HIPAA Notice of Privacy Practices

About This Notice

Restora Health LLC and its medical director, Frayda Kresch, MD (collectively "Restora Health," "we," or "us") are required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of Privacy Practices. PHI is information that identifies you and relates to your past, present, or future physical or mental health condition, the provision of healthcare to you, or payment for healthcare.

We are required to abide by the terms of this notice and to notify you of any breach of your unsecured PHI. We reserve the right to change the terms of this notice and to make new provisions effective for all PHI we maintain. If we make material changes, we will post the revised notice on our website.

How We May Use and Disclose Your PHI

We may use and disclose your PHI without your authorization for the following purposes:

Treatment

We use your PHI to provide, coordinate, and manage your healthcare and related services. For example, your physician may use information in your medical record to determine the most appropriate clinical treatment for you. We may disclose PHI to other healthcare providers involved in your treatment, such as laboratories or pharmacies, as necessary to coordinate your care.

Payment

We may use and disclose your PHI to obtain payment for services rendered. Because Restora Health is a cash-pay practice that does not bill insurance directly, this typically involves invoicing you directly and maintaining billing records. If you submit claims to your insurer independently, your records may reflect the services provided.

Healthcare Operations

We may use and disclose your PHI for our internal healthcare operations, including quality assurance, compliance activities, training, and administrative purposes necessary to operate our practice. These activities are necessary to provide you with high-quality care and to comply with applicable laws.

As Required by Law

We will disclose your PHI when required to do so by applicable federal, state, or local law, including to public health authorities, law enforcement officials, or courts as required by law.

Emergency Situations

In a medical emergency, we may disclose your PHI to the extent necessary to provide treatment and protect your life.

Your Rights Regarding Your PHI

You have the following rights regarding the PHI we maintain about you. To exercise any of these rights, please submit a written request to us at info@restorahealth.net.

Right to Access Your Records

You have the right to inspect and obtain a copy of your medical records and other PHI we maintain about you, with limited exceptions. We will provide access through our Cerbo patient portal or by providing a copy in the format you request, if practicable. We may charge a reasonable, cost-based fee for copies.

Right to Amend Your Records

If you believe that PHI we have about you is incorrect or incomplete, you may request that we amend the information. We may deny your request if we did not create the information, if it is not part of the information maintained by us, or if the information is accurate and complete. If we deny your request, we will notify you in writing.

Right to an Accounting of Disclosures

You have the right to request a list of disclosures we have made of your PHI during the six years prior to the date of your request, with certain exceptions for disclosures made for treatment, payment, and healthcare operations.

Right to Request Restrictions

You may request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to a requested restriction, except that we must agree to a restriction on disclosure to a health plan for services you have paid for out-of-pocket in full.

Right to Confidential Communications

You may request that we communicate with you about your PHI in a specific way or to a specific location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice of Privacy Practices upon request. Please contact us at info@restorahealth.net.

Our Duties

We are required by law to:

• Maintain the privacy of your PHI
• Provide you with this notice of our legal duties and privacy practices
• Notify you if a breach of your unsecured PHI occurs
• Abide by the terms of this notice currently in effect

How to File a Complaint

If you believe we have violated your privacy rights, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint.

To file a complaint with Restora Health:
Contact us in writing at info@restorahealth.net. Please describe your concern and provide your contact information. We will acknowledge your complaint within 10 business days.

To file a complaint with HHS:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Website: hhs.gov/hipaa/filing-a-complaint

Contact Us

If you have questions about this Notice or wish to exercise your rights, please contact us: