MIDVI Health
Notice of Privacy Practices
Effective Date: January 1, 2027
Your Information. Your Rights. Our Responsibilities.
This Notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.
Your Rights
You have the right to:
Access and receive a copy of your medical record.
Request corrections to your medical record if you believe information is inaccurate or incomplete.
Request confidential communications, such as contacting you at a different address or phone number.
Request restrictions on certain uses or disclosures of your health information.
Receive a list of certain disclosures we have made of your health information.
Obtain a paper or electronic copy of this Notice at any time.
Designate someone to act on your behalf if authorized by law.
File a complaint if you believe your privacy rights have been violated.
Our Uses and Disclosures
MIDVI Health may use and share your health information for purposes such as:
Treatment
To provide, coordinate, and manage your medical care.
Health Care Operations
To operate our practice, improve quality, maintain records, and comply with legal and regulatory requirements.
Required by Law
When federal or Wisconsin law requires us to disclose information.
Public Health and Safety
To help prevent or control disease, report adverse events, or respond to public health investigations as permitted by law.
Law Enforcement and Government Requests
When required or authorized by law.
Workers' Compensation
As permitted by applicable law.
Any other use or disclosure not described in this Notice will require your written authorization unless otherwise permitted or required by law.
Your Choices
In certain situations, you may choose whether we share your information, including:
Sharing information with family members or caregivers involved in your care.
Contacting you regarding appointment reminders or practice updates.
Other situations where your authorization is required by law.
You may revoke an authorization at any time in writing, except to the extent we have already acted on it.
Our Responsibilities
MIDVI Health is required by law to:
Maintain the privacy and security of your protected health information.
Provide you with this Notice of Privacy Practices.
Notify you if a breach occurs that may compromise the privacy or security of your information.
Follow the terms of the current Notice.
We will never sell your personal health information.
Changes to This Notice
We reserve the right to revise this Notice at any time. Updated versions will apply to all information we maintain and will be posted on our website and available in our office.
Questions or Complaints
If you have questions about this Notice or believe your privacy rights have been violated, please contact:
Privacy Officer
MIDVI Health
Madison, Wisconsin
www.midvihealth.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect the quality of care you receive.