Privacy Policy
Ozark Surgical Group Notice of Privacy Practices
Effective Date: April 14, 2003
Last Updated: February 1, 2026
If you have questions about this notice or need more information, please contact our Privacy Officer:
Chasity Butler BA, CPC, CRC
Mailing Address: 901 Burnett Drive, Mountain Home, AR 72653
Telephone: 870-425-9120
Fax: 870-424-7666
About This Notice
We are required by law to protect the privacy and security of your Protected Health Information (PHI). This Notice of Privacy Practices explains how we may use and disclose your PHI, your rights regarding that information, and our legal responsibilities related to safeguarding it. PHI includes information that identifies you and relates to your health, health care services, or payment for those services.
You have specific rights concerning your PHI, and we have corresponding legal obligations. We are required to follow the terms of this Notice currently in effect and to provide you with a copy upon request. Please review this Notice carefully, as it describes how your medical information may be used and disclosed and how you can access that information.
What Is Protected Health Information (PHI)?
Protected Health Information (PHI) is information that individually identifies you and that we create, receive, or maintain in the course of providing health care services. PHI may be obtained directly from you or from other sources such as health care providers, health plans, employers, or health care clearinghouses.
PHI includes information related to:
Your past, present, or future physical or mental health or condition
The provision of health care services to you
The past, present, or future payment for the provision of health care services
This information may exist in written, electronic, or oral form and is protected by federal and state privacy laws.
How We May Use and Disclose Your PHI
We are permitted to use and disclose your PHI in certain situations without your written authorization, including:
For Treatment
We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This includes communication with other health care providers involved in your care.
For Payment
We may use and disclose your PHI to bill and collect payment for the services we provide to you. This may include sharing information with your insurance company or other third parties responsible for payment.
For Health Care Operations
We may use and disclose your PHI for administrative and operational purposes, such as quality assessment, staff training, licensing, and conducting or arranging for other business activities.
Other Permitted and Required Uses and Disclosures
We may also use or disclose your PHI without your authorization in the following situations:
As Required by Law – When required to comply with federal, state, or local laws
Public Health Activities – To report public health issues such as disease, injury, or disability
Health Oversight Activities – For audits, investigations, inspections, and licensure
Judicial and Administrative Proceedings – In response to a court order or legal process
Law Enforcement – For certain law enforcement purposes
Coroners, Medical Examiners, and Funeral Directors
Organ and Tissue Donation
Research – Under certain approved conditions
To Avert a Serious Threat to Health or Safety
Workers’ Compensation – As authorized by law
Uses and Disclosures Requiring Your Authorization
We will not use or disclose your PHI for the following purposes without your written authorization:
Marketing purposes
Sale of your PHI
Most uses and disclosures of psychotherapy notes
You may revoke your authorization at any time in writing, except to the extent that we have already acted on it.
Your Rights Regarding Your PHI
You have the following rights:
Right to Access
You have the right to inspect and obtain a copy of your PHI.
Right to Amend
You may request an amendment to your PHI if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions
You may request restrictions on certain uses and disclosures of your PHI.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way (e.g., at a different address or phone number).
Right to a Paper Copy
You have the right to receive a paper copy of this Notice upon request.
Our Responsibilities
We are required to:
Maintain the privacy and security of your PHI
Provide you with this Notice of our legal duties and privacy practices
Notify you if a breach occurs that may have compromised your information
Follow the terms of this Notice currently in effect
Changes to This Notice
We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain. The updated Notice will be available upon request and posted in our office.
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. You will not be penalized for filing a complaint.
PDF of Privacy Policy