Privacy Policy

Privacy Policy

Sandy Springs Pediatrics and Adolescent Medicine, PC NOTICE OF PRIVACY PRACTICES

Effective Date: 10/1/2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOUR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

If you have questions about this Notice, please contact our Privacy Officer: 

Natasha Hishaw 6100 Lake Forrest Dr. Suite 100, Sandy Springs GA 30328, 404-252-4611

1. Our Commitment to Your Privacy

Sandy Springs Pediatrics and Adolescent Medicine, PC is committed to protecting the privacy of your child’s health information. We are required by law to maintain the privacy of protected health information (PHI), provide you with this Notice describing our legal duties and privacy practices, and follow the terms of the Notice currently in effect.

2. Who This Notice Applies To

This Notice applies to Sandy Springs Pediatrics and Adolescent Medicine, PC, including its physicians, nurse practitioners, physician assistants, nurses, medical assistants, billing personnel, administrative staff, trainees, volunteers, and other individuals who may have access to PHI as part of providing or supporting your child’s care.

3. How We May Use and Disclose Your Child’s Health Information

We may use or disclose your child’s PHI without your written authorization for the following purposes, as permitted or required by law:

Treatment

We may use and disclose PHI to provide, coordinate, or manage your child’s medical care. For example, we may share information with another healthcare professional involved in your child’s treatment.

Payment

We may use and disclose PHI to obtain payment for healthcare services. Examples include submitting claims to health plans, verifying insurance coverage, determining eligibility or benefits, and responding to payer requests.

Healthcare Operations

We may use and disclose PHI for activities necessary to operate our practice and maintain the quality of care, such as quality assessment, staff training, credentialing, audits, compliance activities, and business management.

Persons Involved in Your Child’s Care

Unless prohibited by law, we may disclose relevant PHI to a parent, legal guardian, caregiver, or another person you identify as being involved in your child’s care or payment for care. We may also disclose information when you are present and agree, or when it is reasonable to infer from the circumstances that you do not object.

Appointment Reminders and Health-Related Communications

We may use PHI to contact you about appointments, prescription or treatment reminders, follow-up care, treatment alternatives, or health-related services that may be of interest to you.

Other Uses and Disclosures Required or Permitted by Law

We may use or disclose PHI when required or permitted by applicable federal, state, or local law. Examples may include disclosures for public health activities, reporting suspected abuse or neglect, health oversight activities, judicial or administrative proceedings, law enforcement purposes, workers’ compensation, and to prevent or lessen a serious and imminent threat to health or safety, when permitted by law.

4. Uses and Disclosures Requiring Your Written Authorization

Most uses and disclosures of psychotherapy notes, uses and disclosures for marketing, and disclosures that constitute a sale of PHI require your written authorization, except where otherwise permitted by law. Other uses and disclosures not described in this Notice will be made only with your written authorization when required.

You may revoke an authorization in writing at any time, except to the extent we have already relied on it. Revocation does not affect disclosures already made based on the authorization.

5. Your Rights Regarding Your Child’s Health Information

Depending on applicable law and the circumstances, you or your child’s legally authorized representative may have the following rights:

  • Right to inspect and obtain a copy of PHI. You may request access to health information maintained by us, subject to certain legal limitations.
  • Right to request an amendment. You may ask us to correct or amend information you believe is inaccurate or incomplete. We may deny the request in certain circumstances.
  • Right to request restrictions. You may ask us to restrict certain uses or disclosures of PHI. We are not required to agree to every request, except where applicable law requires otherwise.
  • Right to request confidential communications. You may ask us to contact you in a particular way or at a particular location. We will consider reasonable requests as required by law.
  • Right to receive an accounting of certain disclosures. You may request a list of certain disclosures we have made of your child’s PHI, subject to legal exceptions.
  • Right to receive a paper copy of this Notice. You may request a paper copy at any time, even if you have agreed to receive the Notice electronically.
  • Right to be notified following a breach. You have the right to receive notification as required by applicable law if a breach of unsecured PHI occurs.

6. Special Considerations for Minors and Parents/Legal Guardians

As a pediatric medical practice, we frequently provide care to children and adolescents. In general, a parent or legal guardian may act as a child’s personal representative for purposes of exercising HIPAA rights and receiving information. However, federal and state law may limit a parent’s or guardian’s access to information in certain circumstances, including certain services for which a minor may lawfully consent to care without parental involvement, court orders, or other situations recognized by law.

We will follow applicable federal and Georgia law when determining whether a parent, guardian, or other individual may access or receive a minor patient’s PHI. If you have questions about access to a minor patient’s records, please contact our Privacy Officer.

7. Your Responsibilities as a Parent or Legal Guardian

To help us protect your child’s information, please notify us of changes to your address, telephone number, email address, insurance information, or legal guardianship/custody status. Please provide documentation when necessary to establish legal authority to act on behalf of a child.

8. Our Responsibilities

Sandy Springs Pediatrics and Adolescent Medicine, PC is required by law to:

  • Maintain the privacy and security of your child’s PHI.
  • Provide you with this Notice describing our legal duties and privacy practices.
  • Notify affected individuals as required by law following a breach of unsecured PHI.
  • Follow the terms of the Notice currently in effect.
  • Obtain your written authorization when required by law before using or disclosing PHI.

9. Changes to This Notice

We reserve the right to change this Notice. Any revised Notice will apply to PHI we already have about your child as well as information we receive in the future. A copy of the current Notice will be available at our office and, if applicable, on our website.

10. Complaints and Questions

If you believe your privacy rights have been violated, you may file a complaint with [PRACTICE NAME] by contacting:

Natasha Hishaw, Privacy Officer
404-252-4611
nhishaw@sandyspringspediatrics.com

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

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