Old Pueblo Specialty Group
www.oldpueblocare.com
📞 Tucson: 520-603-8043
📞 Phoenix: 520-399-5671
📧 Email: oldpueblospecialtygroup@gmail.com

Your Privacy Is Important to Us

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 Commitment to Your Privacy

At Old Pueblo Specialty Group, we are committed to protecting your personal health information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA). This Notice outlines how we may use and share your PHI and your rights regarding your medical information.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for the following purposes:

For Treatment:

To provide, coordinate, or manage your health care and related services. This includes sharing information with doctors, nurses, or specialists involved in your care.

For Payment:

To bill and collect payment from you, insurance companies, or third parties. We may disclose information to confirm coverage and benefits.

For Health Care Operations:

To support our business activities such as quality improvement, training, licensing, and accreditation.

As Required by Law:

We may disclose PHI when required by federal, state, or local law.

For Public Health and Safety:

To report health concerns, abuse or neglect, or comply with FDA requirements.

To Avoid a Serious Threat to Health or Safety:

To prevent serious harm to you, others, or the public when legally permitted.

With Your Authorization:

For any purpose not listed here, we will obtain your written authorization before using or disclosing your PHI.

Your Rights Regarding Your Health Information

You have the right to:

• Inspect and Obtain a Copy of Your Records:
  Request access to your health records in paper or electronic format.

• Request a Correction:
  Ask us to correct or update your health information if you believe it is inaccurate or incomplete.

• Request Restrictions:
  Ask us to limit how we use or disclose your information. We will try to accommodate reasonable requests.

• Confidential Communications:
  Request that we communicate with you in a specific way (e.g., only by mail or at a different phone number).

• Receive a Copy of This Notice:
  You can request a paper or digital copy of this Notice at any time.

• File a Complaint:
  If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain and will be posted on our website with an updated effective date.

Contact Us

If you have questions about this Notice or wish to exercise your privacy rights, please contact us:

Old Pueblo Specialty Group
📍 [Insert Mailing Address]
📞 Tucson: 520-603-8043
📞 Phoenix: 520-399-5671
📧 Email: oldpueblospecialtygroup@gmail.com
🌐 Website: https://oldpueblocare.com