Effective Date: May 1, 2026
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
Creative Medical Consulting is required by federal and state law to:
Maintain the privacy and security 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
Notify you if a breach occurs that may have compromised your information
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
We may use and disclose your protected health information without additional authorization for the following purposes:
1. Treatment
To provide, coordinate, or manage your healthcare services. Examples include:
Consulting with other healthcare providers
Coordinating care with specialists, hospitals, therapists, pharmacies
Referrals for diagnostic testing
2. Payment
To obtain payment for healthcare services provided. Examples include:
Submitting claims to insurance companies
Determining eligibility and coverage
Prior authorization and utilization review
3. Healthcare Operations
For practice management and quality improvement. Examples include:
Quality assessment and performance review
Staff training and supervision
Compliance audits
Business planning and administrative services
4. As Required by Law
We may disclose your information when required by federal or Delaware law, including:
Public health reporting
Abuse or neglect reporting
Court orders and lawful subpoenas
Law enforcement requests
Coroners, medical examiners, or funeral directors
5. Public Health & Safety
To prevent or lessen a serious and imminent threat to health or safety.
6. Specialized Government Functions
Including military, national security, correctional institutions, and workers’ compensation programs, when applicable.
USES REQUIRING YOUR WRITTEN AUTHORIZATION
We will obtain your written authorization for:
Most disclosures of psychotherapy notes
Marketing communications (if applicable)
Sale of protected health information
Any use or disclosure not described in this Notice
You may revoke authorization in writing at any time.
SPECIAL PROTECTIONS
Certain health information may receive additional protection under federal and Delaware law, including:
Mental health records
Psychotherapy notes
Substance use disorder treatment records (42 CFR Part 2)
HIV/AIDS-related information
Sexually transmitted infection information
Additional authorization may be required where applicable.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the following rights:
1. Right to Inspect and Obtain a Copy
You may request access to or copies of your medical record in paper or electronic form. Reasonable, cost-based fees may apply as permitted by law.
2. Right to Request an Amendment
If you believe information in your record is incorrect or incomplete, you may request an amendment in writing. We may deny the request in certain circumstances but will provide a written explanation.
3. Right to an Accounting of Disclosures
You may request a list of certain disclosures made within the past six (6) years.
4. Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your information. We are not required to agree to all requests, except if you pay in full out-of-pocket and request that information not be disclosed to your health plan.
5. Right to Request Confidential Communications
You may request that we communicate with you in a specific way (for example, at a specific phone number or mailing address). We will accommodate reasonable requests.
6. Right to a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
BREACH NOTIFICATION
If a breach of unsecured protected health information occurs, we will notify you as required by law.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice at any time. Revised notices will be available in our office and upon request.
COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with:
Privacy Officer Creative Medical Consulting 111 S DuPont Parkway Odessa, DE 19730 Phone: 302-313-1411 Fax: 844-312-6150
Or with:
U.S. Department of Health and Human Services Office for Civil Rights www.hhs.gov/ocr/privacy/hipaa/complaints/
You will not be retaliated against for filing a complaint.
CONTACT INFORMATION
Creative Medical Consulting 111 S DuPont Parkway Odessa, DE 19730 Phone: 302-313-1411 Fax: 844-312-6150
PATIENT ACKNOWLEDGMENT OF RECEIPT
I acknowledge that I have received a copy of Creative Medical Consulting’s Notice of Privacy Practices.
