Notice of Privacy Practices
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.
This notice applies to Magnolia Primary Care, a DBA of Noor Wellness Clinics PLLC, at 2111 E Kirkwood Blvd, Ste 110C, Southlake, TX 76092. It covers the health information we create and keep about your care. It is separate from our website privacy policy, which covers this website only.
Our duties
We are required by law to:
- Keep your protected health information private
- Give you this notice of our legal duties and privacy practices
- Follow the terms of the notice currently in effect
- Tell you if a breach occurs that compromises the privacy of your information
How we may use and disclose your information without your authorization
For treatment
We use your health information to provide your care and share it with others involved in that care. If we refer you to a cardiologist, we send the relevant records. If you are admitted to hospital, we share what the hospital team needs. If we send a prescription, the pharmacy receives what it needs to fill it.
For payment
We use and disclose your information to bill and collect payment. That includes telling your health plan about care you received so it can be paid for, confirming your coverage and benefits, and obtaining prior authorization when your plan requires one.
For health care operations
We use your information to run the practice: reviewing quality of care, training, business planning, and administration. For example, we may review records to assess how well we are managing blood pressure across our patients.
Appointment reminders and health information
We may contact you to remind you of an appointment, to tell you results are ready, or to tell you about treatment alternatives or health services that may interest you. If you would rather we did not, tell us and we will stop.
People involved in your care
Unless you object, we may share information relevant to your care with a family member, friend or anyone else you identify as involved in your care or in paying for it. If you are not present or cannot agree, we will use professional judgment about what is in your best interest. In a disaster, we may share information with relief organizations so your family can be notified.
Other uses permitted or required by law
We may use or disclose your information without your authorization when the law allows or requires it, including:
- As required by law, including federal, state and local reporting requirements
- Public health activities, such as reporting communicable disease, births and deaths, adverse reactions to medication, and product recalls
- Victims of abuse, neglect or domestic violence, where reporting is required or permitted
- Health oversight activities, such as audits, investigations, inspections and licensure
- Judicial and administrative proceedings, in response to a court order, subpoena or other lawful process
- Law enforcement, in the limited circumstances the law permits
- Coroners, medical examiners and funeral directors, as necessary for them to carry out their duties
- Organ and tissue donation, where applicable
- Research, where a review board has approved the research and protocols to protect your privacy
- To prevent a serious and imminent threat to your health or safety or to the health or safety of others
- Specialized government functions, including military and veterans activities, national security and protective services
- Workers' compensation, as authorized by law
- Inmates, where you are in the custody of a correctional institution or law enforcement
Uses that always require your written authorization
We will not do any of the following without your written authorization:
- Most uses and disclosures of psychotherapy notes, where we keep them
- Marketing, where we would receive payment from a third party
- Sale of your information. We do not sell your health information
- Any other purpose not described in this notice
You may revoke an authorization in writing at any time. Revoking it stops any future use or disclosure under that authorization, but it does not undo anything we already did while it was in effect.
Electronic disclosure, under Texas law
Texas law requires us to tell you that your protected health information may be disclosed electronically, for example to your health plan for payment, to a health information exchange, or to another provider treating you. Texas law also requires your written authorization before we electronically disclose your information for any purpose other than treatment, payment, health care operations, or as otherwise permitted or required by law.
Your rights
Get a copy of your records
You can inspect and get a copy of your medical and billing records. Ask us in writing. If we keep your records electronically and you ask for an electronic copy, Texas law requires us to provide it within 15 business days of your written request, which is faster than federal law requires. We may charge a reasonable, cost-based fee.
Ask us to correct your records
If you believe something in your record is wrong or incomplete, ask us in writing to amend it and say why. We may deny the request, and if we do we will explain why in writing and you may submit a statement of disagreement to be kept with your record.
Ask for confidential communications
You can ask us to contact you a specific way, such as only by cell phone, or at a specific address. We will accommodate reasonable requests and we will not ask you why.
Ask us to limit what we use or share
You can ask us to restrict how we use or disclose your information. We are not required to agree to most restrictions, but with one exception: if you pay for a service in full out of your own pocket, you can require us not to share information about that service with your health plan, and we must comply unless the law requires the disclosure.
Get a list of disclosures
You can ask for an accounting of certain disclosures we made in the six years before your request. This does not include disclosures for treatment, payment or health care operations, or ones you authorized. The first accounting in a twelve month period is free.
Get a paper copy of this notice
You can ask for a paper copy 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 these rights and make choices about your information. We will verify their authority before acting.
Be notified of a breach
If your unsecured protected health information is breached, we will notify you as the law requires.
Complaints
If you believe your privacy rights have been violated, tell us. Contact Dr. Farhan Abdullah, DO, our Privacy Officer at (817) 970-3400 or write to us at 2111 E Kirkwood Blvd, Ste 110C, Southlake, TX 76092.
You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or at hhs.gov/ocr/complaints.
You may also complain to the Texas Attorney General or the Texas Medical Board.
We will not retaliate against you for filing a complaint.
Changes to this notice
We may change this notice, and the changes will apply to information we already hold as well as information we create afterward. The current notice will always be posted in our office and on this page, with its effective date.
Questions
Contact Dr. Farhan Abdullah, DO, our Privacy Officer at (817) 970-3400 during office hours.