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.
Shalom Primary Care Clinic is committed to protecting the privacy and confidentiality of your
personal and health
information in compliance with HIPAA and all applicable federal and state laws.
Privacy and Confidentiality Policy
The Shalom Primary Care Clinic website is designed to comply with existing and proposed federal
standards for the
privacy and confidentiality of health care information. Our database and software systems are
structured to ensure
that
routine maintenance and troubleshooting occur without access to your personal information. A
security system helps
protect against unauthorized access or misuse.
All forms that request personal information — including your name, address, date of birth, and
contact details —
use
secure HTTPS communications to ensure encrypted transmissions over the internet.
To assist you in locating our clinic or finding nearby services, our website may collect and use
location
information if
you have enabled this functionality on your device.
Access and Disclosure
Shalom Primary Care Clinic does not disclose or provide access to your personal information to any
third party
without
your permission, unless required to do so by a court of law or as otherwise required by applicable
law.
In isolated instances, authorized staff may need to access our systems to resolve technical issues.
Any such access
is
carefully controlled — staff must document the reason for access, log the details upon completion,
and confirm
compliance with our confidentiality policies.
Links to Third-Party Sites
Our website may contain links to external websites for your convenience. These linked sites are not
under the
control of
Shalom Primary Care Clinic, and we are not responsible for their content, privacy practices, or
accuracy. The
inclusion
of any external link does not constitute an endorsement by Shalom Primary Care Clinic.
We encourage you to review the privacy policies of any third-party sites you visit before
submitting personal
information.
Passive Tracking & Cookies
Shalom Primary Care Clinic is committed to protecting visitor privacy. Our website uses web logs
and temporary
internet cookies to gather general information about how visitors use the site. Information
collected during a typical
visit
may include:
- The date, time, and duration of your visit
- Pages viewed during the visit
- Your IP address
- The type of web browser and operating system used
- The internet domain from which you accessed the site
We use this information solely for basic market research and to improve site performance. We do not
use cookies to
collect Protected Health Information (PHI), and we do not share cookie data with third parties for
marketing purposes.
Persistent cookies placed on your computer will expire two years after your last visit. You may
disable cookies at
any
time through your browser settings without affecting your ability to read our website content.
SMS / Text Message Communications
By providing your mobile phone number and consenting to receive text messages, you acknowledge and
agree to the
following:
- You are the current subscriber or authorized user of the mobile number provided, or you have
been granted
permission
to enroll that number.
- You grant Shalom Primary Care Clinic express permission to send automated text messages to the
enrolled mobile
number
through your wireless carrier, unless and until permission is revoked.
- Your consent to receive text messages is not a condition of receiving care or purchasing any
service.
- Depending on your communication preferences, you may receive appointment reminders, health
updates, and/or
marketing
messages.
- Message and data rates may apply. Shalom Primary Care Clinic does not charge fees for text
messages, but your
carrier’s standard rates may apply.
- Message frequency varies based on your interaction with our services.
- You may opt out at any time by replying STOP to any text message. You will receive one final
confirmation message
confirming your opt-out.
- For help or support, reply HELP to any message or contact us at the number listed below.
- Carriers are not liable for delayed or undelivered messages.
- Your mobile data will not be shared with third parties unaffiliated with Shalom Primary Care
Clinic.
Phone Number Collection
Shalom Primary Care Clinic may collect information related to calls made to phone numbers listed on
our website and
marketing materials. This may include the caller’s phone number, caller ID information, call source,
call duration,
and
general location. This data is used solely to improve patient experience and service delivery, and
is maintained on
HIPAA-compliant platforms.
Spyware Policy
Shalom Primary Care Clinic does not deploy spyware or any software that collects information about
users without
their
knowledge or transmits such information to any third party without consent.
Site Sponsorship
Shalom Primary Care Clinic is the sole sponsor of all content on this website. No external company
or organization
contributes funding for this site.
Uses and Disclosures of Protected Health Information
Your Protected Health may be used and disclosed by your physician, our office staff, and others
outside of our office that are involved in your care and treatment for the purpose of providing
health care services to you, paying your health care bills, support the operation of the practice,
and any other use required by law.
