Notice of Privacy Practices

Our Commitment to Your Privacy

At Gilbert Pediatrics, we understand that health information about your child is personal. We are committed to protecting your child's health information and maintaining its confidentiality. This Notice of Privacy Practices describes how we may use and disclose your child's protected health information (PHI) and explains your rights regarding this information.

How We May Use and Disclose Health Information

We may use and disclose your child's protected health information for the following purposes:

Treatment

We may use your child's health information to provide medical treatment and services. For example, we may share information with specialists or other healthcare providers involved in your child's care.

Payment

We may use and disclose your child's health information to obtain payment for services we provide. This may include billing your insurance company, verifying coverage, and collecting payments.

Healthcare Operations

We may use your child's health information for our healthcare operations, such as quality improvement activities, training, and administrative functions.

Other Uses and Disclosures

We may also use or disclose your child's health information:

• As required by law
• For public health activities
• To report suspected abuse or neglect
• For health oversight activities
• In response to court orders or legal proceedings
• To avert a serious threat to health or safety
• For specialized government functions (e.g., military, national security)
• For workers' compensation purposes

Your Rights

You have the following rights regarding your child's health information:

Right to Access

You have the right to inspect and obtain a copy of your child's health records. Requests must be made in writing.

Right to Amend

You have the right to request that we amend your child's health information if you believe it is incorrect or incomplete.

Right to an Accounting

You have the right to request a list of certain disclosures we have made of your child's health information.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your child's health information, although we are not required to agree to all requests.

Right to Confidential Communications

You have the right to request that we communicate with you about your child's health matters in a certain way or at a certain location.

Right to a Paper Copy

You have the right to obtain a paper copy of this Notice of Privacy Practices upon request.

Our Responsibilities

We are required by law to:

• Maintain the privacy of your child's protected health information
• Provide you with this Notice of our legal duties and privacy practices
• Notify you if we are unable to agree to a requested restriction
• Follow the terms of this Notice currently in effect
• Notify you if a breach occurs that may have compromised your child's health information

Changes to This Notice

We reserve the right to change this Notice and make the revised Notice effective for health information we already have as well as any information we receive in the future. We will post the current Notice in our office and on our website.

Questions or Complaints

If you have questions about this Notice or wish to exercise your rights, please contact our Privacy Officer at:

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.