Our commitment to safeguarding your privacy and health information:

Ensure the confidentiality of PHI that identifies you. Provide you with this notice outlining our legal responsibilities and privacy practices regarding your PHI, and adhere to the terms outlined in this current notice.

The following categories outline various permissible uses and disclosures of PHI as permitted by law. While not every specific use or disclosure is listed within each category, all uses and disclosures will adhere to one of these categories.

We are required by law to:

We recognize the personal nature of your PHI (Protected Health Information) and are dedicated to its protection. Productive Dynamics Healthcare by James Gonzales Corporation, LLC creates records of the care and services you receive to ensure thorough and effective healthcare management. These records are essential for providing you with comprehensive care and complying with legal obligations. This privacy notice applies to all records related to your care generated by Productive Dynamics Healthcare by James Gonzales Corporation, LLC.

Ways in which we may utilize and disclose your Protected Health Information:

Permitted uses or disclosures without your authorization:

For Treatment:We may utilize PHI about you to deliver medical care, including disclosing it to doctors, nurses, or other medical providers.

For Payment:PHI about you may be used and disclosed to your insurance plan or other entities involved in covering the costs of your care.

For Healthcare Operations: We may use and disclose PHI about you for operational, administrative, and quality assurance activities essential for ensuring all our patients receive high-quality care. For example, we may review treatment and services provided to you and evaluate our staff's performance in your care.

More Restrictive State and Federal Laws:In some instances, New Mexico state law imposes stricter regulations than HIPAA. These situations may involve patient access to records or enhanced protections against disclosure compared to HIPAA. Productive Dynamics Healthcare by James Gonzales Corporation, LLC will adhere to whichever law offers greater protections.

Business Associates: Certain activities at Productive Dynamics Healthcare by James Gonzales Corporation, LLC may involve contracted services with external businesses. These contracts may necessitate disclosing your health information to these entities to perform specified tasks. The contracts also mandate that these businesses safeguard the health information we provide to them.

Permitted Use or Disclosure with an Opportunity for You to Agree or Object:

Individuals Involved in Your Care: Unless you inform us otherwise, we may share your health information and PHI with a friend or family member whom you have designated or who is legally authorized to make decisions on your behalf under New Mexico law. Given that we provide medical care in a home setting, unless you object, we will assume that friends or family members present in your home are involved in your care and can be informed about your PHI. Additionally, we may disclose your PHI to an organization involved in disaster relief efforts to notify your family about your whereabouts and condition. If you are unable to object, we will use our professional judgment to determine whether such disclosures are in your best interest.

To Avert a Serious Threat to Health or Safety: We may use and disclose your PHI when necessary to prevent a serious threat to your health or safety, or that of others. Such disclosures will only be made to individuals who can assist in mitigating the threat.

Use or Disclosure Permitted by Public Policy or Law Without Your Authorization:

1. Military: If you are a member of the armed forces, we may disclose your PHI as required by military command authorities. Additionally, we may disclose PHI about foreign military personnel to the appropriate foreign military authority.
2. Workers Compensation: We may disclose your PHI for workers' compensation or similar programs as necessary to comply with laws pertaining to these programs established by law. These programs provide benefits for injuries or illnesses related to work.
3. Public Health Risks: We may disclose your PHI as required by law for public health activities, which may include:
   • Preventing or controlling disease, injury, or disability.
   • Reporting births or deaths.
   • Reporting cases of child abuse or neglect.
   • Reporting reactions to medications or problems with products.
   • Notifying individuals about recalls of products they may be using.
   • Notifying individuals who may have been exposed to a disease or at risk of contracting or spreading a disease or condition.
   • Reporting to the appropriate government authority if we suspect a patient has been a victim of abuse, neglect, or domestic violence.

These disclosures will only be made in compliance with specific legal requirements when mandated or authorized by law.

Health Oversight Activities and Registries: We may disclose your PHI to health oversight agencies for activities authorized by law, as well as to patient registries for conditions such as tumors, trauma, and burns. These oversight activities may include audits, investigations, inspections, and licensure surveys. Such activities are essential for government monitoring of the healthcare system, disease outbreaks, government programs, compliance with civil rights laws, and improving patient care.

