Notice of Privacy Practices
Effective Date: August 29, 2026
Your Information. Your Rights. Our Responsibilities.
This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can access that information.
Please review it carefully.
Pikes Peak ENT is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI), provide you with this notice describing our legal duties and privacy practices, and follow the terms of the notice currently in effect.
Your Rights
When it comes to your health information, you have certain rights.
Get a copy of your medical record
You have the right to inspect and obtain a copy of your health information, including your medical and billing records, subject to certain limitations under applicable law.
Ask us to correct your medical record
You may ask us to correct health information that you believe is incorrect or incomplete. We may deny your request in certain circumstances. If we deny your request, we will explain why.
Request confidential communications
You may ask us to contact you in a specific way or at a specific location. For example, you may ask us to contact you at a particular telephone number or address.
We will consider reasonable requests.
Ask us to limit what we use or share
You may ask us not to use or share certain health information for treatment, payment, or healthcare operations.
We are not required to agree to every request.
If you pay for a healthcare service entirely out of pocket and in full, you may ask us not to share information about that service with your health plan for purposes of payment or healthcare operations, and we will honor that request unless disclosure is required by law.
Get a list of disclosures
You have the right to request an accounting of certain disclosures of your health information made by us during the six years before the date of your request.
Certain disclosures are not included, such as disclosures made for treatment, payment, healthcare operations, and disclosures you authorized.
Get a copy of this notice
You have the right to request a paper copy of this notice at any time. You may also obtain an electronic copy through this website.
Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information.
We will verify that the person has appropriate authority to act on your behalf.
File a complaint
If you believe your privacy rights have been violated, you may file a complaint with Pikes Peak ENT or with the U.S. Department of Health and Human Services Office for Civil Rights.
You will not be retaliated against for filing a complaint.
Your Choices
For certain health information, you can tell us your preferences about what we share.
You may ask us to:
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Share information with a family member, close friend, or another person involved in your care or payment for your care.
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Contact you in a specific way or at a specific location.
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Limit certain information we share.
If you have a clear preference regarding how we communicate with you or share information with someone involved in your care, please let us know.
How We May Use and Share Your Health Information
We may use or disclose your health information without your written authorization when permitted or required by law for the following purposes:
Treatment
We may use and share your health information to provide, coordinate, or manage your healthcare and related services.
For example, we may share relevant information with another healthcare professional involved in your care.
Payment
We may use and share your health information to obtain payment for healthcare services.
For example, we may provide information to your health plan to determine eligibility or coverage, process claims, or obtain payment.
Healthcare Operations
We may use and share your health information as necessary to operate our practice, improve the quality of care, coordinate services, and carry out other healthcare operations permitted by law.
Appointment Reminders and Healthcare Communications
We may use your contact information to contact you regarding appointments, scheduling, healthcare services, and other communications related to your care.
Individuals Involved in Your Care
We may share relevant health information with a family member, close friend, or another person you identify as being involved in your care or payment for your care when permitted by law.
Required by Law
We may use or disclose your health information when required by federal, state, or local law.
Public Health
We may disclose health information for public health activities when permitted or required by law.
Health Oversight
We may disclose health information to appropriate government agencies for activities authorized by law, including audits, investigations, inspections, and licensing activities.
Serious Threats to Health and Safety
We may use or disclose health information when necessary to prevent or lessen a serious and imminent threat to the health or safety