Notice of Privacy Practices

This Notice describes how health information about you may be used and

disclosed and how you can get access to this information.

Please Review it Carefully

The Privacy of Your Health Information is Important to Us.

OUR LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your health information. We are also

required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health

information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice

takes effect August 24, 2023 and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes

are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of

our Notice effective for all health information that we maintain, including health information we created or received

before we made the changes. Before we make a significant change in our privacy practices, we will change this

Notice and make the new Notice available upon request.

You may request a copy of our Notice at any time. For more information about our privacy practices, or for

additional copies of this Notice, please contact us using the information listed at the end of this Notice.

USES AND DISCLOSURES OF HEALTH INFORMATION

We use and disclose health information about you for treatment, payment, and healthcare operations. For example:

Treatment: We may use or disclose your health information to a physician or other healthcare provider providing

treatment to you.

Payment: We may use and disclose your health information to obtain payment for services we provide to you.

Healthcare Operations: We may use and disclose your health information in connection with our healthcare

operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence

or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training

programs, accreditation, certification, licensing or credentialing activities.

Your Authorization: In addition to our use of your health information for treatment, payment or healthcare

operations, you may give us written authorization to use your health information or to disclose it to anyone for any

purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect

any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written

authorization, we cannot use or disclose your health information for any reason except those described in this

Notice.

To Your Family and Friends: We must disclose your health information to you, as described in the Patient rights

section of this Notice. We may disclose your health information to a family member, friend or other person to the

extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we may

do so.

Persons Involved In Care: We may use or disclose health information to notify, or assist in the notification of

(including identifying or locating) a family member, your personal representative or another person responsible for

your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of

your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event

of your incapacity or emergency circumstances, we will disclose health information based on a determination using

our professional judgment disclosing only health information that is directly relevant to the person’s involvement in

your healthcare. We will also use our professional judgment and our experience with common practice to make

reasonable inferences of you best interest in allowing a person to pick up health information.

Marketing Health-Related Services: We will not use your health information for marketing communications

without your written authorization.

Required by Law: We may use or disclose your health information when we are required to do so by law.

Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that

your child is a possible victim of abuse, neglect, domestic violence or the possible victim of other crimes. We may

disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health

or safety of others.

National Security: We may disclose to military authorities the health information of Armed Forces personnel under

certain circumstances. We may disclose to authorized federal official’s health information required for lawful

intelligence, counterintelligence, and other national security activities. We may disclose to law enforcement official

having lawful custody of protected health information under certain circumstances.

Appointment Reminders: We may use or disclose your health information to provide you with appointment

reminders (such as voicemail messages, postcards, or letters).

PATIENT RIGHTS

Access: You have the right to look at or get copies of your health information, with limited exceptions. You may

request that we provide copies in a format other than photocopies. We will use the format you request unless we

cannot practicable do so. (You must make a request in writing to obtain access to your health information. You may

obtain a form to request access by using the contact information at the end of this Notice. We may charge you a

reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a

letter to the address at the end of the Notice. Contact us using the information listed at the end of this Notice for an

estimate of any costs we may charge.

Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates

disclosed your health information for purposes other than treatment, payment, healthcare operations and certain

other activities. If you request this accounting more than once in a 12-month period, we may charge you a

reasonable, cost-based fee for responding to these additional requests.

Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your

health information. We are not required to agree to these additional restrictions, but we do, we will abide by our

agreement (except in an emergency).

Alternative Communication: You have the right to request that we communicate with you about your health

information by alternative means or to alternative locations. (You must make your request in writing.) Your request

must specify the alternative means or location, and provide satisfactory explanation how payments will be handled

under alternative means or locations you request.

Amendment: You have the right to request that we amend your health information. (Your request must be in

writing, and explain why the information should be amended.) We may deny your request under certain

circumstances.

Electronic Notice: If you receive this Notice on our website or by electronic mail (e-mail), you are entitled to

receive this Notice in written form.

QUESTIONS AND COMPLAINTS

If you want more information about our privacy practices or have questions or concerns, please contact us.

If you are concerned that we may have violate your privacy rights, or disagree with a decision we made about access

to your health information or in response to a request you made to amend or restrict the use or disclosure of your

health information or to have us communicate with you by alternative means or at alternative locations, you may

complain to us using the contact information listed at the end of this Notice. You also may submit a written

complaint to the U.S. Department of Health and Human Services. https://ocrportal.hhs.gov/ocr/smartscreen/

main.jsf

We support your right to privacy of your health information. We will not retaliate in any way if you choose to file a

complaint with us or with the U.S. Department of Health and Human Services.

Contact Officer: Maureen Rohde

Director of Operations

8922 Cuming St. Omaha NE, 68114

402-926-4373