Notice of 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.
1. Our Commitment to Your Health Information
At Thunderbird Vein, we are committed to protecting the privacy of your Protected Health Information (PHI). PHI includes any individually identifiable health data created, received, or maintained by our practice relating to your physical health, medical history, vascular diagnostic testing (such as duplex ultrasound scans), or payment for healthcare services (e.g., endovenous ablation, sclerotherapy, or consultation visits).
We are required by federal and state law to:
- Maintain the privacy and security of your PHI.
- Provide you with this Notice detailing our legal duties and privacy practices.
- Abide by the terms of the Notice currently in effect.
- Notify you promptly following any security breach of unsecured PHI.
2. How We May Use and Disclose Your Health Information
We may use and disclose your PHI for Treatment, Payment, and Healthcare Operations (TPO) without requiring prior written authorization:
A. For Treatment
We use your PHI to provide, coordinate, or manage your medical care. For example, our vascular specialists and ultrasound technologists use your diagnostic scans and clinical notes to plan vein treatments (e.g., radiofrequency ablation or microphlebectomy). We may also share PHI with your primary care physician to coordinate post-procedure recovery.
B. For Payment
We use and disclose your PHI to bill and collect payment from health insurance plans, Medicare, Medicaid, or you directly. For example, we submit diagnostic coding, treatment notes, and ultrasound report documentation to your health insurer to verify medical necessity and secure reimbursement for medically indicated vein procedures.
C. For Healthcare Operations
We use your PHI to support internal operations and ensure high-quality care. For example, we evaluate provider performance, conduct quality assessment reviews of clinical outcomes, manage compliance, and audit billing records.
D. Appointment Reminders
We may contact you via phone, SMS, email, or patient portal to remind you of upcoming consultations, follow-up ultrasound appointments, or post-procedure care instructions.
3. Disclosures Required or Permitted by Law
Under federal regulations, we may disclose your PHI without your consent under specific legal circumstances:
- As Required by Law: Mandatory reporting to federal, state, or local authorities.
- Public Health & Safety: Reporting adverse medical events or preventing imminent threats to public health or safety.
- Health Oversight Activities: Audits or investigations conducted by government oversight bodies (e.g., HHS, state medical boards).
- Judicial & Administrative Proceedings: Compliance with valid court orders, subpoenas, or official discovery requests.
- Business Associates: We share PHI with trusted third-party vendors (e.g., HIPAA-compliant billing platforms, EHR software, secure form hosts). All Business Associates sign legally binding Business Associate Agreements (BAAs) committing to protect your data.
4. Uses & Disclosures Requiring Your Explicit Authorization
We will never use or disclose your PHI for the following purposes without your signed written authorization:
- Marketing Communications: We will not use your PHI for marketing purposes or share your contact details with third parties for commercial gain.
- Sale of PHI: We do not sell patient health information or contact lists under any circumstances.
- Before & After Photos: We will never publish or share your before-and-after treatment photographs on our website, social media, or marketing materials without a separate, signed Media Consent Release Form.
You may revoke any written authorization at any time in writing, except to the extent that our clinic has already acted in reliance upon it.
5. Your Rights Regarding Your Health Information
You hold specific statutory rights regarding the medical records and health information we maintain about you:
| Your Right | Description |
|---|---|
| Inspect & Copy | Request to inspect or receive an electronic or paper copy of your medical records and billing history. Requests are fulfilled within 30 days. |
| Request Amendments | Ask us to correct or amend inaccurate or incomplete medical records. Requests must be submitted in writing with a supporting clinical reason. |
| Confidential Contacts | Request that we contact you via specific channels (e.g., cell phone only, portal message, or alternate mailing address). |
| Request Restrictions | Request limits on how we use or share your PHI for TPO. We must agree if you pay out-of-pocket in full for a procedure and request that we not notify your health plan. |
| Accounting of Disclosures | Request a record list of non-standard disclosures of your PHI made in the six years prior to your request date. |
| Paper Copy | Receive a physical paper copy of this Notice at any time upon request, even if you previously agreed to receive it electronically. |
6. Website Data & Digital Privacy Notice
When interacting with our clinic via our official website:
- Web Contact Forms: Submissions made via general contact or appointment booking forms are intended for non-emergency scheduling and inquiries.
- Tracking Pixels & Analytics: Our practice does not install marketing tracking pixels (such as Meta/Facebook pixels) on clinical intake or patient form pages. General website usage data is governed by our separate Website Privacy Policy.
7. Questions and Complaints
If you believe your privacy rights have been violated, or if you have questions regarding this Notice, you may contact our Privacy Officer or file a complaint with the federal government:
Internal Privacy Officer:
Attention: Privacy Officer
Jordan J Glenn, LLC dba Thunderbird Vein
7727 W Deer Valley Rd. Ste. #220, Peoria, AZ 85382
Email: privacy@thunderbirdvein.com
Phone: (602) 843-8317
U.S. Department of Health and Human Services:
You may also file a formal complaint with the HHS Office for Civil Rights by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/ or calling 1-800-368-1019. We will not retaliate against you for filing a complaint.