Effective Date: April 29, 2024

Your Privacy Matters

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.

Your health information is private, and no one without a legitimate need to know may have access to it.

Highve (“Practice”) is required by law to maintain the privacy of your health information and to provide you with a notice of its legal duties and privacy practices.

In the unlikely event that your health information becomes unsecured, Practice will provide you with prompt notification.

Practice will not use or disclose your health information except as described in this Notice of Privacy Practices (“Notice”). This Notice applies to all medical records generated during your treatment at Highve.

How We May Use And Disclose Your Health Information

Treatment

Practice will use your health information in the provision and coordination of your healthcare.

We may disclose all or part of your medical record to physicians, consulting physicians, nurses, and other healthcare providers involved in your care when they have a legitimate need for the information.

Example:

A healthcare provider treating you for an injury may ask another healthcare provider about your overall health condition.

Payment

Practice may release medical information about you for:

• Determining coverage
• Billing
• Claims management
• Medical data processing
• Reimbursement

Information may be shared with insurance companies, third-party payors, or authorized representatives as necessary to process payment.

Routine Healthcare Operations

Practice may use and disclose your medical information to:

• Operate the practice
• Improve patient care
• Manage treatment
• Contact patients when necessary

Business Associates

Practice may share necessary medical information with contracted business associates who assist in operating the practice.

Examples include:

• Medical billing companies
• Accountants
• Attorneys
• Consultants
• Medical transcriptionists
• Independent contractors
• Medical record copy services

Business associates and subcontractors are required to protect the confidentiality of your medical information.

Regulatory Agencies

Practice may disclose medical information to public health or legal authorities responsible for preventing or controlling disease, injury, or disability.

Records may also be reviewed by authorized governmental agencies when required by law.

Workers’ Compensation

Medical information may be released as permitted for workers’ compensation or similar benefit programs.

Military Veterans

Medical information may be disclosed to military command authorities when required.

Inmates

If you are an inmate or in law enforcement custody, Practice may release medical information to correctional institutions or law enforcement officials when permitted by law.

Organ And Tissue Donation

Medical information may be shared with organ procurement organizations.

Medical Examiner Or Funeral Director

Medical information may be shared with coroners, medical examiners, or funeral directors following an individual’s death.

Required By Law

Practice will disclose medical information whenever required by applicable law, including responding to legal proceedings.

Other Uses

Any other use or disclosure of your medical information requires your written authorization.

Your Rights Regarding Your Health Information

You have the following rights:

• Right to Confidential Communications
• Right to Inspect and Copy Your Medical Information
• Right to Request Amendments
• Right to Receive an Accounting of Disclosures
• Right to Request Restrictions
• Right to Receive a Paper Copy of This Notice
• Right to Receive Electronic Copies of Your Medical Information
• Right to Choose Someone to Act on Your Behalf
• Right to Revoke Authorization

Written requests should be submitted to:

Highve

382 NE 191ST ST #890399

Miami, FL 33179

Text:

(786) 686-0513

Phone:

(786) 329-4000

Questions Or Privacy Complaints

If you have questions regarding this Notice or believe your privacy rights have been violated, you may contact Highve:

Phone: (786) 329-4000

Text: (786) 686-0513

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:

Phone:

1-800-368-1019

Website:

https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf

Email:

OCRComplaint@hhs.gov

Mail:

Centralized Case Management Operations

U.S. Department of Health and Human Services

200 Independence Avenue, S.W.

Room 509F HHH Building

Washington, D.C. 20201

Practice will not retaliate against you for filing a complaint.

Changes To This Notice

Practice will comply with the terms of the Notice currently in effect.

Practice reserves the right to revise this Notice at any time. Updated versions will apply to all health information maintained by Practice and may be obtained directly from Highve.