Lifestyle Performance Coaching by a Lifestyle Medicine Physician
HIPAA Notice of Privacy Practices
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PBH Health LLC Effective Date: Jan 2021
This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.
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PBH Health LLC (“PBH Health,” “we,” “our,” or “us”) is committed to protecting the privacy and security of your Protected Health Information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable federal and state laws.
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1. Our Responsibilities
PBH Health is required by law to:
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Maintain the privacy of your Protected Health Information (PHI)
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Provide you with this Notice describing our legal duties and privacy practices
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Follow the terms of this Notice currently in effect
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Notify you if a breach occurs that may have compromised your health information
2. How We May Use and Disclose Your Health Information
PBH Health may use and disclose your health information for the following purposes:
Treatment
We may use your health information to provide medical care and telehealth services.
Examples include:
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Evaluating medical conditions
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Developing treatment plans
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Prescribing medications
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Coordinating care with pharmacies or other providers
Payment
We may use your information to bill and collect payment for services provided.
Examples include:
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Processing payments
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Verifying insurance coverage (if applicable)
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Billing patients or third-party payers
Healthcare Operations
We may use information to operate and improve our services.
Examples include:
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Quality improvement
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Provider training and credentialing
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Compliance monitoring
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Fraud and abuse prevention
3. Other Uses and Disclosures Allowed by Law
We may disclose health information without your authorization in certain situations, including:
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Public health reporting
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Preventing serious threats to health or safety
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Health oversight activitiesJ
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udicial or administrative proceedings
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Law enforcement requests
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Compliance with federal or state regulations
4. Uses Requiring Your Authorization
PBH Health will obtain your written authorization for uses not otherwise permitted by law, including:
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Marketing communications not related to treatment
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Sale of health information
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Certain disclosures of psychotherapy notes
You may revoke authorization at any time in writing.
5. Your Rights Regarding Your Health Information
You have the following rights under HIPAA:
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Right to Access Your Records
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You may request a copy of your medical records and other health information we maintain about you.
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Right to Request Corrections
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You may request that we correct information you believe is inaccurate or incomplete.
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Right to Request Restrictions
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You may ask us to limit certain uses or disclosures of your information.
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Right to Request Confidential Communications
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You may request that we communicate with you in a specific way (for example, by email or phone).
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Right to Receive an Accounting of Disclosures
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You may request a list of certain disclosures of your health information made by PBH Health.
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Right to Receive a Paper Copy of This Notice
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You may request a paper copy of this Notice at any time.
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6. Changes to This Notice
PBH Health reserves the right to update this Notice of Privacy Practices. Any updated notice will apply to all health information we maintain and will be posted on our website.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with PBH Health or with the U.S. Department of Health and Human Services Office for Civil Rights.
PBH Health will not retaliate against you for filing a complaint.
8. Contact Information

PBH Health LLC

Dr Pamela Herbert, Medical Director
1111 Pennsylvania Ave SE, Ste 204
Washington DC, 20003
Phone:202-455-0638
Fax: 202-449-1044
You may also file a complaint with:U.S. Department of Health and Human Services
Office for Civil Rights
https://www.hhs.gov/ocr