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.

During your treatment at a division of i-Health, doctors, nurses, and other caregivers may gather information about your medical history and your current health. This notice explains how that information may be used and shared with others. It also explains your privacy rights regarding this kind of information. The terms of this notice apply to health information created or received by i-Health. We are required by law to: make sure that medical information that identifies you is kept private; give you this notice of our legal duties and privacy practices with respect to medical information about you; and follow the terms of the notice that is currently in effect.

Practices/Locations Covered by this Notice

This Notice of Privacy Practices applies to all practice divisions and facilities of Infinite Health Collaborative, P.A. (“i-Health”), along with their related sites. Please visit our website, www.i-Health.com, for a complete list of our divisions and facilities.

Your medical information may be used and disclosed for the following purposes:

Your medical information may be released in the following special situations:

You have the following rights regarding medical information we maintain about you:

Changes to This Notice

The effective date of this notice is April 14, 2003, and it has been updated effective October 1, 2019. We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you, as well as any information we receive in the future. If the terms of this notice are changed, i-Health will provide you with a revised notice upon request, and we will post the revised notice on our website – www.i-Health.com – and in designated locations at i-Health practice locations.

Complaints or Questions

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with i-Health, or to ask a question about this Notice, contact:

Privacy Officer
Infinite Health Collaborative, P.A.
4200 Dahlberg Drive, Suite 300
Golden Valley, MN 55422
E-mail: privacyofficer@i-health.com
Phone: 952-512-5600

All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Other Uses of Medical Information

Except as described above, i-Health will not use or disclose your protected health information without a specific written authorization from you. If you provide us with this written authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization, except to the extent we have already relied on your authorization. We are unable to take back any disclosures we have already made with your permission, and we are required to retain our records of the care that we provided to you.

Revised October 1, 2019