HIPAA Notice of Privacy Practices
PART 1: 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.
Effective date: 4/26/2026 Last revised: 4/26/2026
Our commitment to your privacy
Minneapolis Genetics, PLLC ("we," "us," "our," or "the Practice") is committed to protecting the privacy of your protected health information (PHI). PHI is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related healthcare services.
This Notice describes how we may use and disclose your PHI to carry out treatment, payment, and healthcare operations, and for other purposes that are permitted or required by law. It also describes your rights regarding your PHI.
We are required by law to:
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Maintain the privacy of your PHI
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Provide you with this Notice of our legal duties and privacy practices
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Notify you following a breach of unsecured PHI
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Abide by the terms of the Notice currently in effect
How we may use and disclose your PHI without your authorization
For treatment. We may use and disclose your PHI to provide genetic counseling services and to coordinate care with other healthcare providers involved in your treatment. For example, we may share information with your OB-GYN, midwife, maternal-fetal medicine specialist, reproductive endocrinologist, or fertility clinic to coordinate your care, and we may send a written summary of our session to your treatment team.
For payment. We may use and disclose your PHI to obtain payment for services. For example, if you request a superbill for out-of-network insurance reimbursement, we will include diagnosis and procedure codes that you submit to your insurer.
For healthcare operations. We may use and disclose your PHI for activities such as quality assessment, professional review, and business management of the Practice.
With your family or others involved in your care. With your verbal agreement, we may share PHI with a partner, spouse, parent, or other person you identify as involved in your care or healthcare decisions.
As required by law. We may disclose your PHI when required by federal, state, or local law. This includes:
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Public health activities (e.g., reporting communicable diseases or birth defects to public health authorities as required)
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Reports of suspected abuse, neglect, or domestic violence
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Health oversight activities (e.g., audits, investigations by licensing boards)
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Judicial and administrative proceedings (e.g., in response to a court order or subpoena, with appropriate safeguards)
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Law enforcement purposes as required by law
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Coroners, medical examiners, or funeral directors
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Organ and tissue donation, when applicable
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Research, with appropriate authorizations or institutional review
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To avert a serious threat to health or safety
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For workers' compensation or similar programs
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For specialized government functions (e.g., military, national security)
De-identified information. We may use and disclose information that has been de-identified in accordance with HIPAA, meaning it cannot reasonably be used to identify you.
Uses and disclosures that REQUIRE your written authorization
We will not use or disclose your PHI for the following purposes without your written authorization:
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Marketing communications that involve payment from a third party
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Sale of your PHI
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Most uses or disclosures of psychotherapy notes, if applicable
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Use of your genetic information for underwriting purposes by health plans (this is prohibited by GINA in addition to requiring authorization)
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Any other use or disclosure not described in this Notice
You may revoke a prior authorization in writing at any time, except to the extent we have already acted in reliance on it.
Your rights regarding your PHI
You have the following rights with respect to your PHI:
Right to access and obtain a copy. You may request to inspect and obtain a copy of your PHI in our records, including in electronic form if we maintain it electronically. We may charge a reasonable, cost-based fee. We will respond to your request within 30 days.
Right to request amendment. If you believe information in your record is incorrect or incomplete, you may request that we amend it. We may deny the request under certain circumstances, but you may submit a written statement of disagreement that becomes part of your record.
Right to an accounting of disclosures. You may request an accounting of certain disclosures of your PHI we have made for purposes other than treatment, payment, or healthcare operations.
Right to request restrictions. You may request that we restrict how we use or disclose your PHI. We are not required to agree to all restrictions, but we will agree to a request to restrict disclosure to a health plan if the disclosure is for payment or healthcare operations and the PHI relates solely to a service you have paid for in full out of pocket. (This applies to all of our self-pay services.)
Right to confidential communications. You may request that we communicate with you in a specific way or at a specific location (for example, by a particular email address or phone number).
Right to a paper copy of this Notice. Even if you have agreed to receive this Notice electronically, you may request a paper copy at any time.
Right to be notified of a breach. You have the right to be notified in the event of a breach of your unsecured PHI.
Right to file a complaint. See the Complaints section below.
To exercise any of these rights, contact our Privacy Officer using the contact information at the end of this Notice. Most requests must be submitted in writing.
Our practices regarding telehealth
All clinical sessions are conducted via a HIPAA-compliant video platform. Scheduling, intake, and secure messaging are managed through Jane, a HIPAA-compliant practice management system. We have signed Business Associate Agreements with all vendors who may receive or process your PHI on our behalf.
You are responsible for the privacy of your own physical environment during a telehealth session (e.g., a private space, headphones if desired). We cannot control whether others in your location can overhear your session.
Our duties
We are required by law to maintain the privacy of your PHI and to provide you with notice of our legal duties and privacy practices. We are required to abide by the terms of this Notice. We reserve the right to change the terms of this Notice and to make the new provisions effective for all PHI we maintain. If we make a material change, we will post the revised Notice on our website and make paper copies available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us by contacting our Privacy Officer (see below). You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
Office for Civil Rights, U.S. Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Phone: 1-877-696-6775 Web: www.hhs.gov/ocr/privacy/hipaa/complaints/
We will not retaliate against you for filing a complaint.
Privacy Officer contact
Vaish Subramani, MGC, LCGC Privacy Officer, Minneapolis Genetics, PLLC Email: office@minneapolisgenetics.com Phone: (612) 440-8269