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HIPAA

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.

Effective date: September 22, 2026Last updated: September 22, 2026

Our duties

We protect the privacy and security of protected health information, follow this notice, notify affected people after a breach when required, and provide the rights described below.

Uses and disclosures

  • Treatment, payment, and health care operations.
  • With your written authorization.
  • To employers as authorized by you or permitted for regulated programs.
  • As required by law, public health activities, health oversight, judicial or administrative proceedings, law enforcement, avoiding a serious threat, and workers’ compensation.
  • To business associates that agree to safeguard the information.

Authorization required

Your authorization is required for marketing, sale of protected health information, and most uses of psychotherapy notes. We do not maintain psychotherapy notes. You may revoke an authorization in writing except where action has already been taken.

Your rights

  • Inspect and receive a copy of records.
  • Ask to correct records.
  • Request confidential communications.
  • Request restrictions, including disclosure to a health plan for an item paid in full when law requires us to agree.
  • Receive an accounting of certain disclosures and a paper copy of this notice.
  • Act through a legally authorized personal representative.

Complaints

Complain without retaliation to Privacy Officer, Advanced Screening Solutions, or the U.S. Department of Health and Human Services Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201, 1-877-696-6775, www.hhs.gov/ocr/privacy/hipaa/complaints/.

You may request a printed copy at any appointment.

Contact us

Privacy Officer, Advanced Screening Solutions

9800 Airline Highway Suite 241, Baton Rouge, LA 70816

225-998-TEST · info@advancedscreeningsolutions.com

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