Effective Date: 5/6/2025

Introduction

Dr. Wen Liu, MD, MPH ("we," "us," or "our") is committed to protecting the privacy and security of your protected health information (PHI) as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

How We May Use and Disclose Your PHI

We may use and disclose your PHI for treatment, payment, and healthcare operations without your specific authorization. Examples include:

• Treatment: Coordinating your care with other healthcare providers, referring you to specialists, etc.
• Payment: Billing your insurance company, processing payments, etc.
• Healthcare Operations: Quality assessment, staff training, business planning, compliance reviews, etc.

We may also use or disclose your PHI as required or permitted by law, such as for public health activities, legal proceedings, law enforcement purposes, research (with safeguards), and to avert serious threats to health or safety.

Your Rights Regarding Your PHI

You have the following rights regarding your PHI:

• Right to Inspect and Copy
• Right to Amend
• Right to an Accounting of Disclosures
• Right to Request Restrictions
• Right to Request Confidential Communications
• Right to a Paper Copy of This Notice

Website Data Collection

When you use our website, we may collect information you voluntarily provide through forms (e.g., appointment requests). This information is treated as PHI if it relates to your health or healthcare services. We use secure methods for transmitting and storing this data. We may also collect non-personal technical information (e.g., browser type, IP address) for website analytics and improvement, which is not linked to your PHI unless necessary for security or legal reasons.

Contact Information

If you have questions about this notice or wish to exercise your rights, please contact our Privacy Officer at [Privacy Officer Contact Info - e.g., Phone Number, Email Address].

Changes to This Notice

We reserve the right to change this notice. The revised notice will be effective for information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website and in our office.

This is a general template. Please consult with a legal professional specializing in HIPAA compliance to ensure this policy meets all specific legal requirements for your practice.