The Notice of Privacy Practices (Notice) applies to the privacy practices of the organizations listed for the delivery of healthcare products and services. These organizations are each participants in a Single Affiliated Covered Entity Arrangement. As such, we may share your health information and the health information of others we service with each other as needed for treatment, payment or healthcare operations. This notice includes practicing physicians and other credentialed individuals who are part of our Organized Health Care Arrangement will share your health information with each other as necessary for treatment, payment and operations.

Reneu must keep your health information private. We are also required to give you this Notice to tell you about our legal duties, the practices we follow to keep your health information private, and your rights concerning your health information. When we release your health information, we must release only the information needed for the specific purpose.

We will follow the privacy practices in this Notice.
We have the legal right to change our privacy practices and the terms of this Notice at any time. We reserve the right to make the changes to our privacy practices and this Notice applicable to all the health information we keel), including health information we created or received before we made the changes. We will put the revised Notice of Privacy Practices on our website at www.reneuhealth.com and make copies of the revised Notice available on request.

In the next section we give some examples of the ways and reasons your health information may be caused or released. We may not disclose HIV test results and certain confidential health information or mental health treatment records of these purposes without your written permission, unless required by law.

Without your written permission, we can use and release your health information for:

1. Treatment, We may use or release your health information to a physician or other healthcare provider in order to provide treatment to you.

• For example, a physician may use the information in your medical record to decide what treatment, such as a drug or surgery, best meets your healthcare needs. The treatment chosen will be written in your medical record, so that other healthcare professionals can make the best decisions for your care.
• We may also use your health information to:
• Schedule a test such as a lab or X-ray
• Call a prescription to your pharmacy.
• Continue your care.

2. Payment. We may use and disclose your health information to obtain payment for services we provide you.

• For example, we must send a bill that gives your name, your diagnosis, and the care you received to your insurance company. We will give this health information to help get payment for your medical bills.
• We may disclose your health information to another healthcare provider or entity subject to the federal Privacy Rules so they can obtain payment.
• We may need your written permission to disclose information taken from your mental health treatment records or HIV test results for payment purposes.

3. Healthcare Operations. We may use and disclose your health information in connection with our healthcare operations.

• For example, your diagnosis, treatment and results may help improve the quality or cost of care we give our patients. These quality and cost improvement activities may include:
• Reviewing the performances of your physicians, nurses and other healthcare professionals.
• Looking at the success of your treatment and comparing the success to other patients
• Calling a patient and leaving a reminder message for a scheduled appointment
• Parish Nursing, in an effort to assist with your healthcare needs. Other healthcare operations for which we can use or disclose your health information include:
• Conducting training programs, accreditation, certification, licensing or credentialing activities
• Medical review, legal services and auditing, including fraud and abuse detection and compliance
• Business planning and development
• Business management and general administrative activities, including management activities relating to privacy, customer service, resolution of internal grievances, and creating de-identified health information or a limited data set
• We may disclose your health information to another entity which has a relationship with you and is subject to the federal Privacy Rules, for their healthcare operations relating to quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, or detecting or preventing healthcare fraud and abuse.
• We may need your written permission to disclose your health information taken from your mental health treatment records or HIV test results for healthcare operations.

4. As Required by Law. We may use or disclose your health information as required by law to the police, court officials or government agencies.

• For example, we may report:
• Abuse
• Neglect
• Certain physical injuries

5. For Public Health Activities. We may need to report your health information to help prevent or control disease, injury or disability. This may include information for:

• Disease, injury and vital statistic reporting
• Child abuse reporting
• Food and Drug Administration
• Poison Control

6. For Health Oversight Activities. We may give your health information to health oversight agencies, including agencies who monitor or regulate hospitals, clinics, nursing homes or other healthcare providers to be certain you are given the correct and proper

7. For Activities Related to Death. We may reveal your health information to coroners and medical examiners, such as:

• · Identifying the body

8. For Organ, Eye, or Tissue Donation. We may give your health information to people who obtain, store, or transplant organs, eyes or tissue of people who have died.

9. For Research. We may use your health information for research. Such research flight help us to improve care or develop new treatments. Depending on the research, you maybe able to refuse the use of your health information.

10. To Avoid a Serious Threat To Health or Safety. We may release some of your health information to people in authority if we think that it will prevent or lessen a serious or imminent danger to yourself or the safety and health of other people.

11. For Military or National Security Purposes. We may release your health information to military and federal officials for lawful national security or intelligence activities.

12. For Workers’ Compensation. We may share your health information as allowed by workers’ compensation laws or other similar programs. These programs may provide benefits for work-related injuries or illness.

