NOTICE OF PRIVACY PRACTICES

Premier Advanced Practice Group
Effective Date: August 23, 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.

Our Responsibilities

Premier Advanced Practice Group is committed to protecting the privacy and security of your health information.

We are required by applicable law to maintain the privacy and security of protected health information (“PHI”), provide you with this Notice describing our legal duties and privacy practices, follow the terms of the Notice currently in effect, and notify affected individuals following a breach of unsecured protected health information when required by law.

How We May Use and Disclose Your Health Information

We may use or disclose your health information for purposes permitted or required by law, including:

Treatment. We may use and share your health information to provide, coordinate, or manage your healthcare. This may include sharing information with physicians, specialists, laboratories, pharmacies, hospitals, imaging facilities, or other healthcare professionals involved in your care.

Payment. We may use and disclose information as necessary for payment-related activities. Although Premier may operate on a self-pay basis, certain information may still be used for billing, payment processing, account administration, or other permitted payment activities.

Healthcare Operations. We may use and disclose your health information for activities necessary to operate the practice, including quality improvement, compliance activities, auditing, credentialing, training, business management, and evaluating the quality of care we provide.

Other Uses and Disclosures Permitted by Law

We may use or disclose your health information without your written authorization when permitted or required by law. Examples may include disclosures:

  • Required by federal, state, or local law

  • For public-health activities

  • To report suspected abuse, neglect, or domestic violence when authorized or required by law

  • For health oversight activities

  • In response to certain judicial or administrative proceedings

  • For certain law-enforcement purposes

  • To coroners, medical examiners, or funeral directors as permitted by law

  • For organ and tissue donation purposes

  • For certain research activities as permitted by law

  • To prevent or lessen a serious and imminent threat to health or safety

  • For certain government functions

  • For workers’ compensation or similar programs

  • As otherwise permitted or required by applicable law

Uses Requiring Your Authorization

Uses and disclosures of your protected health information that are not otherwise permitted or required by law generally require your written authorization.

Where required by law, we will obtain your authorization before using or disclosing PHI for marketing purposes, selling PHI, or using or disclosing certain specially protected information.

If you provide written authorization, you generally may revoke that authorization in writing at any time, except to the extent that we have already acted in reliance on it.

Your Rights Regarding Your Health Information

Subject to applicable law, you have certain rights concerning your protected health information.

Right to Inspect and Obtain a Copy

You may request access to or a copy of certain health information that we maintain about you, including an electronic copy when applicable. Certain limited exceptions may apply.

Right to Request a Correction

If you believe information in your medical record is incorrect or incomplete, you may request that we amend it. We may deny the request under circumstances permitted by law, but we will explain the reason for the denial.

Right to Request Confidential Communications

You may ask us to communicate with you about your health information in a particular way or at a particular location. We will accommodate reasonable requests as required by law.

Right to Request Restrictions

You may request restrictions on certain uses or disclosures of your health information. We are generally not required to agree to every requested restriction.

When applicable, if you pay for a healthcare item or service completely out of pocket and request that information about that item or service not be disclosed to your health plan for payment or healthcare operations, we will comply when required by law.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your protected health information made during the period permitted by law. The accounting does not include every type of disclosure.

Right to Receive a Copy of This Notice

You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Right to Choose Someone to Act for You

If another person has legal authority to make healthcare decisions for you or is your legally authorized personal representative, that individual may exercise applicable rights on your behalf after we verify their authority.

Your Right to File a Complaint

If you believe your privacy rights have been violated, you may submit a complaint directly to Premier Advanced Practice Group.

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 privacy complaint or exercising your privacy rights.

Changes to This Notice

We reserve the right to change the terms of this Notice and our privacy practices as permitted by law. Changes may apply to health information we already maintain as well as information received in the future.

The current Notice will be available through Premier Advanced Practice Group and posted on our website as applicable.

Contact Premier About Privacy Matters

For questions about this Notice, requests concerning your health information, or privacy complaints, contact:

Privacy Officer
Premier Advanced Practice Group
170 N Henderson Rd, Suite 310
King of Prussia, PA 19406
Phone: 215-967-9529
Email: info@premieradvancedpractice.com