1204 Diagnostic Services is committed to protecting the privacy and confidentiality of information related to the services we provide. This Notice of Privacy Practices explains how health information may be used and disclosed and describes your rights regarding your information.
Please read this notice carefully.
1204 Diagnostic Services may be required to maintain the privacy of certain health information and provide individuals with information about our privacy practices.
When applicable, we will use and disclose health information only as permitted or required by applicable law.
We will make reasonable efforts to protect the privacy and confidentiality of information in our possession.
We may use or disclose information when permitted or required for purposes such as:
Information may be used or disclosed as necessary to provide and coordinate specimen collection services.
Information may be used or disclosed as necessary for payment related activities associated with services provided, when applicable.
Information may be used as necessary for legitimate business and operational activities, including activities related to quality, administration, and service improvement, when permitted by applicable requirements.
Depending on the service requested, specimens may be provided to an appropriate third party laboratory or authorized provider for testing.
Information necessary to facilitate the requested service may be shared with the applicable laboratory or provider as permitted by law.
Information may be used or disclosed when required by federal, state, or local law or regulation.
Information may be disclosed for certain public health, regulatory, legal, or other purposes when permitted or required by applicable law.
Certain uses and disclosures of protected health information may require your written authorization.
If an authorization is required, we will request your authorization before using or disclosing information for the applicable purpose, unless otherwise permitted or required by law.
You may have the right to revoke an authorization in writing, subject to applicable legal limitations and actions already taken based on the authorization.
Depending on applicable law, you may have certain rights regarding your protected health information.
These may include:
You may have the right to inspect or obtain a copy of certain health information maintained by us.
You may request that certain health information be corrected or amended if you believe the information is inaccurate or incomplete.
You may request restrictions on certain uses or disclosures of your information. We are not necessarily required to agree to every restriction request.
You may request that we communicate with you about health information through a particular method or at a particular location when permitted by law.
You may request a paper copy of this Notice of Privacy Practices even if you have agreed to receive it electronically.
If you believe your privacy rights have been violated, you may submit a complaint to 1204 Diagnostic Services.
You may also have the right to file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
You will not be retaliated against for filing a privacy complaint.
We are committed to handling information professionally and confidentially. We take reasonable steps designed to protect information from unauthorized access, use, or disclosure.
However, no electronic system or method of transmitting information can be guaranteed to be completely secure.
1204 Diagnostic Services may provide mobile specimen collection when available and appropriate.
Information collected during a mobile service may be handled in accordance with applicable privacy requirements and our policies and procedures.
We reserve the right to change our privacy practices and this Notice of Privacy Practices when permitted or required by law.
If we make a material change to this notice, an updated version will be made available through our website or by other appropriate means.
The current version of this notice will identify its effective date.
If you have questions about this Notice of Privacy Practices or how your information is handled, please contact us.
1204 Diagnostic Services
Contact Person: Britney Hinds
Email: info@1204diagnosticservices.com
Service Area: Massachusetts and surrounding communities
If you believe your privacy rights have been violated, you may contact 1204 Diagnostic Services using the contact information above.
You may also contact:
U.S. Department of Health and Human Services
Office for Civil Rights
For information about submitting a HIPAA privacy complaint, visit:
https://www.hhs.gov/ocr/complaints/index.html
1204 Diagnostic Services will not retaliate against you for filing a privacy complaint.
By receiving this Notice of Privacy Practices, you acknowledge that you have been provided with information about how your information may be used and disclosed and about your privacy rights.
Your acknowledgment of this notice does not necessarily constitute authorization for uses or disclosures that require a separate written authorization under applicable law.
