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Patient and Nurse

Notice of Privacy Practices

Effective Date: January 1, 2025
Website: www.C3cares.com
Phone: 202-888-6440

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.
Our Commitment to Your Privacy: 
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At Community Concierge Care (C3 Cares), we are committed to protecting your health information. We are required by law to maintain the privacy of your protected health information (PHI), provide you with this Notice, and abide by the practices described here.

How We May Use and Disclose Your Health Information

We may use or disclose your health information for the following purposes without your written authorization:

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1. Treatment

To provide, coordinate, or manage your medical care. For example, we may share information with other healthcare providers or specialists.

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2. Payment

To obtain payment for the services we provide. This includes billing your health insurance plan and providing necessary information to them.

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3. Healthcare Operations

To operate our clinic efficiently, such as for quality improvement, staff training, and audits.

Other Uses and Disclosures Without Authorization

We may also use or disclose your PHI in certain situations including:

  • Public Health Activities (e.g., reporting diseases or adverse drug reactions)

 

  • Health Oversight Activities (e.g., audits or investigations by health agencies)

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  • Judicial and Administrative Proceedings (e.g., court orders or subpoenas)

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  • Law Enforcement Purposes

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  • To Prevent a Serious Threat to Health or Safety

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  • Workers’ Compensation Claims

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  • Organ and Tissue Donation Requests

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  • Medical Examiners or Funeral Directors

Uses and Disclosures That Require Your Authorization

We must obtain your written authorization for:

  • Most uses and disclosures of psychotherapy notes

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  • Marketing and sale of PHI

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  • Sharing information with family or friends for non-care purposes

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  • You may revoke your authorization at any time in writing, except where we have already relied on it.

Your Rights Regarding Your Health Information

 

You have the right to:

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  • Access:  Request to view or get a copy of your medical record.

  • Amend:  Request a correction to your health record if you believe it is incorrect or incomplete.

  • Restrict:  Request restrictions on how your PHI is used or shared. We are not required to agree, except in cases involving out-of-pocket payments.

  • Confidential Communications:  Request that we contact you in a specific way (e.g., only by mail or phone).

  • Accounting of Disclosures:  Receive a list of disclosures of your PHI made in the last 6 years, excluding those made for treatment, payment, and operations.

  • Paper Copy:  Receive a paper copy of this Notice, even if you’ve agreed to receive it electronically.

Our Responsibilities:

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  • We are required by law to protect your PHI.

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  • We will notify you promptly if a breach occurs that may have compromised your information.

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  • We will not use or disclose your PHI without your authorization except as described in this Notice.

Changes to This Notice

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​We reserve the right to change this notice and the revised version will apply to all health information we maintain.

 

You can always find the current version on our website or request a printed copy.​

Questions or Complaints?

 

If you have questions, concerns, or believe your privacy rights have been violated, contact:

 

Privacy Officer for Community Concierge Care (C3 Cares)
Lisa Lindstrom, FNP, PMHNP, Medical Director

202-888-6440 or by mail at C3 Cares,1231 Marion Barry Ave SE, Washington DC 20020

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You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect the care you receive from us.

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Acknowledgment of Receipt
You will be asked to sign a separate form acknowledging you received this Notice.

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