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NOTICE OF PRIVACY PRACTICES

Tri-County Urgent Care, Health and Wellness Center
507 Kimberton Road
Phoenixville, PA 19460
Phone: 610-243-9117
Fax: 610-706-8617
Email: info@tricountyhealthandwellnesscenter.com

Effective Date: August 10, 2026

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. Please review it carefully.

Your Rights

You have certain rights regarding your health information.

Get a copy of your medical record
You may ask to see or obtain an electronic or paper copy of your medical record and other health information we maintain about you. We will provide a copy or summary as required by law and may charge a reasonable, cost-based fee when permitted.

Ask us to correct your medical record
You may ask us to correct health information about you that you believe is incorrect or incomplete. We may deny your request in certain circumstances, but we will explain the reason in writing.

Request confidential communications
You may ask us to contact you in a specific way, such as at a particular telephone number or address. We will accommodate reasonable requests.

Ask us to limit what we use or disclose
You may ask us not to use or disclose certain health information for treatment, payment, or health care operations. We are not required to agree to every request.

If you pay for a health care service or item in full out of pocket, you may ask us not to disclose information about that service or item to your health plan for payment or health care operations, unless otherwise required by law.

Get a list of certain disclosures
You may ask for an accounting of certain disclosures we have made of your health information during the period permitted by law.

Get a copy of this privacy notice
You may 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 you have given someone medical power of attorney or if someone is your legal guardian or authorized personal representative, that person may exercise your rights as permitted by law.

File a complaint
If you believe your privacy rights have been violated, you may contact us using the information at the end of this notice.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences about what we disclose.

You may tell us whether you want us to share information with family members, friends, or others involved in your care.

If you are unable to tell us your preference, such as during an emergency, we may disclose information when permitted by law and when we believe doing so is in your best interest.

For uses and disclosures that require your written authorization, we will obtain your authorization before using or disclosing your information. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance upon it.

How We May Use and Disclose Your Health Information

Treatment
We may use your health information and share it with physicians and other health care professionals involved in your care.

Payment
We may use and disclose your health information to bill and obtain payment from health plans or other responsible parties.

Health Care Operations
We may use and disclose your health information to operate our practice, improve your care, manage our services, conduct quality reviews, train staff, and perform other health care operations permitted by law.

Other Uses and Disclosures

We may also use or disclose your health information when permitted or required by law, including for:

  • Public health and safety activities

  • Reporting suspected abuse, neglect, or domestic violence when required or permitted by law

  • Preventing or reducing a serious threat to health or safety

  • Health oversight activities

  • Workers' compensation purposes

  • Certain judicial and administrative proceedings

  • Certain law-enforcement purposes

  • Coroners, medical examiners, and funeral directors

  • Organ and tissue donation

  • Research when permitted by applicable law

  • Compliance with federal and state laws

  • Other government functions when legally authorized

Some types of health information may receive greater protection under federal or Pennsylvania law. When a law provides greater privacy protection than HIPAA, we will follow the more protective requirement.

Substance Use Disorder Records

Certain records relating to substance use disorder treatment may be protected by additional federal confidentiality laws, including 42 CFR Part 2.

When those protections apply, such records may be used or disclosed only as permitted by applicable law. Additional consent or authorization may be required for certain uses and disclosures.

Federal law also provides additional protections concerning the use of certain substance use disorder records in civil, criminal, administrative, and legislative proceedings against a patient. HHS requires HIPAA notices to address these SUD-record protections as of February 16, 2026. HHS.gov

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We will notify you if a breach occurs that may have compromised the privacy or security of your information when notification is required by law.

We must follow the privacy practices described in this notice while it is in effect.

We will not use or disclose your information for purposes requiring your authorization unless you provide written authorization.

We may change the terms of this notice. Changes may apply to all health information we maintain. The current Notice of Privacy Practices will be available at our office and on our website.

Questions or Complaints

If you have questions about this Notice of Privacy Practices, wish to exercise your privacy rights, or believe your privacy rights have been violated, please contact:

Privacy Officer
Tri-County Urgent Care, Health and Wellness Center
507 Kimberton Road
Phoenixville, PA 19460
Phone: 610-243-9117
Fax: 610-706-8617
Email: info@tricountyhealthandwellnesscenter.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

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