This Notice of Privacy Practices (“Notice”) describes how Belle may use and disclose your protected health information (“PHI”) and how you can access that information. We are required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) to maintain the privacy of your PHI and provide you with this Notice of our legal duties and privacy practices.
1. Our Responsibilities Under HIPAA
Belle is committed to protecting your health information. We are required to:
- Maintain the privacy and security of your PHI
- Provide this Notice describing our legal duties and privacy practices
- Follow the terms of this Notice
- Notify you if a breach compromises the privacy or security of your PHI
2. How We May Use and Disclose Your Health Information
We may use or share your PHI in the following ways:
a. For Treatment
To provide, coordinate, or manage your healthcare. For example, we may share your information with licensed providers, pharmacies, or labs.
b. For Payment
To bill you or a third party for services. This may include sharing PHI with your health plan or payment processor.
c.For Healthcare Operations
To manage and improve our services, such as quality assessments, audits, or staff training.
3. Other Uses and Disclosures
We may also use or disclose your PHI in the following cases:
- With Your Authorization: For any purpose not described here, we will obtain your written authorization.
- As Required by Law: When required by federal, state, or local law.
- Public Health & Safety: For disease reporting, preventing injury, or reporting adverse reactions.
- Law Enforcement or Legal Proceedings: In response to a court order, subpoena, or legal process.
- Health Oversight Agencies: For activities authorized by law such as audits or investigations.
- Business Associates: We may share your PHI with third-party service providers (e.g., hosting, billing, or software vendors) who are contractually required to protect it.
4. Your Rights Regarding Your Health Information
You have the right to:
- Access Your Records: Request a copy of your medical records.
- Request an Amendment: Ask us to correct inaccurate or incomplete information.
- Request Restrictions: Ask us not to use or disclose certain information.
- Request Confidential Communications: Receive communications in a certain way (e.g., only via email or at a specific address).
- Receive a List of Disclosures: Get a record of certain disclosures we’ve made (not including those for treatment, payment, or operations).
- File a Complaint: If you believe your rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services.
We will not retaliate against you for filing a complaint.
5. Your Choices
You can tell us your preferences about how we share information in certain cases:
- With family, friends, or others involved in your care
- In a disaster relief situation
- For marketing purposes (only with your written consent)
- Sale of your information (we do not sell PHI)
6. Data Security & Safeguards
Belle uses industry-standard administrative, physical, and technical safeguards to protect your PHI. However, no method of transmission or storage is 100% secure.
7. Changes to This Notice
We may update this Notice at any time. If we make significant changes, we’ll update the effective date and post the revised Notice on our website.
8. Contact Information
If you have questions about this Notice or your rights, or to file a complaint:
Belle Privacy Officer
📧 Contact us
📍 621 E 12300 S Suite B, Draper, UT 84020
You may also contact the U.S. Department of Health & Human Services at:
📍 200 Independence Avenue, S.W., Washington, D.C. 20201
📞 1-877-696-6775
🌐 www.hhs.gov/ocr/privacy
