MAT’S Clinic LLC – HIPAA Notice

Effective Date: May 14, 2025

This notice describes how medical information about you 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
• Ask us to correct incorrect or incomplete health information
• Request confidential communication (e.g., to be contacted at a different phone or address)
• Ask us to limit what we use or share (for example, not sharing with your insurance if you self-pay in full)
• Get a list of who we’ve shared your information with
• Get a paper copy of this notice at any time
• Choose someone to act on your behalf (medical power of attorney)
• File a complaint without fear of retaliation if you believe your rights have been violated

Your Choices

You can decide how we:

• Share your information with family or friends involved in your care
• Share information in a disaster relief situation
• Contact you for fundraising
• Use your information for marketing or sale (only with written permission)

Our Uses and Disclosures

We may use and share your health information to:

• Treat you (coordinate your care with other healthcare professionals)
• Run our operations (improve quality, manage the clinic, contact you)
• Bill for your services (insurance claims or payment processing)

We are also allowed or required to share your information in other ways:

• Public health and safety (report abuse, prevent disease, etc.)
• Research (with safeguards)
• Comply with the law (as required by federal/state authorities)
• Respond to court orders or subpoenas
• Coordinate organ or tissue donation
• Work with medical examiners or coroners
• Support workers’ comp and law enforcement efforts

Our Responsibilities

• We are required by law to protect your health information
• We will notify you if a breach occurs that compromises your data
• We must follow the practices described in this notice
• We will not use or share your information without written permission unless permitted by law

Contact Us

If you have questions or complaints contact: 

Privacy Officer

MAT’s Clinic, LLC

624 Connell Park Ln, Ste A, Baton Rouge, LA 70806

Phone: 225-468-6287

Email: info@matsclinic.com 

To file a complaint with the U.S. Department of Health & Human Services:
Visit: www.hhs.gov/ocr/privacy/hipaa/complaints