Effective Date:

Notice of Privacy Practices of

HEALTH CONNECTIONS DIRECT PRIMARY CARE, PLLC

527 CENTRE VIEW BLVD. ** CRESTVIEW HILLS, KY 41017 ** (859)905-0707


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.

CONTACT PERSON: If you have any questions about this notice, please contact our Privacy Officer at 527 Centre View Blvd., Crestview Hills, KY 41017, (859) 905-0707.


WHO WILL FOLLOW THIS NOTICE

CHANGES TO THIS NOTICE:

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for the medical information we already have about you, as well as any information we receive in the future. We will prominently post a copy of the current notice at our office(s). The notice will contain on the first page, in the top right-hand corner, the effective date.

In addition, each time you sign-in for care at our office(s), we will offer you a copy of the current notice then in effect.


COMPLAINTS (You will not be penalized for filing a complaint.)

If you believe your privacy rights have been violated, you may file a complaint. To file a complaint with our practice, please contact the person listed on page one of this notice. Or, you can file a complaint with the Secretary of the Department of Health and Human Services at the Office of Civil Rights, Centralized Case Management Operations, U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C., 20201. You may also file a complaint via email at ocrcomplaint@hhs.gov. You may also file a complaint online at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf. All complaints must be submitted in writing.