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.
Effective Date: June 3, 2026
The Interventional Clinic (“the Clinic,” “we,” “us,” or “our”) is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
This notice applies to all records of your care generated by the Clinic. It is published on our website and is available in print at our offices upon request. Information collected through our website that is not protected health information is governed separately by our Website Privacy Policy.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose your protected health information. Not every use or disclosure will be listed, but every way we are permitted to use and disclose information will fall within one of the categories below.
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your care and related services. This includes sharing information with physicians, nurses, technicians, referring providers, and other personnel who are involved in your treatment. For example, an interventional radiologist may share imaging results with your referring physician to coordinate your care.
For Payment
We may use and disclose your health information so that we can bill and collect payment for the services we provide. For example, we may share information with your health insurer to obtain prior authorization for a procedure or to determine coverage and benefits.
For Health Care Operations
We may use and disclose your health information to support the business activities of the Clinic. This includes quality assessment, staff training and review, accreditation, licensing, and general administrative activities that help us run the practice and improve the care we provide.
Appointment Reminders and Health-Related Information
We may contact you to remind you of an appointment, to tell you about treatment alternatives, or to share information about health-related benefits and services that may be of interest to you.
Individuals Involved in Your Care
Unless you object, we may share information with a family member, friend, or other person you identify as being involved in your care or payment for your care, limited to the information relevant to that person’s involvement. We may also disclose information to notify such a person of your location or general condition.
As Required by Law
We will disclose your health information when required to do so by federal, state, or local law.
Public Health and Safety
We may disclose your health information when necessary to prevent or lessen a serious threat to health or safety, and for public health activities such as reporting disease, injury, vital events, and adverse reactions to medications. We may also disclose information for purposes including health oversight activities, reporting suspected abuse or neglect, judicial and administrative proceedings, law enforcement purposes, coroners and medical examiners, organ donation, certain research activities, workers’ compensation, and military or national security purposes, as permitted by law.
Uses and Disclosures Requiring Your Authorization
Most uses and disclosures of psychotherapy notes (where applicable), uses and disclosures for marketing purposes, and any sale of protected health information require your written authorization. Other uses and disclosures not described in this notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
Your Rights Regarding Your Health Information
You have the following rights with respect to the protected health information we maintain about you.
Right to Inspect and Copy. You have the right to inspect and obtain a copy of your health information used to make decisions about your care, subject to limited exceptions. We may charge a reasonable, cost-based fee.
Right to Request an Amendment. If you believe information in your record is incorrect or incomplete, you may request that we amend it. We may deny your request under certain circumstances and will provide you with a written explanation if we do.
Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we have made of your health information, other than disclosures for treatment, payment, and health care operations, and certain other exceptions.
Right to Request Restrictions. You have the right to request a restriction on how we use or disclose your health information for treatment, payment, or health care operations. We are not required to agree to your request, except that we must agree to restrict disclosure to a health plan for payment or operations purposes when you have paid for the service in full out of pocket.
Right to Request Confidential Communications. You have the right to request that we communicate with you about your health information in a certain way or at a certain location, and we will accommodate reasonable requests.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Right to Be Notified of a Breach. You have the right to be notified in the event of a breach of your unsecured protected health information.
To exercise any of these rights, please contact us using the information at the end of this notice. Certain requests must be submitted in writing.
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information, to provide you with this notice of our legal duties and privacy practices, to notify you following a breach of unsecured protected health information, and to abide by the terms of the notice currently in effect.
Changes to This Notice
We reserve the right to change this notice and to make the revised notice effective for health information we already have about you as well as information we receive in the future. We will post the current notice on our website and make a copy available at our offices. The effective date of the current notice appears at the top of this page.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the Clinic by contacting us using the information below. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights. Information on filing a complaint is available at www.hhs.gov/ocr. You will not be penalized or retaliated against in any way for filing a complaint.
Contact Us
If you have any questions about this notice or wish to exercise any of your rights, please contact our Privacy Officer:
The Interventional Clinic
Attn: Privacy Officer
70 Doctors’ Park
Cape Girardeau, Missouri 63703