Notice of Privacy Practices

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.

Who this notice covers

This notice applies to Daystar Urgent Care & Family Care, including our providers, clinical staff, and administrative team. We are required by law to keep your protected health information ("PHI") private, to give you this notice of our legal duties and privacy practices, and to follow the version of this notice currently in effect.

How we may use and share your health information

Treatment. We use your PHI to provide your care and may share it with other clinicians involved in that care — for example, sending a referral or test results to a specialist, or coordinating with your primary care provider.

Payment. We may use and share your PHI to bill and collect payment — for example, sending a claim to your insurance plan or confirming coverage before a service.

Health care operations. We may use your PHI to run our practice — quality review, training, scheduling, and improving the care we deliver. We may also share PHI with business associates (such as billing or IT vendors) who have agreed in writing to protect it.

Reminders and communications. We may contact you with appointment reminders, follow-up instructions, test results, and information about treatment options or services that may benefit you. With your consent, we may reach you by call, text message, or email; message and data rates may apply and you can opt out at any time.

Family and others involved in your care. Unless you object, we may share relevant information with a family member, friend, or caregiver you involve in your care, or use professional judgment in an emergency.

Other uses permitted or required by law. These include: public health reporting (such as communicable disease); reporting suspected abuse or neglect; health oversight audits and inspections; responses to court orders, subpoenas, or other lawful process; certain law enforcement requests; coroners, medical examiners, and funeral directors; organ and tissue donation; workers' compensation; preventing a serious and imminent threat to health or safety; and specialized government functions.

Uses that require your written authorization

We will obtain your written authorization before using your PHI for marketing, before any sale of PHI, and for most uses not described above. Extra protections apply to especially sensitive records — for example psychotherapy notes and substance use disorder treatment records — which generally require your specific written permission. You may revoke an authorization at any time in writing, except where we have already relied on it.

Your rights

You have the right to: see and get a copy of your records (we may charge a reasonable, cost-based fee); request a correction if you believe information is wrong or incomplete; request restrictions on how we use or share PHI (we must agree when you ask us not to bill your health plan for a service you paid for in full out of pocket); request confidential communications at a different address or by a different method; get a list (accounting) of certain disclosures made in the prior six years; get a paper copy of this notice on request; choose someone to act for you with a medical power of attorney or legal guardianship; and be notified if a breach compromises your unsecured PHI.

Changes to this notice

We may update this notice and apply the new version to PHI we already hold. The current notice is posted in our clinic and on this page with its effective date.

Questions and complaints

To exercise any right or ask a question, contact our Privacy Officer at the clinic: 1102 West Kemper Rd, Forest Park, OH 45240 · (513) 429-3289 · info@daystarurgentcare.com. If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will never retaliate against you for filing a complaint.

Effective date: June 10, 2026