Notice of Privacy Practices 
Eden Elon Medical – NP Ebony Belle‑Johnson

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.

​

The Health Insurance Portability and Accountability Act (“HIPAA”) gives you the right to be informed of the privacy practices of health care providers like Eden Elon Medical PLLC (“we,” “us,” or “our”). We use your health information to provide treatment, obtain payment for that treatment, and carry out health care operations. This Notice explains our legal duties, describes how we may use and disclose your protected health information (“PHI”), and outlines your rights regarding your PHI.

​

If you have any questions about this Notice, please contact:
Privacy Contact: Ebony Belle-Johnson, Privacy Officer
Phone: 815-616-6806
Address: Edon Elon Medical PLLC 310 N. Hammes St., Suites 101C & 101D Joliet, IL 60435

​

Amendments and Requests

Correction Form to the office. Eden Elon Medical may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, your request may be denied if you ask us to amend information that:

​

(a) We did not create, unless the person or entity that created the information is no longer available to make the amendment
(b) Is not part of the health information that Eden Elon Medical keeps
(c) You would not be permitted to inspect and copy
(d) Is accurate and complete

​

Request confidential communications of your health information by alternative means or at alternative locations; Revoke your authorization to use or disclose health information except to the extent that action has already been taken; Receive an accounting of disclosures made of your health information. The accounting will not include disclosures for treatment, payment, or health care operations made during the previous three years. If Eden Elon Medical maintains records in an electronic health record system, you may request that included disclosures made for treatment, payment or health care operations during the previous three years. To obtain this list, you must submit your request in writing to the office. It must state a time period which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (paper or electronic). Eden Elon Medical may charge you for the costs of providing the list.

​

If you receive notice of a breach of your unsecured protected health information within sixty days if the breach compromises the security or privacy of your health information.

​

Complaints 

You may express complaints about your care or if you feel your rights have been violated to Eden Elon Medical, NP Ebony Belle‑Johnson, or to the Illinois Department of Human Services at 1‑800‑843‑6154. You will not be retaliated against for filing a complaint.

​

Obligations

Obligations of Eden Elon Medical / NP Ebony Belle‑Johnson – Eden Elon Medical and NP Ebony Belle‑Johnson are required to:

​

(a) Maintain the privacy of protected health information
(b) Provide you with this notice
(c) Abide by the terms of this notice
(d) Notify you if we are unable to agree to requested restriction
(e) Accommodate reasonable requests you may make to communicate health information by alternative means or at alternative locations
(f) Obtain your written authorization to use or disclose your health information for reasons other than those listed above and permitted under the law.

​

Changes to this Notice:

Eden Elon Medical and NP Ebony Belle‑Johnson reserve the right to change privacy practices and make the new provisions effective for all protected health information maintained. Revised Notices will be made available to you as they become available. If you have questions or complaints, please contact Eden Elon Medical, NP Ebony Belle‑Johnson, or a member of the office staff or the Illinois Department of Human Services at (800) 843‑6154.