Notice of Privacy Practices
Effective Date: April 1st, 2025
ClearCardio LLC | John Osborne, MD
4343 N Josey Ln, Carrollton, TX 75010
Phone: 432-200-0579 | Fax: 817-704-4404
Your Information. Your Rights. Our Responsibilities.
This notice describes how your medical information may be used and disclosed by ClearCardio LLC, and how you can access this information. It is provided in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Texas Medical Privacy Act (Texas Health & Safety Code, Chapter 181). Please review it carefully.
Your Rights
When it comes to your health information, you have certain rights under HIPAA andTexas law. You have the right to:
● Get a copy of your medical record (electronic or paper)
● Request corrections to your record if it is incorrect or incomplete
● Request confidential communication, such as being contacted only at a certain phone number or address
● Request limits on how your information is used or shared for treatment, payment, or healthcare operations
● Get a list (accounting) of those with whom we’ve shared your information
● Get a copy of this privacy notice at any time
● Designate someone to act for you if you have given them medical power of attorney or they are your legal guardian
● File a complaint without fear of retaliation if you believe your privacy rights have been violated
These rights are guaranteed under 45 C.F.R. §§ 164.502, 164.524–528 and Texas Health & Safety Code §§ 181.102, 241.153
Your Choices Regarding How We Share Information
In certain situations, you have the right to decide how we share your health information. If you have a clear preference, please inform us. We will follow your instructions to the extent allowed by law.
You may choose whether or not we:
● Share your information with family members, close friends, or others involved in your care
● Share your information with organizations involved in disaster relief efforts
● Include your information in any patient directory (if applicable)
If you are unable to communicate your preferences—for example, if you are unconscious—we may share your information if, in our professional judgment, doing so is in your best interest. We may also share your information when necessary to prevent a serious and imminent threat to your health or safety or the health and safety of others. (Tex. Health & Safety Code § 181.154(c); 45 C.F.R. § 164.510)
We will not share your information in the following circumstances without your explicit written authorization:
● For marketing purposes, including communications that encourage you to purchase or use a product or service
● For the sale of your health information to a third party
● For most disclosures of psychotherapy notes, as defined by HIPAA
Our Typical Uses and Disclosures
We may use or share your health information in the following ways, as permitted by law:
Treatment
To provide you with medical care and coordinate services with other healthcare providers involved in your care.
Payment
ClearCardio may use your health information to collect payment for services rendered. This includes sharing information as needed with billing processors, collection services, or authorized third-party payers (such as a health savings account administrator, employer, or legal representative).
Please note: ClearCardio does not submit claims to insurance companies. While we do not handle insurance billing, we may provide you with appropriate documentation so that you can submit claims directly to your insurance provider, if desired.
Your information may be used to:
● Confirm the services you received
● Generate invoices or receipts
● Pursue payment directly from you or a third party on your behalf
These activities are permissible under HIPAA (45 C.F.R. § 164.506) and Texas Health & Safety Code § 181.154(b) as part of healthcare operations and financial administration.
Healthcare Operations
To manage ClearCardio’s internal operations, such as quality improvement, staff training, and business management. (45 C.F.R. § 164.506; Texas Health & Safety Code § 181.154(b))
Other Permitted or Required Disclosures
We may also share your information:
● For public health and safety (e.g., disease prevention, product recalls, abuse reporting)
● With health oversight agencies and law enforcement, when required
● For organ donation and with medical examiners or funeral directors
● For workers’ compensation, military, or national security purposes
● To comply with court orders or legal actions (Tex. Health & Safety Code § 181.153; Tex. Occ. Code § 159.004; 45 C.F.R. § 164.512)
We will only release this information with your explicit written authorization unless required by law.
(45 C.F.R. § 164.502; Tex. Health & Safety Code §§ 181.102, 81.103, 611.004; Tex. Insurance Code § 546.051)
Authorization Requirements and Limitations
As defined in Texas Health & Safety Code § 181.001 and 45 C.F.R. § 164.508, ClearCardio must obtain a signed authorization from you or your legally authorized representative before disclosing your protected health information electronically, unless the disclosure is for treatment, payment, healthcare operations, or otherwise permitted by law.
You may revoke any authorization at any time in writing, except when disclosures have already occurred in reliance on that authorization.
Fees for Records
You have the right to access your records. In accordance with Texas Health & Safety Code § 241.154 and 45 C.F.R. § 164.524(c)(4), a reasonable, cost-based fee may apply for processing, retrieving, or copying your health records.
Our Responsibilities
ClearCardio is required by law to:
● Maintain the privacy and security of your protected health information
● Provide you with this Notice of Privacy Practices
● Notify you in the event of a breach of your information
(Tex. Health & Safety Code § 181.206; 45 C.F.R. § 164.404)
● Follow the terms of this notice and not share your information without your consent unless the law allows it
● Ensure compliance with all applicable provisions of HIPAA, the Texas Medical Privacy Act, and other state regulations
How to File a Complaint or Get Help
If you believe your privacy rights have been violated, you may contact:
JD Enright, Sr.
ClearCardio LLC
Phone: 432-200-0579
Email: [email protected]
Or file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Ave. SW, Washington, D.C. 20201
Phone: 1-877-696-6775
www.hhs.gov/ocr/privacy/hipaa/complaints
We will never retaliate against you for filing a complaint.
Changes to This Notice
ClearCardio reserves the right to revise this notice. Any changes will apply to all health information we maintain and will be made available in our office and on our website.
