This policy describes how your medical information will be used or shared at ER of Kingwood and describes your rights regarding access to that information. Please review it carefully.
ER of Kingwood is obliged to protect the privacy of your Protected Health Information (PHI). This Privacy Notice applies to all medical records created or maintained by the ER of Kingwood during the provision of medical care and service.
PHI includes information that identifies you and relates to:
We are required by law to safeguard this information and to inform you of our privacy practices.

We may use or share your health information to diagnose, treat, and care for you. The information might be shared with physicians, nurses, specialists, laboratories, pharmacies, and other healthcare providers involved in your treatment.

We may use your PHI to bill for services and to collect payment from insurance providers or other responsible parties. This may include verifying benefits, obtaining authorizations, and submitting claims.

Your information may be used for specific healthcare operations such as:
● Quality improvement and patient safety
● Staff training and performance review
● Accreditation, licensing, and audits
● Improving services and operational efficiency
You have certain privacy rights under HIPAA, including:
Access Your Records
Request to review or obtain a copy of your medical records (fees may apply).
Request Corrections
Ask for corrections if you believe information is inaccurate or incomplete.
Request Restrictions
Ask us to limit how your information is used or shared (not all requests must be honoured).
Confidential Communications
Request alternative methods or locations for communication.
Accounting of Disclosures
Request a list of certain disclosures of your PHI.
Paper Copy of This Notice
Request a paper copy at any time.
Breach Notification
Be notified if your unsecured PHI is compromised.
ER of Kingwood is legally committed to:
Any updated Notice will apply to all PHI we maintain and will be available upon request.
If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
ER of Kingwood
Privacy Officer
Address: 2158 Northpark Dr, Kingwood, TX 77339
Phone: (713) 528-8703
Email: [email protected]
Office for Civil Rights
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
If you have questions about this Notice or your privacy rights, please contact our Privacy Officer.
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