HIPAA Notice of Privacy Practices

Effective Date: April 10, 2026

IASIS Boutique Health
Concierge Internal Medicine
10730 W 143rd St, Suite 33
Orland Park, IL 60462
Phone: (708) 722-4300

Your Information. Your Rights. Our Responsibilities.

This notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.

Your Rights

You have the right to:

Get a copy of your medical record

You can request to see or receive an electronic or paper copy of your medical record and other health information we maintain.

Request corrections

You can ask us to correct health information about you that you believe is incorrect or incomplete.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or send mail to a different address.

Ask us to limit what we use or share

You can request limits on how we use or disclose your information for treatment, payment, or operations.

Get a list of disclosures

You can request a list (accounting) of the times we’ve shared your health information.

Get a copy of this notice

You can request a paper copy of this notice at any time.

Choose someone to act for you

If you have given someone medical power of attorney, that person can exercise your rights.

File a complaint

If you believe your rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

Your Choices

You have some choices in how we use and share information:

• Sharing information with family, friends, or others involved in your care
• Sharing information in disaster relief situations
• Including your information in a directory (if applicable)

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treatment

We use your health information to provide, coordinate, and manage your care.

Payment

We may use and disclose your information to bill and receive payment for services.

Healthcare Operations

We use your information to improve our services, train staff, and manage operations.

Other Uses and Disclosures

We may also share your information:

• To comply with the law
• For public health and safety
• For health oversight activities
• For organ and tissue donation
• For research (when permitted)
• To respond to legal actions (court orders, subpoenas)

We will never share your information for marketing purposes or sell your data without your written consent.

Our Responsibilities

IASIS Boutique Health is required by law to:

• Maintain the privacy and security of your protected health information
• Notify you if a breach occurs
• Follow the duties and privacy practices described in this notice

Changes to This Notice

We reserve the right to change this notice and make the new notice apply to all information we maintain. Updated versions will be available on our website.

Contact Information

If you have questions or want to exercise your rights, contact:

IASIS Boutique Health

 10730 W 143rd St, Suite 33, Orland Park, IL 60462

(708) 722-4300