Treatment: We will use and disclose your Protected Health Information
to provide,
coordinate, or manage your health care
and any related services. This includes the coordination or management of your health care with a
third party. For
example, your protected health information may be provided to a physician to whom you have been
referred to ensure
that
the healthcare professional has the necessary information to diagnose or treat you next.
Payment: Your protected health information will be used, as needed, to
obtain payment
for health care services. For
example, obtaining approval for a hospital stay may require that your relevant protected health
information be
disclosed
to the health plan to obtain approval for the hospital admission.
Healthcare Operations: We may use or disclose, as needed, your
protected health
information in order to support the
business activities of your physician’s practice. These activities include, but are not limited to,
quality assessment
activities, employee review activities, and conducting or arranging for other business activities.
We may use or
disclose, as needed, your protected health information to support the business activities of the
practice. In
addition,
we may use a sign-in sheet at the Registration Desk where you will be asked to sign your name and
indicate your
physician. We may also call you by name in the waiting room when your physician is ready to see you.
We may use or
disclose your protected health information, as necessary, to contact you to remind you of your
appointment. We may
call
your home and leave a message (either on an answering machine or with the person answering the
phone) to remind you of
an upcoming appointment, the need to schedule a new appointment, or to call our office. We may also
mail a postcard
reminder to your home address. If you would prefer that we call or contact you at another telephone
number or
location,
please let us know.
We may use or disclose your protected health information in the following
situations without your
authorization. These
situations include: As Required By Law, Public Health Issues required by law: Communicable Diseases,
Abuse or Neglect,
Food and Drug Administration Requirements, Legal Proceedings, Law Enforcement, Coroners, Funeral
Directors, Organ
Donation Research, Criminal Activity, Military Activity, and National Security of the Department of
Health and Human
Services to investigate or determine our compliance with the requirements of HIPPA.
Other Permitted and Required Uses and Disclosures will be made only with your consent,
authorization, or opportunity
to
object unless required by law.
You may revoke this authorization, at any time, in writing, except to
the extent that
your physician or the physician’s
practice has taken an action in reliance on the use or disclosure indicated in the authorization.
Your Rights
The following is a statement of your rights with respect to your protected health information.
You have the right to inspect and copy your protected health
information. Under federal
law, however, you may not inspect or copy the following records; psychotherapy notes, information
compiled in
reasonable anticipation of, or use
in, a civil, criminal, or administrative action or proceeding, and protected health information that
is subject to law
that prohibits access to protected health information.
You have the right to request a restriction of your health information. This means you may ask us
not to use or
disclose
any part of your protected health information for the purposes of treatment, payment, or healthcare
operations. You
may
also request that any part of your PHI not be disclosed to family members or friends who may be
involved in your care
or
for notification purposes described in this Notice of Privacy Practices. Your request must state the
specific
restriction and to whom you want the restriction to apply.
Your physician is not required to agree to a restriction you may request. If your physician
believes it is in your
best
interest to permit the use and disclosure of your PHI will not be restricted. You then have the
right to use another
Healthcare Professional.
You have the right to request to receive confidential communication from us
by alternative
means or at an alternative
location. You have the right to obtain a paper copy of this Notice from us, upon request,
even if you have
agreed to
accept this Notice alternatively (electronically).
You have the right to have your physician amend your PHI. If we deny
your request for
amendment, you have the right to
file a statement of disagreement with us and we may prepare a rebuttal to your statement and will
provide you with a
copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures we have
made, if any, of
your protected health
information. We reserve the right to change the terms of this Notice and will inform you of
any changes. You
then have
the right to object or withdraw as provided in this Notice.
Complaints
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy
rights have been
violated by us. You may file a complaint with us by notifying our privacy officer of your complaint
at our office and
main telephone number. We will not retaliate against you for filing a
complaint.
Contact Us
If you have questions about this Privacy Statement or how your information is used, please contact
us:
Shalom Primary Care Clinic
Satellite View Suite 404
Round Rock, Texas 78665
469-294-9999