13. Law Enforcement and Correctional Facilities. We may disclose your health information to law enforcement officials pursuant to subpoenas under a court order, and signed by a judge, or other lawful processes, concerning crime victims, suspicious deaths, crimes on our premises, reporting crimes in emergencies, and for purposes of identifying or locating a suspect or other person. We may disclose your health information to correctional institutions or law enforcement personnel for certain purposes if you are an inmate or are in lawful custody.

To Those Involved with Your Care or Payment of Your Care. If family members or close friends are helping care for you or helping you pay for your your medical bills, we may give health information about you to those people people to the extent necessary for them to help with your care or payment for payment for your care. The information given may include your name and and location within our facility. We must give you enough information so you so you can decide if you want other people involved with your care to have have your health information. If you are unable to agree or object to such such disclosure, we may give information as necessary to determine that it is that it is in your best interest based on professional judgment.

14. Disaster Situations. We may release your health information to people who handle disasters so people who care for you can have needed information. We must inform you of these releases and honor any written restrictions you may impose, unless so doing would restrict our ability to respond to an emergency.

15. HIV Test Results. Your HIV test results, if any, may be disclosed as set forth in Wisconsin Statutes 252.15(5)(a). A listing of the persons or circumstances set forth in the statute is available on request.

16. State Regulatory Bodies. We may disclose to the state agencies who require US to submit information, such as births and deaths, to cardiac and cancer registries.

With your written permission:

We may use your health information to disclose it to anyone for any purpose. If the reason we share health information is not listed above, we must first get your written permission. For example, we must get your written permission to share psychotherapy notes unless we need those notes to treat you or if we are required by law. If you sign a permission form at any time, as long as you notify us in writing. If you wish to withdraw your permission, please send your written request to our office here at Reneu Women’s Health & Medispa. Your revocation will not affect any use or disclosures while your permission was in effect.

If you wish to use any of the following rights with respect to your health information, please contact our office here at Reneu Women’s Health & Medispa. You have the right to:

1. Inspect and Copy Your Health Information. With exceptions, you have the right to look at and receive a copy of your medical record. You may need to pay a fee if you want a copy of your medical record.

2. Request to challenge or correct Your Health Information. If you believe your health information is not correct, you may ask us to change/correct the information. You will be asked to give a reason as to why your health information should be changed. We may deny your request if we did not create the information you want amended and the originator remains available or for certain other reasons. if we deny your request, we will provide you a written explanation. You may respond with a statement of disagreement to be appended to the information you wanted amended. Ifwe accept your request to amend the information, we will make reasonable efforts to inform others, including people you name, of the amendment and to include the changes in any future disclosures of that information.

3. Request Restrictions on Certain Uses and Disclosures. You may limit how your health information is used. You may ask us to limit the information given to family and friends or those who help in emergencies. We are not required to agree to these restrictions, but if we do, we will abide by our agreement (except in an emergency). All requests for restriction must be in writing.

4. As Applicable, Receive Confidential Communication of Health Information. You have the right to ask that we share your health information with you in different ways or places. For example, you may ask to learn about your health status in a private area or by a letter sent to a private address. We will meet reasonable requests that specify the alternative means or location and provide a satisfactory explanation how payments will be handled under the alternative means or location and provide a satisfactory explanation how payments will be handled under the alternative means or location you request. If requesting confidential communication, the request must be in writing.

5. Receive a Record of Disclosure of Your Health Information. In some cases, you may ask for a list of those who received information from your medical records. This list nusit include the date your health information was given, who it was given to, a short description of what was given and why it was given. We must give you this list within 60 days unless we give you notice that we need an extra 30 days. We may not charge you for the first list, but can charge you if you ask for a list more than once a year. This list will not include disclosures before April 14, 2003, or disclosure (a) for treatment, payment, healthcare options, (b) as authorized by you, and (c) for certain other activities, including disclosures to you. You also have the right to request a list of disclosures of your mental health treatment records.

6. Obtain a Paper Copy of This Notice. A paper copy of this Notice will be given to you even if you have received this notice on our website or by electronic mail (e-mail). Even if you received a copy of the Notice before, you may still be asked to sign that you have received the Notice.

7. Complaint Filing. If you believe your privacy rights have been violated, you may file a complaint with this office, or with the federal Department of Health and Human Services We will not retaliate against you for filing such a complaint. You may submit your request in writing to: LD File a complaint or to comment on our privacy notices

• Amend your health information
• Access your health information
• Request a restriction on your confidential communication of your health information
• Receive a listing of disclosures of your health information All requests in writing should be sent to our office here at Reneu Women’s Health & Medispa. You may contact someone from Reneu at (262)- 560-1920.