HIPAA Notice

Your Privacy Matters

At LifeSmart Medical Center, we are committed to protecting the privacy and security of your health information. This Notice describes how medical information about you may be used and disclosed and how you can access this information.

We are required by the Health Insurance Portability and Accountability Act (HIPAA) to maintain the privacy of your protected health information (PHI) and provide this Notice of our legal duties and privacy practices.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes:

Treatment

To provide, coordinate, and manage your healthcare, including sharing information with physicians, specialists, pharmacies, laboratories, and other healthcare providers involved in your care.

Payment

To bill and collect payment for services provided, including sharing information with insurance companies, health plans, and other payers.

Healthcare Operations

To support clinic operations, such as quality improvement, staff training, accreditation, auditing, and administrative activities.

Other Permitted Uses and Disclosures

We may also disclose your information when required or permitted by law, including for public health activities, law enforcement requests, health oversight activities, workers' compensation claims, and certain emergency situations.

Your Rights

You have the right to:

• — Access and obtain a copy of your health records.
• — Request corrections to your health information.
• — Request restrictions on certain uses or disclosures.
• — Request confidential communications by alternative means or locations.
• — Receive a list of certain disclosures of your information.
• — Obtain a paper copy of this Notice upon request.
• — File a complaint if you believe your privacy rights have been violated.

Our Responsibilities

We are required to:

• — Maintain the privacy and security of your protected health information.
• — Notify you in the event of a breach affecting your unsecured health information when required by law.
• — Follow the terms of this Notice currently in effect.
• — Obtain your authorization for uses and disclosures not otherwise permitted by law.

Changes to This Notice

We reserve the right to change this Notice and make the revised Notice effective for all protected health information we maintain. Updated notices will be posted on our website and available at our clinic.

Questions or Complaints

If you have questions about this Notice or wish to exercise your privacy rights, please contact:

Privacy Officer
LifeSmart Medical Center, PLLC
2176 Fort Street Suite 2, Lincoln Park, MI 48146
(313) 768-5096
info@lifesmartmed.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Acknowledgment

By using our services, you acknowledge receipt of this Notice of Privacy Practices as required by applicable law.