This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Who Follows This Notice
This Notice applies to the licensed clinicians and pharmacies in our network ("Covered Entities") and to Dominant Health, Inc. acting as a Business Associate in support of those Covered Entities.
Uses & Disclosures of Your PHI
Without your authorization
- Treatment — sharing PHI with providers, pharmacies, and labs involved in your care
- Payment — processing payment for services rendered
- Health Care Operations — quality improvement, audits, training
- Required by law — public health reporting, court orders, regulatory inspections
With your authorization
Any other use or disclosure requires your written authorization, which you can revoke at any time.
Your Rights
- Inspect and copy your PHI
- Request amendments to your record
- Receive an accounting of disclosures
- Request restrictions on certain uses or disclosures
- Request confidential communications (e.g. only contact you by email, not phone)
- Receive a paper copy of this Notice
- File a complaint without retaliation
Filing a Complaint
If you believe your privacy rights have been violated, contact our Privacy Officer at privacy@staydominant.com. You may also file a complaint with the U.S. Department of Health & Human Services Office for Civil Rights at hhs.gov/ocr.
Changes to This Notice
We reserve the right to change this Notice. Changes apply to PHI we already have and any we receive in the future. The current version is always available at this URL.