Notice of Privacy Practices

Della Logan, SLP

9008 Elk Grove Blvd; Elk Grove, CA 95624

Phone: (916) 491-0688 • Fax: (916) 252-3646

della@loganslp.com

www.loganslp.com

Effective Date: January 1, 2024

PLEASE REVIEW THIS NOTICE CAREFULLY

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.  Della Logan SLP (hereinafter referred to as “we,” “our,” “us”) are required to provide this notice to you.

There is a federal law that sets rules for health care providers and health insurance companies about who can look at and receive your health information.  This law, called the Health Insurance Portability and Accountability Act of 1996 (HIPAA), gives you rights over your health information, including the right to get a copy of your information, make sure it is correct, and know who has seen it. 

YOUR RIGHTS

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

Get a copy of your health and claims records

• You can ask to see or get a copy of your health and claims records and other health information we have about you.  Send your request in writing to us.

• We will provide a copy or a summary of your health and claims records, usually within 30 days of your request.  We may charge a reasonable, cost-based fee.

Ask us to correct health and claims records

• You can ask us to correct your health and claims records if you think they are incorrect or incomplete.  Send your request in writing to us.

• We may say “no” to your request, but we’ll tell you why in writing within 60 days.

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 address.  Let us know by writing to us.

• We will consider all reasonable requests, and must say “yes” if you tell us you would be in danger if we do not.

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 operations.

• We are not required to agree to your request, and we may say “no” if it would affect your care.

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 why.

• 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 may charge a reasonable, cost-based fee.

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 electronically.

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 information.

• We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

• You can complain if you feel we have violated your rights by contacting us in writing.

• You can file a complaint with the U.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 complaint.

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 payment for your care.  This can be requested by completing a Release of Information Authorization form.

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

• Marketing purposes

• Sale of your information

OUR USES AND DISCLOSURES

We typically use or share your health information in the following ways.

To obtain payment of services

• We can use and disclose your health information to obtain payment of services as allowed by federal privacy rules (regulations).  

Run our business

• We can use and disclose your information to run our business and contact you when necessary.

• For example, we may use and disclose your PHI to contact you to remind you that you have an appointment with us.

Help manage the health care treatment you receive

• We can use your health information and share it with professionals who are treating you when given written permission through a Release of Information Authorization form.

We are allowed or required to share your information in other ways–typically for safety reasons.

Appeal a health insurance decision

• We can share your information to appeal a health insurance decision about your health care.

Help with public health and safety issues

• We can share health information about you for certain situations such as:

  • Reporting suspected abuse, neglect, or domestic violence

  • Preventing or reducing a serious threat to anyone’s health or safety

  • Helping with product recalls

To 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.

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. 

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

OUR RESPONSIBILITIES

• We are required by law to maintain the privacy and security of your protected health information.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

• We must follow the duties and privacy practices described in this notice and give you a copy of it.

• We will not use or share your information other than as described here unless you tell us we can in writing.  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: https://www.hhs.gov

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, on our website, and we will provide a copy to you.