NOTICE OF PRIVACY PRACTICES
Effective Date: September of 2026
This Notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.
Our Commitment to Your Privacy
We understand that your urology care involves sensitive personal information. We are committed to protecting your health information and complying with the Health Insurance Portability and Accountability Act (HIPAA).
How We Use and Share Your Health Information
Treatment
We may use and share your information with physicians, nurses, medical assistants, labs, imaging centers, pharmacies, or other healthcare providers involved in your care.
Payment
We may use and disclose your information to bill and receive payment from insurance companies or other responsible parties.
Healthcare Operations
We may use your information for practice operations such as quality improvement, staff training, accreditation, and compliance activities.
Other Uses and Disclosures Allowed by Law
We may disclose your information without your written authorization for:
• Public health reporting
• Abuse, neglect, or domestic violence reporting
• Health oversight activities
• Legal proceedings or court orders
• Law enforcement purposes
• Organ donation
• Workers' compensation
• Preventing a serious threat to health or safety
• Specialized government functions (military, national security)
Uses Requiring Your Written Authorization
We will obtain your written permission before:
• Using your information for marketing
• Selling your health inf01mation
• Sharing psychotherapy notes
• Any use not described in this Notice
You may revoke your authorization at any time in writing.
Your Rights Regarding Your Health Information
Right to Access
You may request to view or obtain a copy of your medical record. We will provide access within 30 days as required by HIPAA.
Right to Request Amendments
If you believe your record is incorrect or incomplete, you may request an amendment.
Right to Request Restrictions
You may ask us to limit how we use or disclose your information. We are not required to agree, except for self-pay services where you request that information not be sent to insurance.
Right to Confidential Communications
You may request that we contact you at a specific phone number, address, or email.
Right to an Accounting of Disclosures
You may request a list of certain disclosures we have made of your information.
Our Responsibilities
We are required to:
• Maintain the privacy of your health information
• Provide you with this Notice
• Notify you if a breach occurs involving your unsecured health information
• Follow the terms of this Notice
We may update this Notice at any time. Updated versions will be available on our website.
Acceptance of Terms
By using our services or opting into SMS communications, you agree to these Terms & Conditions
Healthcare Disclaimer
Information provided via SMS is for appointment-related communication only and is not medical advice. In an emergency, call 911.
SMS Messaging Terms
By opting in, you agree to receive appointment reminders, scheduling updates, limited appointment-related communications, and review requests.
Message Frequency
Message frequency may vary based on appointment activity.
Message and Data Rates
Message and data rates may apply based on your carrier plan
Opt-Out Instructions
Reply STOP to opt out at any time.
Help Instructions
Reply HELP for assistance or contact us at 864-607-4126
Consent Not Required for Treatment
Consent to receive SMS messages is not a condition of receiving healthcare services.
Privacy
Your use of services is also governed by our Privacy Policy. We do not sell or share mobile numbers for marketing purposes.
Limitation of Liability
We are not liable for carrier delays or technical transmission failures
Questions or Complaints
If you have questions or believe your privacy rights have been violated, you may contact:
Greenville Urology, PA: (864) 607-4126
You may also file a complaint with the U.S. Department of Health & Human Services. We will not retaliate against you for filing a complaint.