Effective Date: January 1, 2025
This notice describes how your medical information may be used and disclosed, and how you can access it. Please review it carefully.
Your Rights
You have the right to:
- Get a copy of your medical record
- Correct your medical record
- Request confidential communication
- Ask us to limit what we use or share
- Get a list of those with whom we’ve shared information
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
To exercise any of these rights, please contact us at:
ENT Urgent Care
Phone: 1-888-327-3631
Email: [email protected]
Address: 1802 Vernon St NW #1138, Washington DC, 20009
Your Choices
In certain situations, you can tell us your choices about what we share. For example, you have a say in:
- Sharing information with your family, friends, or others involved in your care
- Sharing information for disaster relief
- Including your information in a patient directory (if we have one)
- Marketing and fundraising communications
Tell us your preferences, and we’ll follow your wishes whenever legally possible.
Our Uses and Disclosures
We typically use or share your health information in the following ways:
- To treat you: We share information with doctors, nurses, and others involved in your care.
- To run our organization: We use your information to manage your treatment and our operations.
- To bill for your services: We may share info with your insurer or billing provider to process claims.
We may also share your information when required or permitted by law, including:
- Public health and safety reporting
- Health oversight activities
- Legal proceedings and law enforcement
- Organ and tissue donation
- Coroners, medical examiners, and funeral directors
- Workers’ compensation claims
Our Responsibilities
We are required by law to:
- Maintain the privacy of your health information
- Provide you with this notice
- Follow the terms of this notice
- Notify you if a breach occurs that may have compromised your information
Complaints
You can file a complaint if you feel your rights are violated:
- With our Privacy Officer at ENT Urgent Care
- Or with the U.S. Department of Health and Human Services
We will not retaliate against you for filing a complaint.
Contact Us
If you have questions or need more information, contact us:
ENT Urgent Care
Email: [email protected]
Phone: 1-888-327-3631
Address: 1802 Vernon St NW #1138, Washington DC, 20009
