- (732) 665-6492
- contact@libertypaincare.com
- Fax: 844-649-6694
- Careers
HEALTH INFORMATION PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
If you have any questions about this notice, please contact the Privacy Official for Liberty Pain Care at [Insert Liberty Pain Care Contact Number/Email].
We will create a record of the care and services you receive from us to provide you with quality care and to comply with legal or regulatory requirements.
We are committed to protecting your health information. This Notice applies to all the records generated or received by Liberty Pain Care, whether we documented the health information or another provider forwarded it to us. This Notice describes how we may use or disclose your health information, your rights to access your health information, and our obligations regarding its use and disclosure.
The federal government has issued regulations to safeguard the privacy and security of your health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This notice explains your rights and how your health information will be used and disclosed.
HIPAA requires Liberty Pain Care to:
Make sure that health information that identifies you is kept private.
Make available this notice of our legal duties and privacy practices with respect to your health information.
Follow the terms of the notice currently in effect.
You have the right to:
Get a copy of your paper or electronic medical record.
Correct your paper or electronic medical record.
Request confidential communication.
Ask us to limit the information we share.
Get a list of those with whom we’ve shared your information.
Get a copy of this privacy notice.
Choose someone to act for you.
File a complaint if you believe your privacy rights have been violated.
You have some choices in the way that we use and share information as we:
Tell family and friends about your condition.
Provide disaster relief.
Include you in a hospital directory.
Provide mental health care.
Market our services and sell your information.
Raise funds.
We may use and share your information as we:
Treat you.
Run our organization.
Bill for your services.
Help with public health and safety issues.
Do research.
Comply with the law.
Respond to organ and tissue donation requests.
Work with a medical examiner or funeral director.
Address workers’ compensation, law enforcement, and other government requests.
Respond to lawsuits and legal actions.
(Section kept as in original, with Liberty Pain Care replacing Clearway Pain Solutions references — e.g., Privacy Officer contact details updated below.)
You can complain if you feel we have violated your rights by contacting the Privacy Officer for Liberty Pain Care at [Insert Contact Number/Email].
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
Mail: 200 Independence Avenue, S.W., Washington, D.C. 20201
Phone: 1-877-696-6775
We will not retaliate against you for filing a complaint.
We are required by law to maintain the privacy and security of your protected health information.
We will notify you promptly if a breach occurs that may have compromised your information.
We must follow the duties and privacy practices described in this notice.
We will not use or share your information other than as described here unless you give us written permission. You may revoke this permission at any time in writing.
For more information, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
We may change the terms of this notice at any time, and the changes will apply to all information we have about you. The updated notice will be available upon request, in our office, and on our website.
Effective Date of This Notice: January 29, 2025
At Liberty Pain Care, we help patients find the source of their pain, reduce it, and restore mobility with the goal of helping you regain control and quality of life.
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