This Notice of Privacy Practices describes how medical and mental health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Dawning Resilience PLLC is committed to protecting the privacy of your protected health information (PHI). We are required by law to maintain the privacy and security of your PHI, provide you with notice of our legal duties and privacy practices, and notify you if a breach occurs that may have compromised the privacy or security of your information.
Your Rights
Get a Copy of Your Medical Record - You can ask to see or receive an electronic or paper copy of your medical record and other health information we maintain about you. We will provide access as required by applicable law and may charge a reasonable, cost-based fee when permitted.
Ask Us to Correct Your Medical Record - You may ask us to correct health information you believe is incorrect or incomplete. We may deny your request in certain circumstances, but we will provide you with a written explanation as required by law.
Request Confidential Communications - You may ask us to contact you in a specific way or at a specific location. For example, you may ask us to contact you only by phone or send mail to an address other than your home. We will accommodate reasonable requests.
Ask Us to Limit What We Use or Share - You may ask us not to use or share certain health information for treatment, payment, or our healthcare operations. We are not required to agree to every request, except in certain circumstances required by law. If you pay for a service out of pocket in full, you may ask us not to share information about that service with your health insurer for payment or healthcare operations purposes. We will honor that request unless we are required by law to share the information.
Get a List of Certain Disclosures - You may ask for a list of certain disclosures of your health information made during the previous six years.
Get a Copy of This Notice - You may request a paper or electronic copy of this Notice at any time.
Choose Someone to Act for You - If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information to the extent permitted by law.
File a Complaint - If you believe your privacy rights have been violated, you may contact:
Dawning Resilience PLLC
1100 31st Ave SW, Suite 2
Minot, ND 58701
Phone: 701.707.1383
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.
Your Choices - For certain health information, you have the right to tell us how you would like us to share information. If you have a clear preference about how your information is shared in these situations, please let us know. We will obtain your written authorization before using or sharing your PHI for most purposes outside those described in this Notice, unless another use or disclosure is permitted or required by law. You may revoke an authorization in writing at any time, subject to legal limitations and information already used or disclosed in reliance on the authorization.
Our Uses and Disclosures
We may use or share your health information in the following ways:
For Your Treatment - We may use or share your health information with healthcare professionals involved in your care or treatment.
To Run Our Practice - We may use and share your health information to operate our practice, improve services, manage care, and contact you when necessary.
For Payment - We may use and disclose your health information to obtain payment for services, including submitting information to your health insurance company.
To Contact You - We may contact you regarding appointments, scheduling, billing, services, and other healthcare-related matters.
When Required by Law - We may share information when federal, state, or other applicable laws require us to do so.
To Help With Public Health and Safety Issues - We may share information in limited circumstances, including to help prevent or reduce a serious and imminent threat to the health or safety of a person or the public, report suspected abuse or neglect when required or permitted by law, or comply with other public health and safety requirements.
For Legal or Government Purposes - We may disclose information for workers' compensation, law enforcement, government oversight, judicial or administrative proceedings, or other purposes as permitted or required by law.
Our Responsibilities
We are required by law to protect the privacy and security of your PHI and to follow the duties and privacy practices described in this Notice.
We will not use or share your information other than as described in this Notice unless you provide written permission or the use or disclosure is otherwise permitted or required by law.
We reserve the right to change the terms of this Notice. Any changes will apply to all information we maintain. A current version of this Notice will be available upon request and on our website.
Questions or Complaints
If you have questions about this Notice or our privacy practices, please contact Dawning Resilience PLLC at 701.707.1383.
If you believe your privacy rights have been violated, you may also file a complaint with:
U.S. Department of Health and Human Services, Office for Civil Rights
For more information about filing a complaint, visit the Office for Civil Rights website.
Dawning Resilience PLLC will not retaliate against you for filing a complaint.
Notice of Privacy Practices