation laws
- Coroners, medical examiners, funeral directors: As necessary for legally authorized activities
- National security and intelligence: For authorized national security activities
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You may request to inspect and receive a copy of your PHI that we maintain in a designated record set. We may charge a reasonable, cost-based fee.
Right to Request Amendment
If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny the request in certain circumstances and will explain our reasoning in writing.
Right to an Accounting of Disclosures
You may request an accounting of disclosures of your PHI made for reasons other than treatment, payment, or healthcare operations for the six years prior to your request.
Right to Request Restrictions
You may request restrictions on uses or disclosures of your PHI. We are not required to agree except in one instance: if you request we not disclose PHI to a health plan for a service you paid for entirely out of pocket, we must honor that restriction.
Right to Request Confidential Communications
You may request we communicate with you in a specific way or at a specific location. We will accommodate reasonable requests.
Right to Receive Notice of Breach
You have the right to be notified if a breach of your unsecured PHI occurs.
Right to a Paper Copy of This Notice
You may request a paper copy of this notice at any time.
How to Exercise Your Rights
To exercise any of the rights described above:
We will respond within 30 days (or as extended by applicable law).
Privacy Officer
Amplify Health
Email: hello@amplifyhealth.com
How to File a Complaint
File with us: Contact the Privacy Officer above.
File with HHS: U.S. Department of Health and Human Services Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201. Hotline: 1-800-368-1019. Website: hhs.gov/hipaa
We will not retaliate against you for filing a complaint.
Changes to This Notice
We reserve the right to change this notice at any time and to make the revised notice effective for PHI we already hold. The effective date will appear at the top of this notice and the current version will always be available on our website.
This notice is provided in accordance with HIPAA and the HITECH Act, 45 CFR Parts 160 and 164.