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HIPAA Notice of Privacy Practices
Effective Date: October 1, 2025
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.
Protected Health Information
Protected health information ("PHI") relates to information about you and your health, which could be used to identify you. Each time that you visit us, we create a medical record of your PHI and services that you receive.
Our Obligations Regarding Your Protected Health Information
We recognize that information about you and your health is confidential, and we are committed to protecting this information. We are required by law to preserve the privacy and security of your PHI and to provide you with this Notice of our legal duties and privacy practices.
How We May Use and Disclose Your Protected Health Information
We may use or disclose your PHI for the following purposes:
Treatment
We can use your PHI and share it with other professionals who are treating you.
- Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Payment
We can use and share your PHI to bill and obtain payment from health plans or other entities.
- Example: We give information about you to your health insurance plan so it will pay for your services.
Healthcare Operations
We can use and share your PHI to run our practice, improve your care, and contact you when necessary.
- Example: We use health information about you to manage your treatment and services.
Public Health and Safety
We can share your PHI for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone's health or safety
Your Rights Regarding Your PHI
You have the following rights regarding your PHI:
Access Your Medical Records
You can ask to see or receive an electronic or paper copy of your medical record and other PHI that we have about you. We will provide a copy or summary, usually within 30 days of your request.
Request Corrections
You can ask us to correct PHI about you that you think is incorrect or incomplete. We may say "no" to your request, but we will tell you why in writing within 60 days.
Request Confidential Communications
You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say "yes" to all reasonable requests.
Request Restrictions
You can ask us not to use or share certain PHI in connection with our services. We are not required to agree to your request, and we may say "no" if it would affect your care.
Get a List of Disclosures
You can ask for a list of the times we have shared your PHI for six years prior to the date you ask, who we shared it with, and why.
Choose Someone to Act for You
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact Information:
LumenMed
2138 Scenic Hwy N Suite A
Snellville, GA 30078
For more information about privacy rights, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
