This notice describes how medical information about you may be used and disclosed, and how you can get access to this information.
PLEASE REVIEW THIS NOTICE CAREFULLY. This notice tells you about the ways we may use and disclose medical information about you and describes your rights and our obligations regarding the use and disclosure of that information.
This Notice of Privacy Practices applies to Aleman Family Care Center ("we," "us," or "our practice"), located at 3529 W National Ave, Milwaukee, WI 53215. We are committed to maintaining the privacy of your protected health information ("PHI") and to complying with all applicable federal and state privacy laws, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations.
We understand that health information about you and your health is personal. We are committed to protecting that information. We create a record of the care and services you receive at our practice. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by our practice.
We are required by law to:
The following categories describe different ways that we use and disclose medical information. Not every use or disclosure in a category will be listed; however, all of the ways we are permitted or required to use and disclose information will fall within one of the categories.
We may use your health information to provide you with medical treatment or services. We may disclose your health information to physicians, nurses, medical students, or other health care professionals who are involved in taking care of you. For example, your primary care physician may share information about your condition with a specialist to whom we refer you, or with a laboratory that processes your bloodwork. Different departments of our practice may also share medical information about you in order to coordinate care.
We may use and disclose your health information so that the treatment and services you receive may be billed to and payment collected from you, an insurance company, or a third party. For example, we may need to give your health plan information about a service so your health plan will pay us or reimburse you for the service.
We may use and disclose your health information for health care operations. These uses and disclosures are necessary to run our practice and make sure that all of our patients receive quality care. For example, we may use your health information to review our treatment and services and to evaluate the performance of our staff in caring for you.
We may use and disclose medical information to contact you as a reminder that you have an appointment, or to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you.
We will disclose medical information about you when required to do so by federal, state, or local law.
We may disclose your health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. This includes the following:
We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
We may release medical information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, summons, or similar process; to identify or locate a suspect, fugitive, material witness, or missing person; about the victim of a crime; about a death we believe may be the result of criminal conduct; about criminal conduct at our practice; or in emergency circumstances to report a crime.
We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye, or tissue transplantation, or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.
If you are a member of the armed forces, we may release medical information about you as required by military command authorities.
We may release medical information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illness.
Under certain circumstances, we may use and disclose medical information about you for research purposes when the research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.
We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients of the hospital to funeral directors as necessary to carry out their duties.
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us with permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reason covered by your written authorization, except to the extent that we have already taken action in reliance on your permission.
We will obtain your written authorization before using or disclosing your PHI for the following purposes:
You have the following rights regarding medical information we maintain about you:
You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually, this includes medical and billing records. To inspect and copy medical information, you must submit your request in writing to our Privacy Officer. We may charge a fee for the costs of copying, mailing, or other supplies associated with your request. We may deny your request to inspect and copy in certain limited circumstances.
If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our practice. To request an amendment, your request must be made in writing and submitted to our Privacy Officer. You must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request.
You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of medical information about you for purposes other than treatment, payment, and health care operations. To request this list or accounting of disclosures, you must submit your request in writing to our Privacy Officer. Your request must state the time period, which may not be longer than six years prior to the date of the request.
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. We are not required to agree to your request, except in the case where you are paying out-of-pocket in full for a specific service and you request that we not disclose the information to your health plan.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we contact you only at work or only by mail. Your request must specify how or where you wish to be contacted. We will accommodate all reasonable requests.
You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. You may obtain a copy of this notice at our website at alemanfamilycare.com or by contacting our office.
You have the right to receive notice in the event of a breach of your unsecured protected health information. We will notify you of such a breach without unreasonable delay and in no case later than 60 days following discovery of the breach.
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our office and on our website. The notice will contain at the top the effective date so you will know it is the current notice.
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact our Privacy Officer in writing. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Aleman Family Care Center
3529 W National Ave, Milwaukee, WI 53215
Phone: (414) 231-9501
Fax: (414) 676-6557
Email: info@alemanfamilycare.com
To file a complaint with the U.S. Department of Health and Human Services, contact the Office for Civil Rights at hhs.gov/ocr or call 1-800-368-1019.
To the extent that we maintain records relating to the treatment of substance use disorders, those records are protected by federal confidentiality rules (42 CFR Part 2). These records may not be disclosed without your written consent unless otherwise permitted by 42 CFR Part 2. The regulations restrict any use of the information to criminally investigate or prosecute any patient with a substance use disorder.
This Notice of Privacy Practices is effective as of September 1, 2026. Aleman Family Care Center · 3529 W National Ave, Milwaukee, WI 53215