Triad Osteopathic Consultations, PLLC – Dr. Alan Schenne, DO
Patient Privacy Policy - Effective Date: [06/01/2025]
At Triad Osteopathic Consultations, PLLC, we are committed to protecting the privacy and security of your personal health information. This Privacy Policy outlines how your health information may be used, disclosed, and how you can access it. Our practice adheres to all federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA).
1. Your Protected Health Information (PHI)
Protected Health Information (PHI) includes any information about your health, health care services received, or payment for those services that can be used to identify you.
2. How We May Use and Disclose Your PHI
We may use and disclose your PHI without your written consent for the following purposes:
- Treatment: To provide, coordinate, or manage your medical care and related services.
- Payment: To obtain payment from insurance providers or other payers for services rendered.
- Health Care Operations: For internal management activities such as quality improvement, training, and auditing.
- As Required by Law: When required by federal, state, or local law, such as reporting communicable diseases or complying with court orders.
- Public Health and Safety: To prevent or control disease, report adverse events, or notify individuals at risk.
- Law Enforcement: To comply with legal processes or help identify or locate a suspect, witness, or missing person.
3. Disclosures That Require Your Authorization
We will not use or share your PHI for purposes such as marketing, research, or sale of your information without your written authorization. You may revoke this authorization at any time in writing.
4. Your Rights Regarding Your PHI
As our patient, you have the following rights:
- Right to Access: You may request to review or receive a copy of your medical records.
- Right to Amend: If you believe your records are incorrect or incomplete, you may request an amendment.
- Right to an Accounting of Disclosures: You may request a list of certain disclosures of your PHI made by our practice.
- Right to Request Restrictions: You may ask us to limit how we use or disclose your information.
- Right to Request Confidential Communications: You may request that we contact you in a specific way (e.g., home phone or mail).
- Right to a Paper Copy: You may request a paper copy of this Privacy Policy at any time.
5. Our Responsibilities
We are required by law to:
- Maintain the privacy and security of your PHI
- Notify you promptly if a breach occurs that may compromise the privacy or security of your information
- Provide you with this notice and follow its terms
- Not use or share your information other than as described here unless you provide written authorization
6. Changes to This Policy
We reserve the right to revise this Privacy Policy at any time. Any changes will apply to all PHI we maintain. The updated policy will be posted in our office and on our website, if applicable.
7. Contact Information
If you have any questions about this Privacy Policy or wish to exercise your rights, please contact:
Triad Osteopathic Consultations, PLLC
Attn: Privacy Officer
[9500 S Camino Cabalgata, Vail, AZ 85641]
[712-490-3587]
[Doscschenne@gmail.com]