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HIPAA Notice of Privacy Practices

Effective Date: 17th February, 2026

THIS NOTICE DESCRIBES HOW YOUR HEALTH INFORMATION MAY BE USED AND SHARED AND YOUR RIGHTS TO THIS INFORMATION. REVIEW CAREFULLY.

Our Commitment to Your Privacy

About This Notice

Kingwood ER, part of the Aether Health network, takes your privacy seriously. Federal law requires us to protect your health information and explain how we use it. This Notice applies to records at: 2158 Northpark Dr, Kingwood, TX 77339.

We store digital patient information and may securely share applicable health details with medical providers, laboratories, insurance companies, or other authorized parties as needed.

We follow these practices while this Notice is effective. We may revise our practices and this Notice. Revisions apply to existing and new information. The current version is available at our facility and kingwooder.com.

What Is Protected Health Information?

Protected Health Information (PHI) is identifiable data about your health condition, care received here, or payment for services. This includes medical history, exam notes, test results, diagnoses, treatment documentation, and billing records.

How We Use Information

For Treatment

Health data supports emergency care delivery. We share relevant information with physicians, nurses, technicians, and clinical staff treating you. Complex conditions may require coordination with specialists or hospitals.

Example: Severe allergic reactions may require sharing vitals and medication history with specialists or receiving facilities.

For Payment

Information supports billing activities—coverage confirmation, claim filing, payment inquiries.

Example: Insurance claims contain diagnostic codes, treatments rendered, and service details.

For Operations

Records support quality functions—clinical reviews, education, audits, accreditation.

Example: Records may be reviewed to assess treatment protocols and outcomes.

Your Rights

Disclosures Made Without Consent

Law permits or requires these disclosures:

Legal Mandates: Federal, state, local law compliance, court orders, subpoenas.

Public Health: Health authority reporting for disease control, injury documentation, adverse reaction tracking.

Abuse/Neglect: Reporting suspected abuse to appropriate agencies.

Oversight: Audits, investigations, inspections by oversight agencies.

Legal Matters: Court orders or subpoenas with protections.

Law Enforcement: Victim identification, death reports, lawful requests.

Threat Prevention: Preventing serious, imminent harm.

Donation Programs: Organ procurement organizations, eye banks, tissue programs.

Death Investigations: Medical examiners, coroners for identification or cause of death.

Workers’ Compensation: Work-related illness or injury claims.

Military Personnel: Armed forces members as command requires.

Government Activities: National security, intelligence, protective services.

Correctional Settings: Officials responsible for inmate health and safety.

When Authorization Is Needed

Disclosures not described require written authorization. Revoke anytime by written request to our Privacy Office. Prior disclosures remain valid. Psychotherapy notes, compensated marketing, and information sales always require specific written authorization.

Your Rights

Record Copies

Written request to our Privacy Office. Reasonable fees may apply. Texas law requires response within 15 business days.

Amendment Requests

Request corrections for inaccurate or incomplete information. Denials occur if information originated elsewhere, is not maintained by us, or is accurate. Written disagreement may accompany denials.

Restriction Requests

Request limits on disclosures for treatment, payment, operations, or sharing with family. Most are discretionary. Restrictions for fully self-paid services withheld from insurers must be honored.

Communication Methods

Specify preferred contact methods and locations. Reasonable requests honored.

Disclosure Lists

Request accounting from the prior six years, excluding treatment, payment, operations, and authorized disclosures. First annual request free; subsequent requests may incur fees.

Paper Copy

Obtain a printed copy from the facility anytime.

Breach Notification

Notification of breaches involving unsecured information—incident details, information involved, protective measures, our response, contacts.

Our Obligations

Key Benefits of a Freestanding Emergency Room

Kingwood ER must:

  • Safeguard health information privacy and security
  • Provide this Notice of duties and practices
  • Comply with current Notice terms
  • Inform you when restrictions cannot be honored
  • Accommodate reasonable communication preferences
  • Notify you of breaches involving unsecured information

Complaints

File complaints with us or the U.S. Department of Health and Human Services. No retaliation for filing complaints.

Kingwood ER Privacy Office, 2158 Northpark Dr Kingwood, TX 77339
Phone: (713) 528-8703
Email: [email protected]

U.S. Department of Health and Human Services Office for Civil Rights, 1301 Young Street, Suite 106, Dallas, TX 75202

Website: https://www.hhs.gov/ocr/about-us/contact-us/index.html

If you’ve any questions or need further information about this notice or your privacy rights, please contact Kingwood ER’s Privacy Office using the above details.

Effective from the date above until replaced.

Contact Us

Feel free to contact us any time. We will get back to you as soon as we can.