Hours: Mon-Sun 8:00 am - 8:00 pm by Appointment Only

21430 Cedar Dr STE 204
Sterling, VA 20164

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21430 Cedar Dr STE 204
Sterling, VA 20164
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HIPAA Notice of Privacy Practices

Effective: October 15, 2026

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.

Your Rights

When it comes to your health information, you have certain rights:

  • Get a copy of your medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary, usually within 30 days of your request, and may charge a reasonable, cost-based fee.
  • Ask us to correct your medical record. You can ask us to correct health information you think is incorrect or incomplete. We may say no, 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, such as by home or office phone, or to send mail to a different address. 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, and we may say no if it would affect your care. If you pay for a service or item out of pocket in full, you can ask us not to share that information with your health insurer, and we will say yes unless a law requires us to share it.
  • Get a list of those with whom we’ve shared your information. You can ask for a list (an accounting) of the times we’ve shared your health information for six years before the date you ask, who we shared it with and why. It will include all disclosures except those for treatment, payment, healthcare operations and certain others, such as any you asked us to make. We provide one list a year for free and may charge a reasonable, cost-based fee for another within 12 months.
  • Get a copy of this notice. You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.
  • Choose someone to act for you. If you have given someone medical power of attorney, or 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 this authority before we take any action.
  • File a complaint if you feel your rights are violated. You can complain to us using the contact information at the end of this notice. You can also 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 www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share:

  • In these cases, you can tell us to share or not share: with your family, close friends or others involved in your care or payment for your care, and in a disaster relief situation. If you cannot tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.
  • In these cases, we never share your information unless you give us written permission: marketing purposes and sale of your information.
  • Fundraising: we do not contact patients for fundraising.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

  • To treat you. We use your health information and share it with other professionals who are treating you. Example: a doctor treating you for an injury asks another doctor about your overall health condition.
  • To run our practice. We use and share your health information to run our practice, improve your care and contact you when necessary. Example: we use health information about you to manage your treatment and services.
  • To bill for your services. We are a fee-for-service practice and do not bill insurance directly. We use your health information to bill you and to prepare the superbills you can submit to your health insurer.
  • To remind you of appointments. We send appointment reminders by text message about 24 hours before your visit. Standard text messages are not encrypted; you can ask us to remind you another way.
  • With our business associates. We share information with companies that help us run the practice, such as our secure email and document provider, under written agreements that require them to protect it.

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes:

  • Help with public health and safety issues: preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect or domestic violence, and preventing or reducing a serious threat to anyone’s health or safety.
  • Do research: we can use or share your information for health research.
  • Comply with the law: we will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.
  • Respond to organ and tissue donation requests: we can share health information about you with organ procurement organizations.
  • Work with a medical examiner or funeral director: we can share health information with a coroner, medical examiner or funeral director when an individual dies.
  • Address workers’ compensation, law enforcement and other government requests: for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security and presidential protective services.
  • Respond to lawsuits and legal actions: we can share health information about you in response to a court or administrative order, or in response to a subpoena.

Virginia law may give you additional protections. Where it is stricter than federal law, we follow it.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time by letting us know in writing.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office and on our website.

Contact Us

For questions about this notice, to use your rights or to file a complaint with us, contact our Privacy Officer:

Dr. Diltaj Singh, Privacy Officer
Singh Foot & Ankle Healing Center, 21430 Cedar Dr STE 204, Sterling, VA 20164
(703) 902-0440 · info@singhfootdoc.com