We are dedicated to respecting your privacy and understand that your health information is private. Additionally, crucial to our capacity to give you high-quality care and adhere to legal requirements is your health information.

The methods in which we might use and disclose your information are covered by this Notice of Privacy Policies (this “Notice”). In relation to the use and disclosure of your information, it also outlines your rights and our responsibilities.

  1. Your Protected Health Information and Our Responsibilities.

As required by law, we must

  1. protect the privacy of your health information (PHI), also referred to as your medical records;
  1. give you notice if your unprotected PHI is compromised; C. give you this Notice; and
  1. complies with this Notice.
  1. Possible Modifications to This Notice and Our Practices.

We reserve the right to modify our privacy practices and to apply any such modification to the PHI we have already collected about you. We will update this Notice if there are significant changes to our practices. By calling 571-450-1300 or sending an email to, Any updated Notice will also be posted on our website,

III. The Uses and Disclosures of Your Protected Health Information That We May Make Without Your Written Consent.

The law permits us to use or disclose PHI without your written consent in some situations. Examples of each of these situations are given in the next section.

  • For Your Medical Treatment. Your PHI might be used or disclosed so that we can treat you. For instance, we might disclose your PHI to other healthcare professionals working on your case.
  • To Receive Compensation for Our Services. Your PHI might be used or disclosed in order for us to get paid for our services. To get payment for the services we provide to you, for instance, we might divulge pertinent PHI to your insurance provider.
  • For the purposes of our healthcare operations. Your PHI may be used and disclosed for our internal medical purposes. For instance, we might utilize your PHI to carry out quality control and evaluation tasks.
  • When the law demands it. When required to do so by relevant federal, state, or local law, we shall share your PHI.
  • Disclosures and Uses for Which You Must Have the Right to Object. If you don’t object, we might disclose essential facts about your PHI to a relative, friend, or other person you identify as being involved in your care or helping you get health insurance. To inform your family or personal representative of your whereabouts or conditions, we might use or disclose your PHI. We may use our professional judgement to decide whether a disclosure is in your best interests in an emergency situation or when you are incapable of consenting to or objecting to these disclosures. If we do so, we will only do so on information that is specifically relevant to the person’s role in your care.
  • For uses related to public health. Your PHI may be used and disclosed for public health and safety purposes. For instance, we might divulge your PHI when we alert the U.S. Food and Drug Administration to a potential issue with a product or when we participate with public health investigations or report to public health authorities.
  • To Health Oversight Organizations. For legal purposes, such as investigations, audits, inspections, and license procedures, we might share your PHI to a health supervision organization. For instance, we might divulge your PHI to organizations that monitor adherence to Medicare or Medicaid program regulations.
  • For Information Regarding Domestic Violence, Abuse, or Neglect Victims. If we have a good faith belief that a person is a victim of abuse, neglect, or domestic violence, we may disclose your PHI to a government agency, such as a social services or protective services agency.
  • For legal actions and disputes. In response to a court order, subpoena, or other legal process, we may disclose your PHI during a legal or administrative matter.

To law enforcement, if possible. If requested to do so by a law enforcement official, we may disclose PHI about you in the following situations: (a) in response to a court order, subpoena, warrant, summons, or similar process; (b) to identify or track down a suspect, fugitive, important witness, or missing person; (c) if you are the victim of a crime if, under certain limited circumstances, we are unable to obtain your consent; (d) about a death we

  • To funeral directors, medical examiners, and coroners. To identify a deceased individual or to ascertain the cause of death, we might give a coroner or medical examiner access to your PHI. Funeral directors may also receive PHI if it’s required for them to perform their jobs.
  • To organizations that procure organs. We might give organ procurement groups access to PHI.
  • Investigation. If the committee in charge of our research (such as an Institutional Review Board or Privacy Board) accepts a waiver of consent (authorization for disclosure) or the start of the research procedure, we may use or share your PHI.
  • To Prevent a Serious Threat to Safety or Health. To prevent or lessen the possibility of a serious and immediate threat to someone’s health or safety or the safety of the general public, we might utilize or disclose your PHI.
  • For Specific Government Activities. For specific governmental purposes, such as the military, national security, or presidential protection services, we might use or disclose your PHI.
  • To program similar to workers’ compensation. In the course of handling worker’s compensation claims, we might release your PHI.
  1. Different Ways Your Protected Health Information Is Used and Disclosed.

