Notice of Privacy Practices

Effective Date: June 4, 2025

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.

Intelligent Design Regenerative Medicine is committed to protecting the privacy of your protected health information (PHI). This Notice is provided to you as required by the Health Insurance Portability and Accountability Act (HIPAA) and the California Confidentiality of Medical Information Act (CMIA).

Our Responsibilities

• Maintain the privacy of your protected health information.
• Provide you with this Notice of our legal duties and privacy practices with respect to your protected health information.
• Notify you if there is a breach of your unsecured protected health information.
• Follow the terms of this Notice.

Your protected health information is health information about you which someone may use to identify you and which we keep or transmit in electronic, oral, or written form. This includes information such as your: name; contact information; past, present, or future physical or mental health or medical conditions; payment for health care products or services; or prescriptions.

How We May Use and Disclose Your Protected Health Information (PHI)

1. For Treatment

We may use and disclose your PHI to provide you with medical treatment or services. This includes sharing your PHI with other healthcare professionals who are involved in your care.

2. For Payment

We may use or disclose your PHI for payment-related activities if you choose to submit claims to your insurance company for reimbursement.

3. For Healthcare Operations

We may use and disclose your PHI for activities necessary for us to run our practice, improve care, and manage operations:

• Quality assessment and improvement activities.
• Reviewing the competence or qualifications of healthcare professionals.
• Evaluating practitioner and provider performance.
• Training programs for students, trainees, or practitioners.
• Accreditation, certification, licensing, or credentialing activities.
• Business planning and development.
• General administrative and management functions.

4. Other Permitted Uses and Disclosures

Under specific circumstances permitted by law, we may use or disclose your PHI without your authorization, including:

• Appointment reminders
• Treatment alternatives and health-related services
• Individuals involved in your care or payment
• Disaster relief efforts
• Research (with safeguards)
• Public health activities
• Health oversight activities
• Lawsuits and disputes
• Law enforcement
• Coroners and funeral directors
• National security and protective services
• Workers’ compensation
• Correctional institutions or law enforcement custody

We will not use or disclose your PHI for any purpose not described here without your written authorization. You may revoke your authorization at any time in writing.

Special rules apply for HIV or substance abuse records, which require separate written authorization.

Your Rights Regarding Your PHI

1. Right to Inspect and Copy

You may request to inspect and copy your medical records by writing to Matthew Cleveland at Intelligent Design Regenerative Medicine. Fees may apply. Denied requests may be reviewed.

2. Right to Amend

If you believe your records are incorrect or incomplete, you may request an amendment in writing with reasons for the change. We may deny requests under certain conditions.

3. Right to an Accounting of Disclosures

You may request a list of disclosures of your PHI for up to six years, excluding certain permitted uses. One list is free per 12 months; fees may apply for additional requests.

4. Right to Request Restrictions

You may request limitations on how we use or disclose your PHI. We are not required to agree unless you pay for services out-of-pocket and request that info not be shared with your health plan.

5. Right to Request Confidential Communications

You may request that we contact you in specific ways (e.g., by mail or at work). We will accommodate reasonable requests made in writing.

6. Right to a Paper Copy of This Notice

You may request a paper copy of this notice at any time, even if you have agreed to receive it electronically.

7. Right to Be Notified of a Breach

You have the right to be notified within 60 days in the event of a breach of your unsecured PHI.

Changes to This Notice

We reserve the right to change this Notice. Updates apply to all records we hold and will be posted in our office and on our website.

Complaints

If you believe your rights have been violated, you may file a complaint with Intelligent Design Regenerative Medicine or the U.S. Department of Health and Human Services. There is no retaliation for filing a complaint.

Contact Information