Effective date: August 2, 2026
This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. Please review it carefully.
Your rights
Subject to applicable law, you may ask to inspect or obtain a copy of your medical record, request a correction, request confidential communications, ask us to limit certain uses or disclosures, obtain a list of certain disclosures, obtain a paper copy of this notice, or choose someone to act for you.
To exercise a privacy right, contact the Garcia Family Medicine Privacy Officer using the information below. We may ask you to submit a written request and verify your identity.
Your choices
For certain information, you may tell us your preferences about sharing information with family, friends or others involved in your care; disaster relief; fundraising communications; and other uses described by law. Uses and disclosures for marketing, the sale of protected health information, or other purposes that require authorization will not occur without your written authorization. You may revoke an authorization in writing, except to the extent action has already been taken in reliance on it.
How we may use and share health information
We may use or disclose health information as permitted or required by law, including for treatment, payment and health-care operations. Examples include coordinating care, operating the practice, improving quality, contacting you about appointments, and receiving payment for services.
We may also use or disclose information when legal requirements are met for public-health and safety activities, reporting suspected abuse or neglect, health oversight, workers’ compensation, responding to lawsuits or legal process, law enforcement, coroners or medical examiners, organ donation, research, specialized government functions, averting a serious threat to health or safety, or other purposes permitted or required by law.
Not every type of disclosure is listed in this summary. More protective federal or Missouri rules may apply to particular information. When written authorization is required, we will ask for it.
Our responsibilities
- We are required by law to maintain the privacy and security of protected health information.
- We will notify affected individuals as required if a breach may have compromised the privacy or security of their information.
- We must follow the privacy practices described in the notice currently in effect.
- We will not use or share information other than as described here unless you authorize it in writing or the law permits or requires it.
Complaints and questions
You may contact us with questions or file a privacy complaint without retaliation:
Privacy Officer, Garcia Family Medicine
801 NW Saint Mary’s Drive, Suite 209
Blue Springs, MO 64014
(816) 330-7575
[email protected]
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr/privacy/hipaa/complaints.
Changes to this notice
We may change this notice and make the revised notice effective for health information we already have as well as information received in the future. The current notice will be available in the office, on request and on this website.