Notice of Privacy Practices
Effective Date: October 1, 2025
1. Purpose of This Notice
At LoDo Pain LLC, your privacy is important to us. We are required by law to maintain the confidentiality of your Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA) and applicable Arizona laws.
This Notice explains how we may use and share your PHI, and the rights you have regarding that information.
2. How We May Use and Share Your Information
For Treatment
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We may use and share your information with healthcare providers involved in your care to coordinate treatment or services.
For Payment
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We may use and disclose PHI to obtain payment for services, confirm coverage, or bill third parties.
For Healthcare Operations
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We may use PHI for quality assurance, staff training, internal management, or auditing purposes.
For Legal and Safety Reasons
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We may share PHI if required by law, including for public health, abuse reporting, or court orders.
With Your Authorization
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We will not use or disclose your information for marketing, research, or other non-treatment purposes without your written consent.
3. Your Rights Regarding Your Health Information
You have the right to:
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Access your medical records.
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Request corrections to inaccurate or incomplete information.
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Request restrictions on how your information is shared.
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Request confidential communications (e.g., by mail or phone only).
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Receive an accounting of certain disclosures made without your authorization.
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Obtain a paper copy of this Notice at any time.
To exercise these rights, contact info@lodopain.com.
4. How We Protect Your Information
We use electronic, administrative, and physical safeguards to protect your PHI.
Only authorized staff and healthcare providers may access your information as needed for care or operations.
5. Changes to This Notice
We may update this Notice at any time.
The most current version will always be available on our website or by request at our office.
6. Questions or Complaints
If you have questions or concerns about your privacy or believe your rights have been violated, you can email us directly at info@lodopain.com.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR). You will not be penalized for filing a complaint.
7. Acknowledgment of Receipt
You will be asked to sign a separate acknowledgment confirming that you received this Notice of Privacy Practices.