Although your health record is the physical property of Duacare the PHI contained in the record belongs to you. You have the right to: Inspect and Copy: You have the right to inspect and obtain a copy of your PHI. Such a request must be made in writing. This right is not absolute and in some cases, we may deny access. We may charge a fee for the cost of copying, mailing, or other services associated with your request. Amend: You have the right to request to amend your PHI. Such a request must be made in writing. An Accounting of Disclosures: You have the right to request an accounting of uses and disclosures of your PHI. An accounting does not include disclosures associated with treatment, payment, and health care operations, disclosures made pursuant to an authorization, disclosures required by law, incidental disclosures, or some other disclosures. This request must be in writing and pertain to a specific time frame of less than six (6) months. We will act upon the request for an accounting no later than 60 days after receipt of your written request but may extend this time frame an additional 30 days under certain circumstances. You may have one accounting per year free of charge, but will be charged a reasonable fee for any additional accountings. Right to Request Restrictions of Uses and Disclosures: You have the right to request a restriction of the PHI we use or disclose about you however, we may refuse to accept the restriction unless the requested restriction involves a disclosure that is not required by law to a health plan for payment or health care operation purposes and not for treatment, and you have paid for the service in full, out-of-pocket. You also have the right to request a limit on the PHI we disclose to someone who is involved in your care or the payment for such care. If we do agree with your request, we will comply unless the information is needed to provide you emergency treatment. Such a request must be made in writing. Request Confidential Communications: You have the right to request communications of your PHI by alternative means or at alternative locations. We will accommodate reasonable requests that are submitted in written form and specify how and where you wish communication. Revoke Your Authorization: You have the right to revoke your authorization to Duacare to use or disclose PHI about you. Your revocation will be honored to the extent that action has not already been taken and as otherwise provided by law. Revocation must be submitted in writing. Paper Copy of This Notice The most current Notice of PHI Practices will be posted in visible areas of Duacare You will also receive a paper copy of the Notice of Health Information Practices and can request an additional copy if needed. Make a Request, Report a Concern, File a Complaint or Request More Information: To obtain forms or to exercise any of your rights described in this notice, you must send a written request to HIPAA Compliance Officer, Duacare 801 W Big Beaver Troy Mi 48048 If you have questions and would like additional information, or would like to report a concern please contact Duacare during normal business hours. If you believe that your privacy rights have been violated, you can file a complaint with our Compliance Officer. You may also file a complaint with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. The following categories describe different ways that we use and disclose PHI about you. Not every use or disclosure in a category will be listed. For Treatment: We may use PHI about you to plan your care and provide for medical treatment or services. We may disclose PHI to your treating physician(s), or other health care provider(s) rendering services to you. For example: information obtained by our staff will be recorded in our record. Your physician may sign orders for your care or provide other communications. This information becomes a legal document describing the care you received and is part of your health records.