Only with your written consent will any further use and disclosures of your PHI that are not covered by this Notice be made. For instance, the law mandates that we obtain your written consent before using or disclosing any of the following PHI: I psychotherapy notes, except as necessary to carry out our treatment, payment, or health care operations; (ii) any PHI for our marketing purposes; or (iii) any PHI in connection with the sale of PHI. You have the right to cancel any written permission you’ve given us to use or disclose your PHI at any time. With the exception of disclosures, we have already made with your authorization, we will no longer use or disclose your PHI for the reasons outlined in the written authorization if you withdraw it. Additionally, for activities we have already performed in reliance on your authorization, we may continue to use or disclose your PHI even after you have revoked it.

Your Rights Regarding Your Protected Health Information, Section V.

The following rights are yours:

  1. The right to ask for restrictions on how your PHI is used and disclosed. You have the right to request restrictions on how we can use and share your PHI. Any such request must be made in writing to our privacy officer and sent through email to or postal mail to the following address:

Any such request must be made in writing to our privacy officer and sent through email to or postal mail to the following address: 8802 Sudley road MANASSAS VA 20110

  1. Our acceptance of your request is not needed. Unless you need emergency care, we shall stick by our agreement, which will be documented in writing. Despite the above, if I the disclosure is made for our payment or health care operations and (ii) you or a representative acting on your behalf has fully paid for our services, we must agree to a restriction on the use or disclosure of your PHI.
  2. The Freedom to Select the Method of Contact. You have the right to request that we deliver information to you at a particular address (such as your workplace rather than your home) or in a certain way (for example, by e-mail rather than by regular mail, or never by telephone). We must comply with your request, provided that doing so wouldn’t interfere with how we operate. Any such request must be made in writing and directed to our privacy officer at or by mail to the following address:

8802 Sudley road MANASSAS VA 20110

  1. The right to inspect and copy your personal information. You can request access to or a copy of your PHI. In accordance with the law, we will give you a copy of your health information or a summary of it. We might impose a fair, cost-based fee. Please read the information below carefully before requesting access to your PHI:

To request a medical record for a ground ambulance transport, visit fill out the You can also send an email to or make call to 571 450 1300 to request a copy of the medical record request form.

In some cases, we might turn down your request, but if that happens, we’ll let you know why in writing and explain your options for having the decision reviewed. If we save your PHI electronically, you have the option to request a copy of it in that format, and we will comply if it is practical to do so.

  1. Your PHI’s Right to Be Corrected or Updated. You have the right to request an amendment of any incomplete or inaccurate PHI we may hold about you. Any such request must be submitted in writing and include a justification for why the change is necessary. Email requests for modifications can be sent to, our patient billing service center. Call at for conversational queries 571 450 1300. If the amendment is approved or rejected, we will respond and let you know in writing. If we decide to make the change, we will ask you to let us know who else we should inform. Contact the officer at or 571 450 1300if you have any queries. If the requested amendment is denied, we will inform you in writing of the process for filing a statement of disagreement or complaint or for having your original amendment request included in your PHI.

The right to obtain a list of the disclosures we have made is item number F. You have the right to seek a list (accounting) of all occasions throughout the previous six years in which we have shared your PHI. The list will not include disclosures we made to you, your family, friends, or for disaster relief, nor will it include disclosures we made for our own treatment, payment, and health care operations. The list will also exclude disclosures we’ve made to law enforcement officials or for national security reasons.

You must contact our Patient Billing Service Center in writing at with your request for a list of disclosures. For spoken enquiries, dial 571 450 1300. We’ll react to your inquiry in a way that complies with the law. Within a 12-month period, the first list you request will be free. If you provide any additional lists within the 12-month period, you might be charged a fair cost-based fee. Contact the privacy

or 571 450 1300if you have any queries.

  1. The Option to Receive a Paper Copy of This Notice. You’re entitled to

to obtain a copy of this notification on paper. By calling 571 450 1300 or sending an email to, you can reach the privacy officer and request a hard copy of this notice.

Sixth: Complaints.

You can complain to us or the Secretary of the federal Department of Health and Human Services if you think your privacy rights have been abused. Write your complaint down and send it to the or call at 571 450 1300