Notice of Privacy Practices
Effective Date: December 1, 2025
This Notice of Privacy Practices describes how Tibbens Family Medicine may use and disclose your protected health information (PHI) and your rights regarding that information.
1. Uses and Disclosures of PHI
We may use and disclose your PHI for the following purposes:
Treatment: We may use your information to provide medical treatment and services. For example, we may share your medical records with specialists involved in your care.
Payment: We may use your information to bill and collect payment for services provided. This may include sharing information with your insurance company.
Healthcare Operations: We may use your information for operations, such as quality assessment, training staff, and improving our services.
2. Other Uses and Disclosures
We may also disclose your PHI without your consent in certain situations, including:
As Required by Law: We may disclose your information to comply with laws and regulations.
Public Health Activities: We may disclose your information to report disease outbreaks or other public health concerns.
Health Oversight Activities: We may disclose your information to health oversight agencies for audits and investigations.
3. Your Rights
You have the following rights regarding your PHI:
Right to Access: You have the right to request copies of your PHI.
Right to Amend: You have the right to request corrections to your PHI if you believe it is inaccurate or incomplete.
Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI.
Right to Confidential Communications: You have the right to request that we communicate with you in a certain way or at a certain location.
4. Complaints
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.
5. Changes to This Notice
We reserve the right to change this Notice of Privacy Practices and make the new notice effective for all PHI we maintain. We will post the new notice on our website and provide copies upon request.
6. Contact Us
If you have questions about this notice or your privacy rights, please contact us at:
Tibbens Family Medicine
1150 Crosspointe Ln, Ste 1B
Webster, NY 14580
admin@tibbensfm.com
Thank you for choosing Tibbens Family Medicine. We are committed to protecting your privacy and providing you with high-quality healthcare.