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INFINITE HEALTH COLLABORATIVE, P.A.
4200 Dahlberg Drive, Suite 300
Golden Valley, MN 55422
www.i-Health.com
952-512-5600
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.
During your treatment at a division of i-Health, doctors, nurses, and other caregivers may gather information about your medical history and your current health. This notice explains how that information may be used and shared with others. It also explains your privacy rights regarding this kind of information. The terms of this notice apply to health information created or received by i-Health. We are required by law to: make sure that medical information that identifies you is kept private; give you this notice of our legal duties and privacy practices with respect to medical information about you; and follow the terms of the notice that is currently in effect.
Practices/Locations Covered by this Notice
This Notice of Privacy Practices applies to all practice divisions and facilities of Infinite Health Collaborative, P.A. (“i-Health”), along with their related sites. Please visit our website,
www.i-Health.com, for a complete list of our divisions and facilities.
Your medical information may be used and disclosed for the following purposes:
Minnesota Patients: We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure must be only to someone able to help prevent the threat. Minnesota law generally does not permit these disclosures unless we have your written consent to do so or when the disclosure is specifically required by law, including the limited circumstances in which i-Health health care professionals have a “duty to warn.”
Wisconsin Patients: We may use and disclose medical information about you when your life or health appears to be in danger and the information contained in the patient health care records may aid the person in rendering assistance.
Your medical information may be released in the following special situations:
You have the following rights regarding medical information we maintain about you:
We may deny your request to inspect and copy your information in certain very limited circumstances. For example, we may deny access if your physician believes it will be harmful to your health, or could cause a threat to others. In these cases, we may supply the information to a third party who may release the information to you. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by i-Health will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
i-Health may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
Changes to This Notice
The effective date of this notice is April 14, 2003, and it has been updated effective October 1, 2019. We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you, as well as any information we receive in the future. If the terms of this notice are changed, i-Health will provide you with a revised notice upon request, and we will post the revised notice on our website – www.i-Health.com – and in designated locations at i-Health practice locations.
Complaints or Questions
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with i-Health, or to ask a question about this Notice, contact:
Privacy Officer
Infinite Health Collaborative, P.A.
4200 Dahlberg Drive, Suite 300
Golden Valley, MN 55422
E-mail: [email protected]
Phone: 952-512-5600
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Other Uses of Medical Information
Except as described above, i-Health will not use or disclose your protected health information without a specific written authorization from you. If you provide us with this written authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization, except to the extent we have already relied on your authorization. We are unable to take back any disclosures we have already made with your permission, and we are required to retain our records of the care that we provided to you.