HIPAA Notice of Privacy Practices
Effective Date: January 14, 2026
This notice applies to all records created or maintained by SilverLake ER in connection with the care and services we provide.
Understanding Protected Health Information (PHI)
Protected Health Information means information about you, including details that may identify you and that relates to:
- Your state of health.
- The medical care you receive.
- Payment for healthcare services.
We are required by law to maintain the privacy of this information and to provide you with notice of our legal duties and privacy practices with respect to your PHI.
How We Use Health Information About You
Medical Care & Treatment
Your health information may be used or shared to diagnose you, treat you, or provide better care. This will involve sharing information with doctors, nurses, specialists and other provider agencies such as laboratories and pharmacies involved in your treatment.
Billing & Insurance Purposes
We may use your PHI for billing purposes and to collect payment from Third Parties, such as health plans, insurance companies or other individuals or entities that are responsible for paying for services. This could include checking benefits or getting approval for treatment.
Operational & Administrative Activities
Your Personal Information may be used by us to carry out necessary healthcare operations such as:
- Quality assurance and performance reviews of healthcare professionals.
- Healthcare Staff training and education.
- Accreditation, licensing, and audits.
- Improving patient care and services.
- Such actions that contribute to the safety, quality, and legality of care delivered.
Situations Where Disclosure Is Allowed Without Authorization
We may release your PHI without your written authorization when it is required or allowed by law, such as:
Legal obligations: Complying with laws, regulations, or obligations under an order of a court or government agency.
Public health: Notification of disease, adverse event, or abuse.
Requests from law enforcement: When compelled by legal process.
Legal proceedings: Court orders or subpoenas.
Others: Health & safety emergencies, organ donation coordination, Workers’ compensation claims.
Your Privacy Rights
You have the right of:
Access to Records
You have the right to access or ask for a copy of your health information. Reasonable fees for copying, mailing or other supplies associated with your requests may apply.
Private Communications
You have the right to be notified in the event of us discovering a breach of your unsecured health information. Plus, you can request that we communicate with you about your health information in a specific way or at specific locations
Copy of This Notice
You have the right to request a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
Accounting of Disclosures
You have the right to request a list of certain disclosures of your protected health information made by us, excluding disclosures made for treatment, payment, healthcare operations, and other disclosures permitted by law.
Limits on Use or Sharing
You have the right to request that we limit how your health information is used or disclosed. Although it’s not binding on us, we may still agree to your request unless the information is important for emergency treatment. If you have paid for a service in full out-of-pocket, you may request that we not disclose information about that service to your health plan.
Private Communications
You have the right to be notified in the event of us discovering a breach of your unsecured health information. Plus, you can request that we communicate with you about your health information in a specific way or at specific locations.
Our Legal Responsibilities
SilverLake ER has a legal obligation to:
- Protect your health information privacy.
- Abide by the terms of this Notice.
- Notify you if there is a breach of your PHI.
- Updating this Notice when there is a material change to privacy practices.
The notice also will apply to any of your PHI in our possession and will be made available upon request.
Concerns or Complaints
If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
Contact Our Privacy Officer
SilverLake ER
Privacy Officer
2752 Sunrise Blvd, Pearland, TX 77584
Phone: (713) 528-8703
Contact the U.S. Department of Health & Human Services
Office for Civil Rights
Phone: 1-877-696-6775
Website: hhs.gov/ocr/privacy/hipaa/complaints
Any Question About This Notice?
If you have questions or need additional information regarding this Notice or your privacy rights, please contact our Privacy Officer using the details above.
References
This Notice of Privacy Practices is issued in accordance with:
- Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191.
- HIPAA Privacy Rule, 45 C.F.R. Parts 160 and 164, Subparts A and E.
- HIPAA Security Rule, 45 C.F.R. Part 160 and Subparts A and C of Part 164.
- HIPAA Breach Notification Rule, 45 C.F.R. §§ 164.400–414.
U.S. Department of Health and Human Services, Office for Civil Rights (OCR).