This Notice is first in effect on January 1st, 2003

This notice covers all information in our written or electronic records which concerns you, your health care, and payments for your health care.  It also covers information we may have shared with other organizations to help us provide your care, get paid for providing care, or manage our administrative operations.  

Virginia Heart may use and disclose your protected health information (PHI) for:

  • Treatment – i.e.; providing medical care services, sending information/coordinating medical care with other health care providers caring for you, ordering and obtaining off site tests/results, writing prescriptions, etc.
  • Payment – i.e.; submitting insurance claims on your behalf for treatment rendered.
  • Health care operations – i.e.; internal business planning activities and quality of care evaluation.

Virginia Heart is permitted or required, under specific circumstances, to use or disclose protected health information without the individual’s written authorization, including, but not limited to:

  • Disclosures required by law
  • Disclosures to avert serious threats to health or safety
  • Disclosures with reference to Workers’ Compensation or Food and Drug Administration

Virginia Heart may contact the individual to provide appointment reminders or information about treatment or other health-related benefits and services that may be of interest to the individual or patient. Virginia Heart will routinely contact patients via telephone at home and/or work and, unless otherwise requested, may leave messages on the appropriate voice mail or answering service regarding appointments, test results, etc.  We may also send faxes or email if you have designated this option.  

Other uses and disclosures will be made only with the individual's written authorization, and the individual may revoke such authorization.  {Please see below for identifying persons to whom you would allow disclosures of otherwise protected information.} 

Our patients have the following rights regarding their protected health information:

  1. The right to request restrictions on certain uses and disclosures of PHI. However, we may not agree to all requested restrictions.
  2. The right to restrict disclosures to your insurance company for health care items or services for which you have paid for in full at the time of service. 
  3. The right to receive confidential communications of protected health information, as applicable.
  4. The right to inspect and copy protected health information, as provided in the Privacy Regulation.
  5. The right to amend protected health information, as provided in the Privacy Regulation.
  6. The right to receive an accounting of disclosures of protected health information.
  7. The right to obtain a paper copy of the Notice from the covered entity upon request.
  8. The right to file a complaint if you believe your privacy rights have been violated. You will not be penalized for filing a complaint. 
  9. The right to receive timely notification of any breach of your unsecured protected health information.

Forms to exercise your rights can be obtained from the front desk Patient Services Specialist or our HIPAA Privacy Office.  

Virginia Heart is required by law to maintain the privacy of protected health information and to provide individuals with notice of its legal duties and privacy practices with respect to protected health information. Virginia Heart is required to abide by the terms of the Notice currently in effect.

Virginia Heart reserves the right to change the terms of this Notice.  The new Notice provisions will be effective for all protected health information that it maintains. Virginia Heart will provide individuals or patients with a revised Notice by posting new regulations in each office.

If you have any questions regarding this notice or our health information privacy policies, please contact the

Virginia Heart HIPAA Office

2901 Telestar Court, Suite 300

Falls Church, VA 22042 

Ph: 703.621.2263