HIPAA Notice of Privacy Practices
Last Updated: 2/24/2026
Chicago Surgery Center LLC is required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices. This Notice describes how medical information about you may be used and disclosed and how you can access this information.
Please review it carefully.
How We May Use and Disclose Your Health Information
We may use and disclose your PHI for the following purposes:
Treatment
We may use your health information to provide, coordinate, or manage your medical treatment and related services.
Payment
We may use and disclose your information to obtain payment for healthcare services provided to you, including billing insurance companies.
Healthcare Operations
We may use your information for business operations such as quality assessment, staff training, accreditation, and compliance activities.
Other Permitted and Required Uses
We may also disclose your information:
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When required by federal or state law
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For public health activities
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For health oversight activities
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For judicial or administrative proceedings
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To avert a serious threat to health or safety
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For workers’ compensation claims
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization for:
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Marketing purposes (when required by law)
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Sale of PHI
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Most disclosures of psychotherapy notes
You may revoke your authorization at any time in writing.
Your Rights Regarding Your Health Information
You have the right to:
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Request access to your medical records
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Request amendments to your records
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Request restrictions on certain uses or disclosures
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Request confidential communications
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Receive an accounting of disclosures
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Obtain a paper copy of this Notice
To exercise these rights, please contact us using the information below.
Our Responsibilities
Chicago Surgery Center LLC is required to:
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Maintain the privacy and security of your PHI
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Provide you with this Notice
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Abide by the terms of this Notice
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Notify you if a breach occurs that may have compromised your information
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Chicago Surgery Center LLC
3536 W Fullerton Avenue
Chicago, IL 60647
Phone: (312) 761-0100
Or with the U.S. Department of Health and Human Services:
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr
You will not be penalized for filing a complaint.