Notice of Privacy Practices
Bloom La Vie Health9787 N Cedar AveKansas City, MO 64157THIS 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.
Bloom La Vie Health (“we,” “us,” or “our practice”) is required by law to maintain the privacy of your protected health information (PHI) and to provide you with this Notice of Privacy Practices. This notice explains how we may use and disclose your medical information, your rights regarding that information, and our legal duties. We are required to abide by the terms of this notice currently in effect.
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 a copy of your medical record and other health information we hold about you. We will provide a copy or a summary, usually within 30 days of your request, and may charge a reasonable, cost-based fee.
- Ask us to correct your medical record. You can ask us to correct health information you think is incorrect or incomplete. We may say no to your request, but we will tell you why in writing within 60 days.
- Request confidential communications. You can ask us to contact you in a specific way — a particular phone number or address, for instance. 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, and may say no if it would affect your care. If you pay for a service out of pocket in full and ask us not to share that information with your health insurer, we will say yes unless a law requires us to share it.
- Get a list of those with whom we have shared information. You can ask for an accounting of the times we have shared your health information, for the six years before the date you ask, who we shared it with and why. We will include all disclosures except those for treatment, payment and health care operations, and certain other disclosures. One accounting a year is free; we may charge a reasonable, cost-based fee for any others.
- 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 it electronically. We will provide one promptly.
- Choose someone to act for you. If you have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will verify that person has this authority before we take any action.
- File a complaint if you feel your rights are violated. You can complain to us using the contact details at the foot of this notice, or to the U.S. Department of Health and Human Services Office for Civil Rights. 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. Talk to us about how you want us to share your information in these cases, and we will follow your instructions.
- You can tell us whether to. share information with your family, close friends or others involved in your care; share information in a disaster relief situation; or include your information in a clinic 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 or needed to lessen a serious and imminent threat to health or safety.
- We never share your information. for marketing purposes, we never sell it, and we never share psychotherapy notes, without your written permission.
How We Typically Use Or Share Your Health Information
We typically use or share your health information in the following ways.
- To treat you. We use your health information to provide your care, and share it with other professionals who are treating you — a specialist we refer you to, or the laboratory running your panel.
- To run our practice. We use and share your health information to run our practice, improve your care and contact you when necessary.
- To bill for your services. We use and share your health information to bill and take payment from health plans or other entities, where that applies to your care with us.
How Else We May 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 — and we have to meet many conditions in the law before we can do so.
- Public health and safety. We may share your information to prevent disease, help with product recalls, report adverse reactions to medications, report suspected abuse, neglect or domestic violence, and prevent or reduce a serious threat to anyone’s health or safety.
- Research. We may use or share your information for health research.
- Complying with the law. We will share your information if state or federal law requires it, including with the Department of Health and Human Services if it wants to check that we are complying with federal privacy law.
- Organ and tissue donation, and medical examiners. We may share your information with organ procurement organizations, and with a coroner, medical examiner or funeral director when a person dies.
- Workers’ compensation, law enforcement and government requests. We may use or share your information for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security and presidential protective services.
- Lawsuits and legal actions. We may share your information 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, and to let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices. described in this notice, and give you a copy of it. We will not use or share your information other than as described here unless you tell us in writing that we may. If you tell us we may, you can change your mind at any time by letting us know in writing.
Changes To The Terms Of This Notice
We can change the terms of this notice, and the changes will apply to all information we hold about you. The new notice will be available on request, in our clinic and on this page.
Questions Or Complaints
To exercise any of the rights above, to ask for a paper copy of this notice, or to make a complaint, contact us at 9787 N Cedar Ave, Kansas City, MO 64157, by phone on 816-408-3717, or by email at support@bloomih.com.
You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

