HIPAA NOTICE OF PRIVACY
Revised Effective date: March 15, 2023
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.
Baylor Genetics has specific duties regarding your medical information.
We understand that medical information about you and your health is
personal. We are committed to protecting medical information about
This notice will tell you about the ways in which we may use and
disclose medical information about you. We also describe your rights
and certain obligations we have regarding the use and disclosure of
your medical information.
When it comes to your health information, you have certain rights. This
section explains your rights and some of our responsibilities to help you.
You may ask us how to exercise your rights.
Get an electronic or paper copy of your medical record.
• You can ask to see or get an electronic or paper copy of the health
information we have about you.
• We will provide a copy or a summary of your health information,
usually within 15 days of your request if it is in electronic format.
We may charge a reasonable, cost-based fee.
Ask us to correct your medical record.
• You can ask us to correct health information about you that you
think is incorrect or incomplete.
• We may say “no” to your request, but we will tell you why in writing
within 60 days.
Request confidential communications.
• You can ask us to contact you in a specific way (for example, at
your home or office phone) or to send mail to a different address
than what we have on file.
• We will say “yes” to all reasonable requests.
Ask us to limit what we use or share.
You can ask us not to use or share certain health information for
treatment, payment, or our operations. We are not required to agree to
your request, and we may say “no” if it would affect your care.
If you pay for a service out-of-pocket in full, you can ask us not to share
that information for payment or our operations with your health insurer.
We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we have shared your health
• You can ask for a list (accounting) of the times we have shared
your health information for six (6) years prior to the date you ask,
to include information on who we shared it with, and why.
• We will include all the disclosures except for those about
treatment, payment and our operations, as well as certain other
disclosures (such as any you asked us to make). We will provide
one accounting a year for free, but may charge a reasonable,
cost-based fee if you ask for another one within 12 months from
your previous request.
Get a copy of this privacy notice.
• You can ask for a paper copy of this notice at any time, even if you
have agreed to receive the notice electronically. We will provide
you with a paper copy promptly.
Choose someone to act for you.
• If you have given someone medical power of attorney or if
someone is your legal guardian, that person can exercise your
rights and make choices about your health information.
• We will make sure the person has the authority and can act for you
before we take any action.
File a complaint if you feel your rights are violated.
• You can complain if you feel we have violated your rights by
contacting the Baylor Genetics Compliance Officer, 2450
Holcombe Blvd, Ste. O104, Houston, TX 77021, or at
• You can file a complaint with the U.S. Department of Health and
Human Services Office for Civil Rights by sending a letter to 200
Independence Avenue, S.W., Washington, D.C. 20201, calling
1-877-696-6775, or visiting
• We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what
we share. If you have a clear preference for how we share your
information in the situations described below, talk to us. Tell us what
you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
• Share information with your family, close friends, or others
involved in your care
• Share information in a disaster relief situation