HIPAA Notice of Privacy Practices

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of Crosswalk Health’s responsibilities to help you.

Get an electronic or paper copy of your medical record: You can ask to see or get an electronic copy of your medical record and other health information we have about you. Ask us how to do this at Compliance@Crosswalk.Health. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record: You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we will tell you why in writing within 60 days.

Request confidential communication: You can ask us to contact you in a specific way (for example, home or office phone number) or send mail to a different address. We will say “yes” to all reasonable requests

Ask us to limit what we use or share: We can ask us not to use or share certain health information for treatment or operations.

Get a list of those with whom we have shared information: You can ask for a list or accounting of the time we have shared for your health information for up to 6 years prior to the date you ask, who we shared it with, and why. We will include all the disclosures expect for those about treatment, health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting per year for free, but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice: You can ask for a paper copy of this notice at any time, even if you have agreed to receive this notice electronically. We will provide a paper copy of this notice promptly.

Choose someone to act on your behalf: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has the authority to act for you before we take any action.

File a complaint if you feel your rights have been violated: You can file a complaint if you feel we have violated your rights by contacting us using the contact information at the bottom of this page. We will not retaliate against you for filing a complaint.

Your Choices

For some health information, you can decide what we share. If you have a clear preference for how we share your information in the situations described below, let us know. Tell us what you would like us to do, and we will follow your instructions.

In these cases, you have the right and the choice to tell us to:

Share information with your family, close friends, or others involved in your care

Share information in a disaster relief situation

If you are not able to tell us your preference, we may go ahead and share your information

In these cases, we will never share your information unless you give us written permission:

Marketing purposes

The sale of your information

We will not use or disclose your information for fundraising.

Our Uses and Disclosures

We typically use or share your information in the following ways:

To treat you. We will use your information and share with other professionals who are treating you.

To run our organization. We will use and share your information to run our practice, improve your care, and contact you when necessary.

To help with public health and safety issues. We may use your information in certain situations such as preveting disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, and/or preventing or reducing a serious threat to anyone’s health or safety.

In research. We may use your information for health research.

To comply with the law. We may share your information if state or federal laws require it, including the Department of Health and Human Services.

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as pubic health and research. We have to meet many conditions in the law before we can share your information for these purposes. 

Our Responsibilities

We are required by law to maintain the privacy and security of your Protected Health Information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it.

We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time.

Contact Information

If you have specific questions about your rights or about this notice, you may contact us in one of the following ways:

Email: Compliance@crosswalk.health

Mail:  Crosswalk Health | 1505 Lyndon B. Johnson Freeway, Suite 455 Dallas, TX 75234