Notice of Privacy Practices — HIPAA
Notice of Privacy Practices
Your Information. Your Rights. Our Responsibilities.
Effective Date: 10/15/26
This version is based on the current HHS model Notice of Privacy Practices for health care providers. HHS specifically says its model can be customized by inserting the provider’s specific information. HHS.gov
Your Rights
Get a copy of your medical record
You may ask to see or receive an electronic or paper copy of your medical record and other health information we maintain about you.
Ask us to correct your medical record
You may ask us to correct information about you that you believe is incorrect or incomplete.
Request confidential communications
You may ask us to contact you in a specific way or send information to a different address.
Ask us to limit information we share
You may ask us to limit how we use or share certain health information. We are not required to agree to every request, but we will consider your request.
Get a list of those with whom we have shared information
You may request an accounting of certain disclosures of your health information.
Get a copy of this privacy notice
You may request a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Choose someone to act for you
If you have given someone medical power of attorney or that person is otherwise legally authorized to act on your behalf, that person may exercise your rights and make decisions regarding your health information.
File a complaint
If you believe your privacy rights have been violated, you may file a complaint with Bay Area Sleep Evaluation Center or with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.
Your Choices
You may ask us to:
- Share information with family members, close friends, or others involved in your care or payment for your care
- Share information in a disaster relief situation
- Follow your preferences regarding certain communications
There are circumstances in which we may use or disclose information without obtaining your prior permission, as permitted by law.
How We May Use and Share Your Health Information
For Treatment
We may use and share your health information with healthcare professionals involved in your care.
For example, information from your sleep evaluation may be provided to the healthcare professional who referred you for testing or is involved in your care.
For Payment
We may use and share health information as necessary to bill for services and receive payment from health plans or other entities.
For Health Care Operations
We may use and share health information as necessary to operate our organization, manage services, and support the quality of care we provide.
As Required by Law
We may disclose health information when required to do so by federal, state, or local law.
Public Health and Safety
We may disclose health information when permitted or required by law for certain public health and safety purposes.
Workers’ Compensation
We may disclose health information as permitted by laws relating to workers’ compensation.
Law Enforcement and Government Requests
We may disclose health information to law enforcement or government agencies when permitted or required by law.
Legal Proceedings
We may disclose health information in response to a court or administrative order, or in response to a subpoena when legally permitted.
Medical Examiners and Funeral Directors
We may disclose information to a coroner, medical examiner, or funeral director when permitted by law.
Uses and Disclosures Requiring Your Authorization
For example, written authorization is generally required for:
- Marketing purposes
- The sale of your health information
- Certain uses or disclosures of psychotherapy notes
If you provide written authorization, you may revoke that authorization in writing at any time to the extent permitted by law.
Our Responsibilities
- Maintain the privacy and security of your protected health information
- Provide you with this notice describing our legal duties and privacy practices
- Notify you if a breach occurs that may have compromised the privacy or security of your information
- Follow the terms of the privacy notice currently in effect
We will not use or share your health information other than as described in this notice unless you provide written authorization, except as otherwise permitted or required by law.
HHS’s current provider model includes these responsibilities and requires the provider to identify its privacy contact information and effective date.
Changes to This Notice
The most current version of this notice will be available upon request and will be posted on our website.
Contact Us
If you have questions about this notice or believe your privacy rights have been violated, please contact:
Privacy Officer / Privacy Contact:
Name or Title
Bay Area Sleep Evaluation Center
6421 Saratoga Blvd, Bldg 103
Corpus Christi, Texas 78414
Phone:
361-852-9200
1-800-605-9522
Email: customerservice@basectx.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Phone: 1-877-696-6775
You may also submit a complaint through the HHS Office for Civil Rights website.
Bay Area Sleep Evaluation Center will not retaliate against you for filing a complaint.