Lawsuits and Disputes: If you are engaged in a lawsuit or legal dispute, we may disclose your PHI in response to a court or administrative order. Additionally, we may release your PHI in response to a subpoena, discovery request, or other lawful processes.

Law Enforcement: We may disclose PHI if requested by law enforcement officials through a court order, subpoena, warrant, summons, or as otherwise mandated by law.

Coroners, Medical Examiners, and Funeral Directors: We may disclose PHI to a coroner or the New Mexico Office of the Medical Investigator (OMI) to identify a deceased individual or determine the cause of death. Additionally, we may share PHI with funeral directors as needed to perform their responsibilities.

National Security: We may disclose your PHI to authorized federal officials for national security purposes.

You have the following rights regarding PHI we maintain about you:

Right to Access, Inspect, and Copy: You have the right to review and obtain copies of the PHI used to make decisions regarding your care. This typically includes medical and billing records but excludes certain records such as psychotherapy notes. To request access to your PHI, you must submit a written request to Productive Dynamics Healthcare by James Gonzales Corporation, LLC. A fee may apply for processing your request. You can revoke any authorization you have given for the use or disclosure of your PHI at any time, in writing. Once you revoke your authorization, we will cease using or disclosing your PHI for the purposes outlined in that authorization. However, we cannot retract any disclosures already made with your authorization and are required to retain records of the care provided to you. In rare cases, your request for access may be denied. You may request a review of a denial by contacting Productive Dynamics Healthcare by James Gonzales Corporation, LLC.

Right to Amend: If you believe that the PHI we hold about you is inaccurate or incomplete, you can request an amendment to the information. If we deny your request, we will provide you with an explanation. You have the right to request an amendment for as long as the information is maintained by Productive Dynamics Healthcare by James Gonzales Corporation, LLC.

To request an amendment, you must submit a written request to Productive Dynamics Healthcare by James Gonzales Corporation, LLC, and include a reason supporting your request. We may deny your amendment request if it is not in writing, lacks a supporting reason, or if you are requesting changes to information not created by us—unless the original creator is unavailable, the information is not used to make decisions about you, is not part of the records you are allowed to inspect and copy, or is already accurate and complete.

Right to Request Restrictions: You have the right to request limitations on the PHI we use or disclose for treatment, payment, or healthcare operations. You may also request restrictions on the PHI we share with individuals involved in your care or payment, such as a family member or friend. We are not obligated to grant your request, but if we do agree, we will adhere to your restrictions unless the information is needed for emergency treatment.

To request restrictions, you must submit a written request specifying:

• • The information you wish to limit
• • Whether you want to restrict our use, disclosure, or both
• • The individuals or entities to whom the restrictions should apply

Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a specific manner or at a particular location. To make this request, you must submit it in writing using a form provided upon request. We will accommodate all reasonable requests. You may also request a paper copy of this notice at any time.

Revisions to this Notice: Productive Dynamics Healthcare by James Gonzales Corporation, LLC may revise this Notice periodically to reflect changes in our privacy practices. We reserve the right to make the revised or changed Notice effective for PHI we already have about you as well as information we receive in the future. We will provide you with a copy of the current Notice request.

Revisions to This Notice: Productive Dynamics Healthcare by James Gonzales Corporation, LLC may periodically update this Notice to reflect changes in our privacy practices. We reserve the right to apply the updated Notice to both the PHI we currently have about you and any information we collect in the future. You can request a copy of the latest Notice at any time.

Questions/Complaints: For any questions, please contact:

Productive Dynamics Healthcare by James Gonzales Corporation, LLC
12208 Mirandy Ct NE
Albuquerque, NM 87122
Phone: 505-221-6212br
Fax: 505-221-5551

If you believe your privacy rights have been violated, you may file a written complaint with Productive Dynamics Healthcare by James Gonzales Corporation, LLC or with the Secretary of the U.S. Department of Health and Human Services. Please provide as much detail as possible to facilitate a thorough investigation of your complaint. You will not face any penalties for filing a complaint.