Notice of Privacy Practices
Effective Date: 8/24/2025
This Notice of Privacy Practices (“Notice”) describes how V Boutique Medical, PLLC (“we,” “our,” “us”) may use and disclose your health information, and how you can access your information. Please review it carefully.
Our Responsibilities
We are required by law to:
- Maintain the privacy and security of your Protected Health Information (PHI).
- Provide you with this Notice of our legal duties and privacy practices.
- Notify you if a breach occurs that may compromise the privacy or security of your information.
- Follow the terms of this Notice currently in effect.
How We May Use and Disclose Health Information; We may use and share your PHI in the following ways- For Treatment: To provide, coordinate, or manage your medical care. Example: sharing information with other healthcare providers involved in your treatment.
For Payment: To bill and collect payment for the services we provide. Example: submitting claims to your insurance company.
For Healthcare Operations: To support business activities such as quality assessment, accreditation, training, and compliance.
Other Permitted Uses and Disclosures
We may also use and share your information as required or permitted by law, such as:
- Public health reporting (e.g., disease control, FDA reporting).
- Health oversight activities (e.g., audits, inspections).
- Law enforcement (as required by legal process).
- Judicial and administrative proceedings (in response to a court order or subpoena).
- To avert a serious threat to health or safety.
- Special government functions (e.g., military or national security).
- Workers’ compensation claims.
Uses and Disclosures Requiring Authorization
- In all other cases, we will not use or disclose your PHI without your written authorization. This includes:
- Most uses/disclosures of psychotherapy notes.
- Uses/disclosures for marketing purposes.
- Sale of your PHI.
If you provide an authorization, you may revoke it at any time in writing.
Your Rights Regarding Your PHI
You have the right to:
- Access Your Records: Request to see or get a copy of your health information, usually within 30 days. We may charge a reasonable fee.
- Request an Amendment: Ask us to correct information you believe is incorrect or incomplete.
- Request Restrictions: Ask us to limit how we use or share your PHI. We will comply if possible, but we are not required to agree in all cases.
- Confidential Communications: Request that we contact you in a specific way (e.g., only by phone, not by mail or email).
- Accounting of Disclosures: Request a list of certain disclosures of your PHI for the past six years.
- Receive a Paper Copy: You may request a paper copy of this Notice, even if you received it electronically.
- File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact Information: To exercise your rights or for questions about this Notice, please contact:
V Boutique Medical, PLLC
20015 S LaGrange Rd, #1341
Frankfort, IL 60423
deby@vboutiquemedical.com
Complaints
You may also file a complaint directly with:
U.S. Department of Health and Human Services (HHS)
Office for Civil Rights (OCR)
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr/privacy/hipaa/complaints/