Notice of Privacy Practices

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.

Our Commitment

Mid-Michigan Foot & Ankle Center is required by law to protect the privacy of your protected health information, to give you this notice describing our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How We May Use and Disclose Your Information

We may use and disclose your health information without your written authorization for the following purposes.

• Treatment. To provide, coordinate, and manage your care, including sharing information with your primary care physician, referring providers, imaging centers, laboratories, and pharmacies.
• Payment. To bill and collect payment from you, an insurance company, or another third party, including verifying coverage and obtaining prior authorization.
• Health care operations. To run the practice, including quality review, staff training, licensing, business planning, and administrative activities.

Other Permitted or Required Uses

Law permits or requires us to use or disclose your information in certain other situations, including:

• When required by federal, state, or local law
• For public health activities, such as reporting disease, injury, or reactions to medications
• To report suspected abuse, neglect, or domestic violence to the authority permitted by law
• For health oversight activities such as audits, investigations, and licensure
• In response to a court order, subpoena, warrant, or other lawful process
• For specified law enforcement purposes, and to coroners, medical examiners, and funeral directors
• For organ and tissue donation
• For research approved by an institutional review board
• To prevent a serious and imminent threat to the health or safety of a person or the public
• For specialized government functions, including military and national security activities
• For workers' compensation as authorized by law

Uses That Require Your Written Authorization

Most uses and disclosures of psychotherapy notes, uses for marketing purposes, and any sale of your health information require your written authorization. Other uses not described in this notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your Rights

• Inspect and copy. You may request to see and receive a copy of your health information, including an electronic copy of an electronic record.
• Request an amendment. You may ask us to correct information you believe is incorrect or incomplete. We may deny the request, and you may then submit a statement of disagreement.
• Accounting of disclosures. You may request a list of certain disclosures we have made of your information.
• Request restrictions. You may ask us to limit how we use or disclose your information. We are not required to agree, except that we must agree to withhold information from your health plan when you have paid for that item or service in full out of pocket.
• Confidential communications. You may ask us to contact you in a specific way or at a specific location.
• Paper copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
• Breach notification. You will be notified if a breach occurs that may have compromised the privacy or security of your information.
• Choose someone to act for you. A personal representative with legal authority may exercise these rights on your behalf.

Our Duties

We are required to maintain the privacy of your health information, to provide this notice, and to abide by its terms. We reserve the right to change this notice and to make the revised notice effective for information we already hold as well as information we receive in the future. A current copy will be posted in the office and on this page.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with the practice, or with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.

Contact

To exercise any right described here, or to ask a question about this notice, contact our Privacy Officer at (989) 790-8009, or write to Mid-Michigan Foot & Ankle Center, 4224 State Street, Saginaw, MI 48603.

Effective Date

This notice is effective as of September 19, 2026.