Privacy Policy

Notice of Privacy Practices

About This Notice

Gallardo's Clinic ("the Clinic," "we," "us") is a health care provider and a covered entity under the Health Insurance Portability and Accountability Act (HIPAA). This Notice is provided to you as required by federal law. It describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes permitted or required by law. It also describes your rights to access and control your protected health information.

Your "protected health information" means any written or oral health information about you, including demographic data, that can be used to identify you. This is health information created or received by your health care provider that relates to your past, present, or future physical or mental health or condition.

How We May Use and Disclose Your Health Information

Treatment. We may use and disclose your health information to provide, coordinate, or manage your care. This includes coordinating with laboratories, pharmacies, and other providers, such as specialists we refer you to.

Payment. We may use and disclose your health information to bill and collect payment for the services we provide, including membership fees and services paid out of pocket.

Health care operations. We may use and disclose your health information to run our practice. This includes quality assessment and improvement, employee review, training programs, licensing and credentialing, compliance reviews, legal services, and general administrative activities.

Appointment reminders and health-related services. We may contact you to remind you of an appointment, to inform you of treatment alternatives, or to tell you about health-related benefits or services we provide.

As required by law and for public safety. We may disclose your health information when required by federal, state, or local law. This includes reporting to public health authorities, health oversight agencies, and law enforcement, and responding to court orders. We may also disclose it to prevent a serious threat to the health or safety of you or others.

Uses that require your written authorization. Any use or disclosure not described in this Notice requires your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your Rights

You have the right to:

• Access your records. Request to see or receive a paper or electronic copy of your health information. We may charge a reasonable, cost-based fee.
• Request a correction. Ask us to correct health information you believe is incorrect or incomplete. If we deny your request, we will tell you why in writing.
• Request confidential communications. Ask us to contact you in a specific way or at a specific address.
• Request restrictions. Ask us to limit how we use or share your information. We are not required to agree in all cases.
• Receive an accounting of disclosures. Request a list of certain times we have shared your health information.
• Receive a copy of this Notice. Request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
• Choose someone to act for you. If someone holds your medical power of attorney or is your legal guardian, that person may exercise your rights.
• Be notified of a breach. We will notify you if a breach occurs that may have compromised the privacy of your unsecured health information.

To exercise any of these rights, contact us using the information below.

Our Duties

We are required by law to maintain the privacy of your health information and to provide you with this Notice of our legal duties and privacy practices. We are required to follow the terms of this Notice currently in effect.

We reserve the right to change the terms of this Notice. Any changes will apply to all health information we maintain. If we change this Notice, we will make the revised version available in our office and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with the Clinic by contacting our Practice Manager, verbally or in writing, using the contact information below.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by writing to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/complaints.

We will not retaliate against you for filing a complaint.

Website Privacy

Information You Provide

When you submit our appointment request form, we collect your first and last name, email address, phone number, area of interest, and any message you choose to include. We use this information only to respond to your request and schedule your visit. Please do not include detailed medical information in website forms.

Information Collected Automatically

Like most websites, our site may use cookies and similar technologies to collect technical information such as your browser type, device, and pages visited. This helps us understand how our website is used and improve it.

Third-Party Services

Our website includes an embedded Google Map and links to our social media profiles and online scheduling tools. These services are operated by third parties with their own privacy policies.

Contact Us

Gallardo's Clinic
1581 E. Walnut Ave.
Dalton, GA 30721
Phone: 706.529.3009
Email: info@gallardosclinic.com

‍