1155 15th Street NW Suite 720 Washington, DC 20005
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
We will not retaliate against you for filing a complaint.
If you are not able to tell us your preference, for example if you are unconscious or unavailable, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety. We may share certain information after you have died.
Example: A doctor treating you for an injury asks about your overall health condition. We may share your information for lawful purposes through electronic health information exchange.
Example: We use health information about you to manage your treatment and services. We may share health information with other entities for their health care operations and other lawful purposes.
Example: We give information about you to your health insurance plan so it will pay for your services.
We may give information to entitiesthat help us collect payments. We may share your information with other entities for their payment purposes.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
Effective date: August 25, 2020
Give Back Enterprises, LLC (“GiveBackRx”)
1155 15th Street NW, Suite 720, Washington, DC 20005
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