Notice of Privacy Practices

Your Information. Your Rights.
Our Responsibilities.

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 Rights

When it comes to your health information, you have certain rights.
This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

  • You can ask to see or get an electronic or paper copy of your medical record and other health information we have about Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within 30 days of your We may charge a reasonable, cost-based fee.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different
  • We will say “yes” to all reasonable

Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and
  • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health
  • We will make sure the person has this authority and can act for you before we take any action.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or Ask us how to do this.
  • We may say “no” to your request, but we’ll tell you why in writing within 60

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our
    • We are not required to agree to your request, and we may say “no” if it would affect your
  • If you pay for a service or health care item out- of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health
    • We will say “yes” unless a law requires us to share that

Get a copy of this privacy notice

  • You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice We will provide you with a paper copy promptly.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting us using the information on the back
  • You can file a complaint with the S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696- 6775, or visiting www.hhs.gov/ocr/privacy/hipaa/ complaints/.
  • We will not retaliate against you for filing a

Your Choices

For certain health information, you can tell us your choices about what we share.

If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation
  • Include your information in a hospital directory

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes

In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you

Our Uses and Disclosures

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

  • We can share health information about you for certain situations such as:
    • Preventing disease
    • Helping with product recalls
    • Reporting adverse reactions to medications
    • Reporting suspected abuse, neglect, or domestic violence
    • Preventing or reducing a serious threat to anyone’s health or safety

Comply with the law

  • We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Work with a medical examiner or funeral director

  • We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Respond to lawsuits and legal actions

  • We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Do research

  • We can use or share your information for health research.

Respond to organ and tissue donation requests

  • We can share health information about you with organ procurement organizations.

Address workers’ compensation, law enforcement, and other government requests

  • We can use or share health information about you:
    • For workers’ compensation claims
    • For law enforcement purposes or with a law enforcement official
    • With health oversight agencies for activities authorized by law
    • For special government functions such as military, national security, and presidential protective services

Collection of Data

  • Our site uses technologies of third-party partners such as Google to help us recognize your device and understand how you use our sites so that we can improve our services to reflect your interests and serve you advertisements about the services that are likely to be of more interest to you. Specifically, Google collect information about your activity on our sites to enable us to:

    • Measure and analyze traffic and browsing activity on our sites
    • Show advertisements for our products and/or services to you on third-party sites
    • Measure and analyze the performance of our advertising campaigns

Our Uses and Disclosures

How do we typically use or share your health information?
We typically use or share your health information in the following ways.

Treat you

  • We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Bill for your services

  • We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

Run our organization

  • We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your
  • We must follow the duties and privacy practices described in this notice and give you a copy of
  • We will not use or share your information other than as described here unless you tell us we can in If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/ understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

This Notice of Privacy Practices applies to the following organizations.

Progressive Diagnostics

35 Nutmeg Drive, Suite 303

Trumbull, CT 06611 m

www.progressive-diagnostics.com

Compliance Officer: Chamila Rupasinghe, Ph.D. P: 888.503.8803

Progressive Institute

2 Trapp Falls, Suite 120

Shelton, CT 06484 www.progressive-institute.com

Compliance Officer: Greg Gillam

P: 203.816.6424

HIPAA Compliance

Progressive Diagnostics implements a strong HIPAA Compliance program. The program assures physicians and their patients that all health information will be kept strictly confidential. Click below to view our Notice of Privacy Practices.