HIPAA Notice of Privacy Practices

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. This Notice is effective as of the date signed and complies with the Health Insurance Portability and Accountability Act (HIPAA).

  • How We May Use and Disclose Your Health Information. We may use and disclose your health information for the following purposes without your written consent:

    • Treatment: To provide, coordinate, or manage your care.

    • Payment: To bill and obtain payment for services provided.

    • Healthcare Operations: For administrative, quality improvement, and staff training purposes.

  • Other Uses and Disclosures Without Your Consent. We may also disclose your information without your consent in certain situations, including:

    • When required by law.

    • For public health activities.

    • If there is suspected abuse or neglect.

    • To prevent a serious threat to your health or safety or the health/safety of others.

    • In response to a court order or legal proceeding.

  • Uses and Disclosures Requiring Your Authorization. Other uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke that authorization in writing at any time.

  • Your Rights Regarding Your Health Information. You have the right to

    • Request restrictions on certain uses and disclosures.

    • Receive confidential communications.

    • Inspect and obtain a copy of your records.

    • Request an amendment to your records.

    • Obtain an accounting of disclosures.

    • Receive a paper copy of this Notice.

    • File a complaint if you believe your privacy rights have been violated.

  • Complaints. If you believe your privacy rights have been violated, you may file a complaint with Prairie Spring Health, LLC or with the Nebraska Department of Health and Human Services. You will not be penalized for filing a complaint

  • Contact Information. If you have any questions or wish to file a complaint, please contact:

    • Prairie Spring Health, LLC attn Ann Collingham

    • Email: annmarie@prairiespringhealth.net

    • Phone: 402-256-5867