
Sprout Therapy Solutions
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Notice of Privacy Practices
Effective Date: 01/01/2025
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This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.
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Our Responsibilities
Sprout Therapy Solutions is required by law to:
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Maintain the privacy and security of your protected health information (PHI).
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Provide you with this Notice explaining our legal duties and privacy practices.
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Follow the terms of this Notice.
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Notify you promptly if a breach occurs that may have compromised your information.
Your Rights
You have the right to:
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Get a copy of your health records
You can ask to see or get a copy of your health information. We will provide it, usually within 30 days of your request. -
Request corrections
You can ask us to correct information you believe is incorrect or incomplete. We may deny your request, but we’ll tell you why in writing. -
Request confidential communications
You can ask us to contact you in a specific way (e.g., home or cell phone) or send mail to a different address. -
Ask us to limit what we use or share
You can ask us not to use or share certain health information. We are not required to agree, except when you pay for a service out-of-pocket in full. -
Get a list of disclosures
You can request a list (accounting) of the times we have shared your health information, who we shared it with, and why. -
Get a copy of this Notice
You can ask for a paper copy of this Notice at any time, even if you agreed to receive it electronically. -
Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights. -
File a complaint if you feel your rights are 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.
Our Uses and Disclosures
We typically use or share your health information to:
Treat you
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We use your health information to provide and coordinate care.
Run our organization
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We use and share your information to run our practice, improve your care, and contact you when necessary.
Bill for your services
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We use and share your information to bill and get payment from health plans or other entities.
Other Uses and Disclosures
We are allowed or required to share your information in other ways—usually in ways that contribute to the public good. For example:
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Public health and safety (e.g., preventing disease, reporting suspected abuse or neglect).
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Research (with required approvals).
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Compliance with the law (court orders, subpoenas).
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Health oversight activities (audits, investigations).
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Organ and tissue donation.
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Workers’ compensation, law enforcement, and other government requests.
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Coroners, medical examiners, or funeral directors.
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To prevent a serious threat to health or safety.
Other uses and disclosures not described here will be made only with your written authorization. You may revoke your authorization at any time in writing.
Our Privacy Commitment
At Sprout Therapy Solutions, your privacy and trust are extremely important to us. We want you to know:
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We will never sell your information.
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We will never share your information for marketing purposes.
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We will never profit from your health information.
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We only use or share your information to provide your care, process insurance claims you authorize, or when required by law.
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If we ever need to share your information for any other reason, we will ask for your written permission first.
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If you have questions about your privacy rights or this Notice of Privacy Practices, or if you would like to exercise any of your rights, please contact our office directly or speak with your Sprout Therapy Solutions team member.
Complaints
You can file a complaint if you feel we have violated your rights by contacting us at the information above.
You can also file a complaint with the U.S. Department of Health & Human Services:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
www.hhs.gov/ocr/privacy/hipaa/complaints/
We will not retaliate against you for filing a complaint.
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Changes to This Notice
We reserve the right to change this Notice, and the new Notice will apply to all protected health information we maintain. We will make any updated Notice available upon request, in our office, and on our website.