Privacy Practice Policy


Under the Health Insurance Portability and Accountability Act (HIPAA), Kidz & Family Medicine may use and disclose your Protected Health Information (PHI) to facilitate your treatment, payment, and operational activities relating to your care. You have specific rights when it comes to your health information.


Even though you have accepted to receive this notice electronically, you may request a printed copy at any time. You have the right to inspect or get a print or electronic copy of your medical record, health and claims data, and any health information we have on file for you. If you believe your health information or health and claims records are wrong or incomplete, you may request that we correct them. You have the right to request that specific health information not be used or shared for treatment, payment, or our operations. Unless the law requires us to divulge that information, we will say "yes" if you have already paid in full for the item or service. You may request that we contact you in a specific way (for example, by phone) or send mail to a different address.


You have the right to request a list of the instances we've disclosed your health information, whom we shared it with, and why we provided it. Except for disclosures involving treatment, payment, healthcare operations, or certain other disclosures, we shall include all disclosures (such as any you asked us to make). Unless you choose a shorter time range, we will consist of each exposure we made in the last six (6) years. We will provide one free accounting every year, but if you want another within 12 months, we will charge you a reasonable, cost-based fee.


If you've given someone medical power of attorney or designated someone as your legal guardian, they can exercise your rights and make decisions concerning your medical information. If you believe your rights have been violated, don't hesitate to contact Kidz & Family Medicine at 214-488-0071. If you file a complaint, you will not be penalized or retaliated against.


You control whom we share health information with, why we share it, and what we share. If you cannot express your choices, such as if you are unconscious, we may share your information if we believe it is in your best interests.


You must submit your request in writing, along with a justification for it.


Our Uses and Disclosure


We can use and share your medical information with other specialists treating you. We can use and disclose your health information to manage our clinic, improve your care, and contact you as needed. We can charge and collect payment from health plans and other entities using and sharing your health information. We can share health information about you in the specific circumstances like:


  • Disease prevention
  • Assisting in product recalls
  • Reporting adverse drug responses
  • Suspected child abuse, neglect, or domestic violence reporting
  • Taking steps to prevent or mitigate serious harm to anyone's health or safety

If state or federal laws require it, we will share information about you, including with the Department of Health and Human Services, to ensure that we are following federal privacy laws. We can use or share health information about you in the following ways:


  • For the purpose of law enforcement or in the presence of a law enforcement officer
  • For activities permitted by law, work with health oversight agencies

In response to a court or administrative order or in response to a subpoena, we may reveal health information about you.


Your health information can be used and shared to assist us in training health care professionals such as medical and nursing students.