HIPAA Notice of Privacy Practices

Effective Date: March 17, 2026

Your Information. Your Rights. Our Responsibilities.

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.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an Electronic or Paper Copy of Your Medical Record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask Us to Correct Your Medical Record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request Confidential Communications

You can ask us to contact you in a specific way, such as at home, at the office, or by cell phone, or to send mail to a different address.
We will say “yes” to all reasonable requests.

Ask Us to Limit What We Use or Share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no,” for example, if it could affect your care. If we agree to your request, we may still share this information in the event that you need emergency treatment.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a List of Those With Whom We’ve Shared Information

You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures, such as any you asked us to make.
We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a Copy of This Privacy Notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose Someone to Act for You

If someone has authority to act as your personal representative, such as if someone has your medical power of attorney or is your legal guardian, that person can exercise your rights and make choices about your health information.
We will make sure the person has this authority and can act for you before we take any action.

File a Complaint if You Feel Your Rights Are Violated

You can complain if you feel we have violated your rights by contacting us using the information provided by our organization.
You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to:200 Independence Avenue, S.W.
Washington, D.C. 20201You may also call 1-877-696-6775 or visit the HHS Office for Civil Rights complaint website.
We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In These Cases, You Have the Right and Choice to Tell Us To:

Share information with your family, close friends, or others involved in your care or payment for your care.
Share information in a disaster relief situation.
Include your information in a hospital directory.

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In These Cases, We Never Share Your Information Unless You Give Us Written Permission:

Marketing purposes.
Sale of your information.
Most sharing of psychotherapy notes.

Fundraising

We may contact you for fundraising efforts, but you can tell us not to contact you again.

If we have your substance use disorder patient records, subject to 42 CFR Part 2, we will give you clear and obvious notice in advance and a choice about whether to receive fundraising communications that use your Part 2 information.

Our Uses and Disclosures

How Do We Typically Use or Share Your Health Information?

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

Treat You

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run Our Organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

Bill for Your Services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

How Else Can We Use or Share Your Health Information?

We are allowed or required to share your information in other ways—usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR Part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without:

Your consent; or
A court order and a subpoena.

Help With Public Health and Safety Issues

We can share health information about you for certain situations, such as:

Preventing disease.
Helping with product recalls.
Reporting adverse reactions to medications.
Reporting suspected abuse, neglect, or domestic violence.
Preventing or reducing a serious threat to anyone’s health or safety.

Do Research

We can use or share your information for health research.

Comply With the Law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to Organ and Tissue Donation Requests

We can share health information about you with organ procurement organizations.

Work With a Medical Examiner or Funeral Director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address Workers’ Compensation, Law Enforcement, and Other Government Requests

We can use or share health information about you:

For workers’ compensation claims.
For law enforcement purposes or with a law enforcement official.
With health oversight agencies for activities authorized by law.
For special government functions such as military, national security, and presidential protective services.

Respond to Lawsuits and Legal Actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

We are required by law to:

Maintain the privacy and security of your protected health information.
Let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
Follow the duties and privacy practices described in this notice and give you a copy of it.
Not use or share your information other than as described in this notice unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information, please see the HHS information regarding the Notice of Privacy Practices.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you.

The new notice will be available upon request, in our office, and on our website.

Important Information to Complete This Notice

Before publishing this Notice, the organization should add:

The Effective Date of this Notice.
The name or title of the privacy official or other privacy contact.
The privacy contact’s email address and phone number.
Any special notes that apply to the organization’s practices, such as whether the organization never markets or sells personal information.
Any applicable state or other laws that require greater limits on disclosures.
If applicable, information about an online patient portal that provides patients with access to their health information.
If applicable, information about an OHCA (organized health care arrangement), including the entities and service locations covered by the joint notice.

Health Information Exchange (HIE) — CRISP

Call Doctor Packer Telemedicine participates in the Chesapeake Regional Information System for our Patients (CRISP), a regional health information exchange serving Maryland and the surrounding region.

As permitted by applicable law, health information may be shared through CRISP to facilitate timely access to information, improve coordination of care, and support authorized healthcare and public health activities.

Authorized providers involved in your care may be able to access information made available by participating hospitals, healthcare providers, laboratories, pharmacies, and other authorized sources.

Patients may choose to opt out of CRISP health information exchange sharing.

For information about CRISP, your privacy rights, or how to opt out, visit:

CRISP: https://www.crisphealth.org/

You may also contact CRISP Patient Support at 1-877-952-7477.

Maryland Prescription Drug Monitoring Program (PDMP)

Authorized healthcare providers may access prescription information through the Maryland Prescription Drug Monitoring Program when permitted or required by law.

This may include information about controlled dangerous substances and other prescription information used for medication safety and appropriate prescribing.

Opting out of general CRISP health information exchange sharing does not prevent information required by law, including applicable public health reporting and Maryland PDMP information, from remaining available to authorized users as permitted or required by law.

Information Subject to Additional Protections

Certain health information may be subject to additional federal or state privacy protections. We will use or disclose that information only as permitted by applicable law.

If we create or maintain substance use disorder patient records protected by 42 CFR Part 2, those records receive additional protections.

We will not use or disclose Part 2-protected records in civil, criminal, administrative, or legislative proceedings against you without your written consent or a court order and subpoena that meet applicable legal requirements.

Any fundraising communication using Part 2 information will provide the notice and choice required by law.

Additional Information

If you have questions about this Notice or your privacy rights, please contact:

Call Doctor Packer Telemedicine, LLC
9175 Guilford Rd, STE 140
Columbia, MD 21046
Phone:410-512-9202
Email: customerservice@calldoctorpackertelemedicine.com

You may request a paper copy of this Notice at any time.

Please review this Notice carefully and contact us if you have questions about how your health information may be used or disclosed.