Privacy Policy
Inland Family Practice Center, LLC (“Inland,” “we,” “us,” or “our”) is dedicated to protecting the privacy and security of your protected health information (PHI) while providing quality healthcare for the whole family. Our mission is: Health Maintenance, Wellness, and Prevention is our Goal. This Notice of Privacy Practices explains how we use and disclose your PHI, your rights regarding that information, and our legal responsibilities under the Health Insurance Portability and Accountability Act (HIPAA), as well as the requirements of LegitScript Terms and Conditions section V(e) and LegitScript Certification Standard 12. We encourage you to review this notice carefully.
Our Responsibilities and Legal Duties
- We are legally required to maintain the privacy of your PHI and to provide you with this notice.
- We will update and redistribute this notice whenever material changes are made to our privacy practices.
- We adhere to all applicable federal and state privacy regulations.
Information We Collect
- Personal Identification Information: Your name, address, telephone number, email address, date of birth, and other similar identifiers.
- Health Information: Your medical records, diagnoses, treatment plans, test results, and other health-related information.
- Insurance and Billing Information: Details necessary for processing claims and managing billing.
How We Use and Disclose Your PHI
- Treatment:
To provide you with health care services, coordinate your care, and support clinical decision-making. - Payment:
To process billing, submit insurance claims, and manage financial transactions related to your care. - Healthcare Operations:
For quality improvement, administrative functions, internal reviews, and regulatory reporting. - Legal and Regulatory Compliance:
When required by law, to enforce our legal rights, or to respond to subpoenas or court orders.
Your Rights Regarding Your PHI
- Right to Inspect and Copy:
You may request access to and obtain copies of your health records. - Right to Amend:
If you believe your PHI is inaccurate or incomplete, you have the right to request corrections. - Right to an Accounting of Disclosures:
You may request a record of certain disclosures of your PHI made by Inland. - Right to Request Restrictions:
You may ask us to limit the use or disclosure of your PHI in certain circumstances. - Right to Confidential Communications:
You may request that we communicate with you in a particular manner or at a specific location. - Right to a Copy of This Notice:
A copy of this notice is available upon request.
To exercise any of these rights, please contact our Privacy Officer using the contact information provided below.
Distribution of This Notice
- This notice is prominently posted on our website at [insert URL] and is available at our facility.
- You may request a printed or electronic copy of this notice.
- We will provide this notice to you at the time of your first service delivery and, in the event of material revisions, will update it promptly.
How We Protect Your Information
We implement administrative, technical, and physical safeguards to protect your PHI from unauthorized access, alteration, or disclosure. Our security measures are regularly reviewed and updated to maintain the confidentiality and integrity of your information.
Changes to This Notice
- Post the updated notice on our website and at our facility, and
- Make a good faith effort to notify you of significant changes to our privacy practices.
Questions or Complaints
If you have questions about this notice, our privacy practices, or believe your privacy rights have been violated, please contact our Privacy Officer at:
Ikechukwu Okorie, MD, MPH, FAAFP
Medical Director
Inland Family Practice Center, LLC
423 Weathersby Rd, Suite 200
Hattiesburg, MS 39402
Phone: 601-544-7012
You also have the right to file a complaint with the Department of Health and Human Services if you believe your rights have been violated.
Acknowledgment
By receiving services from Inland Family Practice Center, LLC, you acknowledge that you have received, read, and understand this Notice of Privacy Practices and agree to the practices described herein.
