HIPAA Notice of Privacy Practices
Effective Date: October 1, 2025
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. The Flow Co. IV+O2 is required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this notice of our legal duties and privacy practices.
1. Our Commitment to Your Privacy
We understand that your health information is personal and we are committed to protecting it. We are required by law to:
- • Maintain the privacy of your Protected Health Information
- • Provide you with this notice of our legal duties and privacy practices
- • Follow the terms of the notice currently in effect
- • Notify you following a breach of unsecured Protected Health Information
2. How We May Use and Disclose Your Health Information
For Treatment
We will use your health information to provide, coordinate, or manage your healthcare and related services. This includes sharing information with other healthcare providers involved in your care, such as physicians, laboratories, and pharmacies.
Example: We may share your treatment plan with a specialist to whom we refer you, or send your lab results to your primary care physician.
For Payment
We will use and disclose your health information to obtain payment for services provided to you. This includes billing activities, claims management, and determining eligibility for coverage.
Example: We may send your insurance company information about your treatment to obtain payment or verify coverage.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, staff training, business planning, and other administrative purposes.
Example: We may review your medical records to evaluate the quality and effectiveness of the services we provide.
3. Other Uses and Disclosures
We may use or disclose your health information without your authorization in the following situations:
Appointment Reminders
We may contact you to remind you of appointments or follow-up care.
Treatment Alternatives
We may contact you to provide information about treatment alternatives or health-related benefits and services.
As Required by Law
We will disclose health information when required by federal, state, or local law.
Public Health Activities
We may disclose information to public health authorities for disease prevention, FDA-regulated products, and other public health purposes.
Health Oversight Activities
We may disclose information to health oversight agencies for audits, investigations, and licensure purposes.
Legal Proceedings
We may disclose information in response to court orders, subpoenas, or other lawful processes.
Law Enforcement
We may disclose information for law enforcement purposes, including reporting crimes or responding to law enforcement requests.
To Avert a Serious Threat
We may use and disclose information when necessary to prevent a serious threat to your health and safety or the health and safety of others.
4. Your Rights Regarding Your Health Information
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your health information. We may charge a reasonable fee for copying and mailing costs. We may deny your request in certain limited circumstances.
Right to Amend
If you believe your health information is incorrect or incomplete, you may request an amendment. We may deny your request if the information was not created by us, is not part of the records we keep, or is accurate and complete.
Right to an Accounting of Disclosures
You have the right to request a list of disclosures we have made of your health information for purposes other than treatment, payment, and healthcare operations.
Right to Request Restrictions
You have the right to request restrictions on how we use or disclose your information for treatment, payment, or healthcare operations. We are not required to agree to your request except in certain circumstances involving payment to health plans.
Right to Request Confidential Communications
You have the right to request that we communicate with you in a certain way or at a certain location. For example, you may ask that we contact you only at work or by mail.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this notice, even if you have agreed to receive the notice electronically.
Right to Be Notified of a Breach
You have the right to be notified if your unsecured Protected Health Information has been breached.
5. How to Exercise Your Rights
To exercise any of your rights, please submit a written request to:
Privacy Officer
The Flow Co. IV+O2
560 West Brown Road
Mesa, AZ 85201
Phone: 480-292-8602
Email: privacy@theflowco.com
Request forms are available at our office or on our website. We will respond to your request within 30 days.
6. Complaints
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 us:
Contact our Privacy Officer at the address above.
To file a complaint with HHS:
U.S. Department of Health & Human Services
Office for Civil Rights
Important:
You will not be penalized or retaliated against for filing a complaint.
7. Changes to This Notice
We reserve the right to change this notice and make the new notice apply to information we already have as well as any information we receive in the future. We will post a copy of the current notice in our office and on our website. The notice will contain the effective date.
Questions or Need More Information?
If you have questions about this notice or need additional information about our privacy practices, please contact our Privacy Officer:
The Flow Co. IV+O2
560 West Brown Road, Mesa, AZ 85201
Phone: 480-292-8602
Email: privacy@theflowco.com