Notice of Privacy Practices
Effective October 12, 2026. Supersedes the notice dated August 11, 2026.
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.
How We May Use and Share Your Health Information
Treatment. To provide, coordinate, or manage your care, including sharing with pharmacists, specialists, and other providers.
Payment. To bill insurance, verify coverage, process claims, and collect payment, using only the minimum information needed.
Health care operations. For quality review, staff training, licensing, compliance, and planning. Vendors receive information only under a HIPAA Business Associate Agreement.
AI-assisted documentation. With your permission, an AI tool may listen to your visit and draft your note. The vendor works under a Business Associate Agreement. You may say no at any time without affecting your care.
Appointment reminders. To contact you about scheduled care.
As required by law, including to the U.S. Department of Health and Human Services for compliance review.
Other Uses That Do Not Require Your Authorization
Family and caregivers. We may share information with people involved in your care or payment. If you are present and able to decide, we will ask you or give you a chance to object. If you are not present, cannot decide, or there is an emergency, we may share information directly related to their involvement when we judge it is in your best interest [45 CFR 164.510(b)].
Also allowed: reporting child abuse, neglect, or domestic violence; court orders and subpoenas; coroners, medical examiners, and funeral directors; medical emergencies and disaster relief; health oversight audits and licensing; law enforcement; public health activities such as disease control, births and deaths, recalls, and exposure notices; serious threats to health or safety; immunization records to schools; workers’ compensation; research with safeguards; organ and tissue donation; military, veterans, national security, and correctional institutions; and business associates under written agreement.
Special Protections
HIV and AIDS information, genetic information, mental health records, substance use treatment records, and Medicaid recipient information have extra protection under state and federal law. We follow those protections.
Uses That Require Your Written Authorization
Psychotherapy notes; mental health or drug and alcohol treatment records; marketing, including subsidized treatment communications; any sale of health information; and any use or disclosure not described in this Notice. You may revoke an authorization in writing at any time. Revoking does not affect information already shared. Contact our Privacy Officer to authorize or revoke.
Your Rights
- Access and copy. See and get a copy of your health information, on paper or electronically, or send a copy to someone you choose. Use our patient request form. We respond as soon as we can and no later than 30 days. A fee may apply as Illinois law allows. If we deny your request, we tell you why in writing, and you may ask for the denial to be reviewed.
- Amend. Ask us to correct your record. We may deny the request if we did not create the record, it is not in our records, or it is already accurate and complete. If we deny it, you may submit a statement of disagreement.
- Accounting of disclosures. Get a list of disclosures other than for treatment, payment, and operations for the past 6 years. One free list every 12 months.
- Restrictions. Ask us to limit how we use or share your information. We must agree not to share with your health plan a service you paid for in full out of pocket.
- Confidential communications. Ask us to contact you at a certain address or by a certain method. Email and text may not be secure.
- Paper copy. Get a paper or electronic copy of this Notice at any time.
- Breach notice. We will notify you in writing if your unsecured health information is breached.
To use any right, send a written request to admin@vitalityurgentcare.com or to either clinic.
Our Responsibilities
The law requires us to protect the privacy of your health information, to give you this Notice of our legal duties and privacy practices, and to follow the Notice currently in effect. We may change this Notice, and the change will apply to all information we keep. The current Notice is posted at both clinics and on our website. We will never retaliate against you for filing a complaint or using your rights.
How to File a Complaint
Contact our Privacy Officer, or file with the U.S. Department of Health and Human Services, Office for Civil Rights: hhs.gov/ocr/privacy/hipaa/complaints, 1-800-368-1019, TDD 1-800-537-7697, 200 Independence Ave SW, Washington, DC 20201.
Nondiscrimination and Language Help
Vitality Urgent Care follows federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Free interpreters and auxiliary aids are available. Call 224.601.5001. Civil rights complaints go to our Section 1557 Coordinator (Compliance Officer) at the same number.
Privacy Officer
Privacy Officer, Vitality Urgent Care, 56 W Dundee Rd, Buffalo Grove, IL 60089 | 224.601.5001 | Fax 224.333.7063 | admin@vitalityurgentcare.com
This Notice is provided under HIPAA [45 CFR Parts 160 and 164], Illinois law, and the Illinois Personal Information Protection Act [815 ILCS 530].
