Hair Analysis Laboratory Notice of Privacy Practices

Note: The following has been taken word for word from the Trace Elements main website, in reference to their privacy practices.

TRACE ELEMENTS NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW THIS NOTICE CAREFULLY

Your health record contains personal information about you and your health. This information about you that may identify you and that relates to your past, present or future health condition and related health care services is referred to as Protected Health Information ("PHI"). This Notice of Privacy Practices describes how we may use and disclose your PHI in accordance with applicable law. It also describes your rights regarding how you may gain access to and control your PHI.

Trace Elements is required by law to maintain the privacy of PHI and to provide you with notice of our legal duties and privacy practices with respect to PHI. Trace Elements is required to abide by the terms of this Notice of Privacy Practices. Trace Elements reserves the right to change the terms of our Notice of Privacy Practices at any time. Any new Notice of Privacy Practices will be effective for all PHI that we maintain at that time. Trace Elements will provide you with a copy of the revised Notice of Privacy Practices by posting a copy on our website or sending a copy to you in the mail upon written request.

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU

For Treatment. Your PHI may be disclosed to your authorized healthcare provider. Trace Elements may disclose PHI to any other healthcare provider only with your written permission, which you may revoke at any time.

For Health Care Operations. We may use or disclose, as needed, your PHI in order to support our business activities including, but not limited to, quality assessment activities, certification, or credentialing activities, public health activities and conducting or arranging for other business activities.

To Your Family and Friends. Trace Elements must disclose your health information to you, as described in the Patient Rights section of this Notice. We may also disclose your health information to a family member, friend, or other person, but only if you agree that we may do so in writing. However, in accordance with the Clinical Laboratory Improvement Amendments of 1988 (CLIA), we must also have written authorization from your healthcare provider before they may be released directly to you, a family member, friend, or other person.

Required by Law. Under the law, Trace Elements must make disclosures to the Secretary of the Department of Health and Human Services for the purpose of investigating or determining our compliance with the requirements of the Privacy Rule. We may disclose your health information to a public health authority or entity when we are required to do so by law, such as in the cases of public health activities, disaster relief efforts, health oversight activities and judicial or administrative proceedings.

Without Authorization. Applicable law and ethical standards permit us to disclose information about you without your authorization only in a limited number of other situations. The types of uses and disclosures that may be made without your authorization are those that are required by Court Order.

With Authorization. Uses and disclosures not specifically permitted by applicable law will be made only with your written authorization, which may be revoked in writing at any time. Unless you give Trace Elements a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.

YOUR RIGHTS REGARDING YOUR PHI

You have the following rights regarding PHI that we maintain about you. To exercise any of these rights, please submit your request in writing to our Privacy Officer at Trace Elements, Inc., 4501 Sunbelt Drive, Addison, Texas 75001 USA

Inspections. You have the right to inspect and copy your PHI unless otherwise prohibited by law. However, in accordance with the Clinical Laboratory Improvement Amendments of 1988 (CLIA), we must have written authorization from your healthcare provider before they may be released directly to you or other non-health related professional.

Request Restrictions. You have the right to request a restriction on our use or disclosure of your PHI for treatment, payment or healthcare operations. Additionally, you have the right to request that we restrict our disclosure of your PHI to only certain individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your request. However, if we do agree, we are bound by our agreement, except when otherwise required or permitted by law.

Right to Amend. If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information although we are not required to agree to the amendment.

Right to an Accounting of Disclosures. You have the right to request an accounting of certain of the disclosures that we make of your PHI. We may charge you a reasonable fee if you request more than one accounting in any 12-month period.

Right to Request Confidential Communication. You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. You must make your request in writing.

Right to a Copy of this Notice. You have the right to a copy of this notice.

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