NOTICE OF PRIVACY POLICIES & PRACTICES
Moonhee Lee, M.D.
Effective Date: April 14, 2003
This Notice describes how your medical information may be used and disclosed, and how you may access this information. Please review it carefully.
The Allergy & Asthma Clinic of Arlington is committed to safeguarding your Protected Health Information (PHI) in accordance with federal and state law, including the Health Insurance Portability and Accountability Act (HIPAA). This Notice explains how we may use and disclose your PHI, your rights regarding that information, and our legal obligations.
We may update our privacy practices as permitted by law. Any revisions will apply to all PHI we maintain, and an updated Notice will be available at your next visit and upon request. Except where permitted or required by law, we will not use or disclose your PHI without your written authorization. You may revoke an authorization in writing at any time.
Each time you receive care from Dr. Lee, a medical record is created. This record includes your symptoms, examination findings, diagnoses, treatment plans, test results, and other relevant information. Your medical record serves as:
Understanding how your information is used helps ensure accuracy and informed decision‑making.
You have the right to:
These rights may be subject to specific legal limitations.
Dr. Lee and the Allergy & Asthma Clinic of Arlington are legally required to:
We may use or disclose your PHI to provide, coordinate, or manage your healthcare. Example: Sharing lab results with another provider involved in your care.
We may use or disclose your PHI to obtain payment for services. Example: Providing your insurer with diagnosis codes, dates of service, or treatment information.
We may use or disclose your PHI for administrative, financial, and quality‑improvement activities. Example: Staff training, internal audits, or evaluating provider performance.
We may disclose PHI to third‑party service providers (e.g., billing companies, IT vendors, answering services) who assist in clinic operations. These entities are required to safeguard your information.
Unless you request otherwise, we may use our professional judgment to disclose relevant information to family members or others involved in your care.
Your information may be used for approved research, educational purposes, or staff training, as permitted by law.
We may disclose PHI to oversight agencies for audits, inspections, investigations, or licensure activities.
We may disclose PHI to public health authorities or law enforcement when required by law, including reporting communicable diseases, responding to court orders, or assisting in investigations.
We may contact you by mail, phone, or brief voicemail message to remind you of upcoming appointments. If you prefer another method, please notify us.
Any other use or disclosure not described in this Notice requires your written authorization. You may revoke an authorization in writing at any time.
If you have questions about this Notice or believe your privacy rights have been violated, please contact:
Stephany Rangel, M.A. 3939 W. Green Oaks Blvd, Suite 210 Arlington, TX 76016 817‑457‑3939
You may also file a complaint with:
Office for Civil Rights U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Room 509F, HHH Building Washington, D.C. 20201
There will be no retaliation for filing a complaint.
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