Notice of Privacy Practices
At Centreville Urgent Care, we are committed to protecting the privacy and confidentiality of your health information. This Notice describes how your medical information may be used and disclosed and explains your rights regarding that information.
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your health information to provide, coordinate, and manage your medical care. This may include sharing information with physicians, specialists, hospitals, laboratories, pharmacies, and other healthcare providers involved in your treatment.
Payment
We may use and disclose your health information to bill and collect payment for services provided to you. This may include insurance companies, Medicare, Medicaid, workers' compensation carriers, and other responsible parties.
Healthcare Operations
We may use and disclose your health information for activities necessary to operate our practice, including quality improvement, staff training, credentialing, compliance reviews, accreditation, auditing, and administrative functions.
Other Uses and Disclosures
We may use or disclose your health information when required or permitted by law, including:
- Public health reporting
- Reporting abuse or neglect
- Health oversight activities
- Judicial and administrative proceedings
- Law enforcement requests
- Workers' compensation claims
- To prevent a serious threat to health or safety
- Other uses and disclosures permitted or required by law
Your Rights
You have the right to:
- Access and obtain copies of your medical records
- Request corrections to your medical records
- Request confidential communications
- Request restrictions on certain uses or disclosures
- Receive an accounting of certain disclosures
- Obtain a copy of this Notice of Privacy Practices
- File a complaint if you believe your privacy rights have been violated
Our Responsibilities
Centreville Urgent Care is required by law to:
- Maintain the privacy and security of your health information
- Provide you with this Notice of Privacy Practices
- Follow the terms of this notice currently in effect
- Notify you if a breach occurs that may compromise the privacy or security of your information
Changes to This Notice
We reserve the right to revise this Notice of Privacy Practices at any time. Any changes will be posted on our website and made available upon request.
Questions or Concerns?
If you have questions regarding this Notice of Privacy Practices, please contact:
Centreville Urgent Care
5900 Fort Drive, Suite 201
Centreville, VA 20121
Phone: (703) 830-8113
manager@centrevilleurgentcare.com
If you have questions or concerns regarding our privacy practices, please contact Centreville Urgent Care. If you believe your privacy rights have been violated, you may file a complaint with Centreville Urgent Care or the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.