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.

1. Who This Notice Applies To

This Notice applies to medical services provided to you through Sheba Health by affiliated medical groups and licensed providers, including Lilac Health PLLC (“Covered Entity”). While Sheba Health is not a medical provider, it facilitates communication and service delivery by these Covered Entities, who are subject to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

2. Our Legal Duty

We are required by law to:

• Maintain the privacy of your Protected Health Information (PHI)
• Provide you with this Notice of our legal duties and privacy practices
• Abide by the terms of the current Notice

3. Your Rights

You have the right to:

• Get a copy of your medical record
• Request a correction to your medical record
• Request confidential communications
• Ask us to limit the information we share
• Get a list of those with whom we’ve shared information
• Get a copy of this privacy notice
• File a complaint if you believe your rights are violated

To exercise any of these rights, please contact: privacy@shebahealth.com or the provider clinic that rendered your care.

4. How We Use and Share Your Information

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

1. Treatment

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

1. Payment

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

1. Healthcare Operations

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

5. Other Permitted Uses and Disclosures

We may also use or share your information for:

• Public health and safety issues (e.g., disease control, abuse reporting)
• Health research
• Compliance with the law or court orders
• Organ and tissue donation requests
• Medical examiner or funeral director involvement
• Workers’ compensation, law enforcement, and government requests

We will never sell your information or use it for marketing without your written consent.

6. Our Responsibilities

We are required to:

• Keep your health information private and secure
• Notify you if a breach compromises your information
• Only share the minimum necessary information

7. Changes to This Notice

We reserve the right to change the terms of this Notice and make the new Notice effective for all protected health information we maintain. Updates will be available at www.shebahealth.co/privacy.

8. Contact Information

If you have questions or complaints, contact:

Privacy Officer
Sheba Health, LLC. 
Attn: Privacy Officer
992 Brook Forest Ave, #1039
Shorewood, IL 60404
Telephone: (617)-505-1520
Email: privacy@shebahealth.co

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.