Our Legal Duty
We are required by law to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our privacy practices, and to abide by the terms of this Notice currently in effect.
We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all PHI that we maintain, including PHI we created or received before we made the changes. Revised notices will be made available upon request and posted in our office and on our website.
How We May Use and Disclose Your PHI Without Your Authorization
For Treatment
We may use and disclose your PHI to provide you with diagnostic ultrasound services and to coordinate your care with your referring physician or other healthcare providers involved in your treatment. For example, we may share your imaging results and related health information with the physician who ordered your exam so they can provide you with appropriate follow-up care.
For Payment
We may use and disclose your PHI to process or obtain payment for the services we provide. Because Clearview Imaging is a self-pay practice, we do not bill insurance directly; however, we may provide documentation of services (such as a superbill or itemized receipt) for your personal health records or to assist you in submitting a claim to your insurer.
For Healthcare Operations
We may use and disclose your PHI to support our business activities, including quality assessment, staff training, administrative purposes, and activities designed to improve the quality and efficiency of the care we provide.
As Required by Law
We may disclose PHI when required to do so by federal, state, or local law, including disclosures to law enforcement, judicial and administrative proceedings, and government agencies as required.
For Public Health Activities
We may disclose PHI to public health authorities authorized to collect information for the prevention or control of disease, injury, or disability, and to report reactions to medications or problems with healthcare products.
To Avert a Serious Threat to Health or Safety
We may use and disclose PHI when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, and the disclosure is to a person reasonably able to prevent or lessen the threat.
Business Associates
We may share PHI with business associates who perform services on our behalf that require access to your information, such as our radiology interpretation partner (Rapid Radiology). We require all business associates to appropriately safeguard your PHI through contractual agreements in compliance with HIPAA.
Uses and Disclosures Requiring Your Authorization
Any use or disclosure of your PHI not described in this Notice requires your written authorization. This includes, but is not limited to, most uses and disclosures of psychotherapy notes, disclosures of PHI for marketing purposes, and sale of PHI.
You may revoke a previously granted authorization at any time in writing, except to the extent that we have already taken action in reliance on your authorization. We cannot undo disclosures already made based on your prior authorization.
Your Rights Regarding Your PHI
Right to Inspect and Copy
You have the right to inspect and obtain a copy of PHI that we maintain about you. We may charge a reasonable, cost-based fee for copies. Requests must be submitted in writing. We may deny access in certain limited circumstances; if we deny your request, we will provide you with a written explanation.
Right to Amend
You have the right to request that we amend PHI that you believe is incorrect or incomplete. Requests must be made in writing and must state the reason for the requested amendment. We may deny the request if, for example, the information was not created by us, or if we determine the information is accurate and complete.
Right to an Accounting of Disclosures
You have the right to request a list of instances where we have disclosed your PHI other than for treatment, payment, or healthcare operations purposes, for a period of up to six (6) years prior to your request. The accounting will include the date, recipient, and purpose of each disclosure. The first accounting in any 12-month period is free; we may charge a reasonable fee for subsequent requests.
Right to Request Restrictions
You have the right to request restrictions on how we use or disclose your PHI. We are not required to agree to your requested restriction, except that we must comply with a restriction you request on disclosures to a health plan when you have paid for the service in full out-of-pocket and the disclosure is not required by law. If we agree to a restriction, we will honor it except in an emergency.
Right to Request Confidential Communications
You have the right to request that we communicate with you about your health matters in a specific way or at a specific location. For example, you may ask that we only contact you at a certain phone number or mailing address. We will accommodate reasonable requests.
Right to Receive a Paper Copy of This Notice
You have the right to obtain a paper copy of this Notice of Privacy Practices upon request, even if you agreed to receive it electronically. To request a paper copy, contact us using the information below.
Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services (HHS). We will not retaliate against you in any way for filing a complaint.
To file a complaint with HHS, visit: www.hhs.gov/ocr/privacy/hipaa/complaints/
How to Exercise Your Rights or File a Complaint
To exercise any of your rights described in this Notice, or to file a complaint with us, please contact our Privacy Officer in writing:
Stephanie Seyler, RDMS — Privacy Officer Clearview Imaging2431 Aloma Ave, Suite 219
Winter Park, FL 32792
Phone: (321) 307-1937
Email: clearvimagingorlando@gmail.com
All requests to exercise your rights must be submitted in writing. We will respond within the timeframes required by HIPAA.
Effective Date
This Notice of Privacy Practices is effective as of August 13, 2026. We reserve the right to change the terms of this Notice. Any revised Notice will be posted in our office and on our website and will apply to PHI we already hold as well as PHI we receive in the future.
For questions about this Notice or our privacy practices, please contact us at the information provided above.