Notice of Privacy Practices

If you have any questions about this Notice, please contact:

ADVENT
C/O Privacy Officer
10001 W. Innovation Drive, Suite 200
Milwaukee, WI 53226
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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.

WHO MUST COMPLY WITH THIS NOTICE. This Notice applies to all locations and departments of ADVENT (“Institution”) that provide health care services, including but not limited to ADVENT MSO, ADVENT PLLC and ADVENT SC. For convenience, the listed health care providers and the listed business support groups will be referred to in this Notice as “Health Care Providers.” The Institution’s Health Care Providers are legally required to protect the privacy of your health information and to provide you with a notice of privacy practices. This Notice describes how the Health Care Providers may use and disclose your protected health and medical information. It also describes some rights you have regarding your health information. Health information is information about you that is received, used, or disclosed by the Institution’s Health Care Providers concerning your physical or mental health, health care services provided to you, or your health insurance benefits and payments. Protected health information may contain information that identifies you, including your name, address, and other identifying information.

HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION. Mental health information, including psychological or psychiatric treatment records, and information relating to communicable diseases, including HIV records, are subject to special protections under State law. We will generally only release such records or information with your written authorization or with an appropriate court order. Alcohol and drug abuse treatment information is also subject to special protections
under federal law. We will usually need to get your written authorization or an appropriate court order before we release this information. Except where there are special protections under State law or other federal laws, we may use and disclose your health information without your authorization for the following purposes:

RIGHTS YOU HAVE REGARDING YOUR HEALTH INFORMATION. The Right to Request Limits on Uses and Disclosures of Your Health Information. You have the right to ask that the Institution’s Health Care Providers limit the use and disclosure of your health information. We will consider your request but we do not have to accept it. If we do, we will put any limits in writing and abide by them except in emergency situations where the information is needed. You may not limit the uses and disclosures that we are legally required to make.

CHANGES TO THIS NOTICE. The Institution’s Health Care Providers are required to abide by the terms of this Notice of Privacy Practices. However, we may change our notice at any time. The new notice will be effective for all protected health information maintained by the covered Health Care Providers of the Institution. A revised Notice of Privacy Practices will be posted at the main entrances to our covered healthcare provider areas, may be requested from the Privacy Officer listed above, and may be found on our website at madankandula.com.

WHAT TO DO IF YOU BELIEVE YOUR PRIVACY RIGHTS HAVE BEEN VIOLATED. If you think that we may have violated your privacy rights, or you disagree with a decision we made about your health information, you may file a complaint with our Privacy Officer at the telephone number or email address listed at the top of this notice. You also may send a written complaint to the Secretary of the Department of Health and Human Services. Further information about how to file a complaint is available from the Privacy Officer. We will not punish you or retaliate against you if you file a complaint about our privacy practices.

EFFECTIVE DATE OF THIS NOTICE. This notice applies to uses and disclosures of your health information beginning on October 1, 2022.