Effective Date: January 1, 2026
This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.
OUR LEGAL DUTIES
We are required to maintain the privacy and security of your Protected Health Information (PHI). Provide you with this Notice of our legal duties and privacy practices. Follow the terms of this Notice currently in effect. Notify you if a breach occurs that may have compromised your information. We reserve the right to change this Notice and will post updates on our website.
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
Treatment: To provide medical care, including telemedicine services, consultations, and referrals.
Payment: To bill and receive payment for services, including insurance processing and collections.
Healthcare Operations: For business operations such as quality assessment, compliance, training, audits, and credentialing.
Electronic Communications & Telehealth: We may communicate via secure portal, email, text message (with consent), or telemedicine platforms. While safeguards are used, electronic communication carries some risk.
Appointment Reminders: To remind you of appointments or follow-up care.
Required by Law: When required by federal or state law, court order, subpoena, public health reporting, or law enforcement.
Public Health & Safety: To prevent serious threats to health or safety.
USES THAT REQUIRE WRITTEN AUTHORIZATION
We will obtain written authorization for marketing communications (when required under HIPAA), sale of PHI, and most uses of psychotherapy notes. You may revoke authorization in writing at any time.
YOUR RIGHTS
You have the right to inspect and obtain a copy of your medical records.
Request corrections (amendments).
Request confidential communications.
Request restrictions (subject to legal limitations).
Receive an accounting of disclosures.
Receive a paper copy of this Notice.
File a complaint without retaliation.
BREACH NOTIFICATION
If a breach of unsecured PHI occurs, we will notify you as required by federal and applicable state law.
HOW TO FILE A COMPLAINT
Privacy Officer: Dr. David K. Dodson
DPC Medical
Phone: 763-588-7099
Email: info@dodsonpc.com
You may also file a complaint with the U.S. Department of Health and Human Services.
We will not retaliate against you for filing a complaint.
DPC Medical complies with HIPAA and applicable federal and state privacy laws