Policies
-
If you need to cancel or change your appointment, please call or message us at least 24 hours in advance. Cancellations or appointment changes made less than 24 hours in advance will be considered a late cancellation. Failure to contact us or attend your appointment will be considered a no-call, no-show. The card on file will be charged 50% of the total cost of the appointment.
-
In the event that we have to reschedule due to an emergency, weather, or uncontrollable circumstance we will reschedule you for whatever time works best for you.
Repeat Ultrasounds will need to be scheduled Tuesday-Friday within two weeks of original appointment. After the two-week period, the appointment follow up is no longer free.
-
Ultrasounds provided by Full Circle Health formerly known as Kathryn’s Keepsakes have no medical purpose and no medical reports are provided. The only intent is to allow you and your family to share an unforgettable experience with your baby.
-
We require you to be under prenatal care with an OBGYN or Midwife to receive our elective pregnancy ultrasound services. We need their name and phone number as proof of prenatal care.
In the unfortunate circumstance that we find a fetus without a beating heart, you will be refunded in full. If we call the wrong gender, you will be refunded in full, as well as a free 3D/4D/HD Ultrasound. If baby is shy for their 3D/4D/HD scan, we may have you come back for a free scan within two weeks.
-
When you refer a friend to get an ultrasound. You will receive a $10 credit for your next appointment.
Please notify the front desk about your referral so you get the $10 off.
This does not go towards discounted scans, deals, or stack on top of other coupons. Only 1 discount allowed per exam.
-
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can obtain 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 health and claims records. You may ask to see or obtain an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.
Ask us to correct your health information
You may ask us to correct health information about you that you believe is incorrect or incomplete.
We may deny your request in certain circumstances, but we will explain the reason in writing within 60 days.
Request confidential communications
You may ask us to contact you in a specific way, such as at a particular phone number, or to send mail to a different address. We will accommodate reasonable requests.
Ask us to limit what we use or share
You may ask us not to use or share certain health information for treatment, payment, or health care operations. We are generally not required to agree to your request.
If you pay for a health care service or item out-of-pocket in full, you may ask us not to share information about that service or item with your health plan for purposes of payment or health care operations. We will honor that request unless a law requires us to share the information.
Get a list of certain disclosures
You may request a list, or accounting, of certain times we have shared your health information during the six years prior to the date of your request.
The accounting will not include every disclosure, such as certain disclosures for treatment, payment, and health care operations.
We will provide one accounting per year at no charge. We may charge a reasonable, cost-based fee if you request another accounting within 12 months.
Get a copy of this privacy notice
You may request a paper copy of this notice at any time, even if you previously agreed to receive the notice electronically.
Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information as permitted by law. We will verify that the person has appropriate authority before taking action.
File a complaint if you believe your rights were violated
You may complain to us if you believe we have violated your privacy rights.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you may tell us your preferences about what we share. In certain circumstances, you have the right and choice to tell us whether to:
Share information with your family, close friends, or others involved in your care.
Share information in a disaster-relief situation.
If you are unable to tell us your preference, such as if you are unconscious, we may share information when we believe it is in your best interest and when permitted by law. We may also share information when necessary to lessen a serious and imminent threat to health or safety.
Marketing and sale of your information
We will not use or share your health information for marketing purposes or sell your health information without your written authorization when authorization is required by law.
Our Uses and Disclosures
We typically use or share your health information in the following ways.
Treatment
We may use your health information and share it with other health care professionals who are treating you.
Example: We may share relevant health information with another physician or health care provider involved in your care.
Payment
We may use and share your health information to bill and obtain payment from health plans or other entities.
Example: We may provide information about your treatment to your health insurance company so that it will pay for covered services.
Health Care Operations
We may use and share your health information to operate our practice, improve your care, and contact you when necessary.
Example: We may use health information to evaluate the quality of our services or manage our practice.
Other Ways We May Use or Share Your Information
We may use or share your health information in other ways, usually when permitted or required by law.
These may include:
Helping with public health and safety activities, such as reporting certain diseases, adverse reactions to medications, or suspected abuse or neglect.
Conducting health research when applicable legal requirements are met.
Complying with federal, state, or local law.
Responding to organ and tissue donation organizations when applicable.
Working with a medical examiner, coroner, or funeral director when permitted by law.
Addressing workers' compensation claims.
Responding to certain law-enforcement requests.
Responding to health-oversight agencies for activities authorized by law.
Responding to a court or administrative order, subpoena, discovery request, or other lawful process when the applicable legal requirements are satisfied.
Some types of health information may receive additional protection under federal or state law.
Substance Use Disorder Records
Certain records relating to substance use disorder treatment may receive additional protections under federal law. When such protections apply, these records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against a patient unless the patient provides written consent or a court order authorizes the use or disclosure as permitted by law.
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information. We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information when notification is required by law.
We must follow the privacy practices described in this notice and provide you with a copy of it.
We will not use or share your information other than as described in this notice unless you authorize us in writing. If you authorize us to use or share your information, you may revoke that authorization in writing at any time, except to the extent we have already acted in reliance on it.
Changes to This Notice
We may change the terms of this notice, and the changes may apply to all information we maintain about you. If we make material changes, the revised notice will be available upon request, in our office, and on our website as applicable.
Questions or Complaints
If you have questions about this notice, want to exercise your privacy rights, or wish to make a privacy complaint, contact:
HIPAA Privacy Officer
Full Circle Health
4907 Theater Drive
Evansville, IN 47715
Phone: 812-773-3227
Email: fullcirclehealthevv.comYou may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
Full Circle Health will not retaliate against you for filing a complaint.