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.

OUR LEGAL DUTY

Georgia Epilepsy & Neurology Institute, LLC (“GENI”) is required by federal law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, follow the terms of this Notice currently in effect, and notify you if a breach of your unsecured PHI occurs.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

1. For Treatment
We may use and disclose your medical information to provide, coordinate, or manage your healthcare. This may include discussing your care with referring physicians, sending EEG results, or coordinating care with hospitals or pharmacies.

2. For Payment
We may use and disclose your information to bill and receive payment, including submitting claims, verifying benefits, obtaining prior authorizations, and collecting balances.

3. For Healthcare Operations
We may use your information for quality improvement, staff training, compliance activities, and general business management.

4. Appointment Reminders & Communication
We may contact you via phone, voicemail, text message, email, or patient portal regarding appointments, test results, follow-up care, and billing matters.

5. Individuals Involved in Your Care
Unless you object, we may share relevant information with family members, legal guardians, or others involved in your care. For minors, parents or guardians generally have access unless restricted by law.

6. Public Health & Legal Requirements
We may disclose PHI when required by law, including public health reporting, abuse reporting, law enforcement requests, court orders, workers’ compensation claims, FDA reporting, and health oversight activities.

7. Emergencies
We may disclose medical information when necessary to prevent serious harm in emergency situations.

8. Business Associates
We may share PHI with third-party vendors such as billing companies, EHR vendors, or IT providers who are legally required to protect your information.

USES REQUIRING YOUR WRITTEN AUTHORIZATION

We will obtain your written authorization before using PHI for marketing purposes, selling PHI, sharing psychotherapy notes (if applicable), or for any other use not described in this Notice. You may revoke authorization at any time in writing.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

• Access your records and obtain copies (fees may apply).
• Request amendments if you believe information is incorrect.
• Request restrictions on certain uses or disclosures (we are not required to agree to all requests).
• Request confidential communications in a specific way.
• Receive an accounting of certain disclosures made in the past six years.
• Obtain a paper copy of this Notice upon request.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice at any time. The updated version will be posted in our office and available upon request.

ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

I acknowledge that I have received or have been offered a copy of the Notice of Privacy Practices for Georgia Epilepsy & Neurology Institute, LLC.