Health by Design strives to provide a safe and secure electronic environment that respects and guards your privacy. As a patient of ours, like any medical facility covered by the Health Insurance Portability and Accountability Act (HIPAA) of 1996, you have specific rights. If you believe that a covered entity or business associate violated your (or someone else’s) health information privacy rights or committed another violation of the Privacy or Security Rules, you may file a complaint with OCR. OCR can investigate complaints against covered entities and their business associates.
COMPLAINT REQUIREMENTS - Your complaint must:
1. Be filed in writing, either on paper or electronically, by mail, fax, or e-mail;
2. Name the covered entity or business associate involved and describe the acts or omissions you believe violated the requirements of the Privacy, Security, or Breach Notification Rules; and
3. Be filed within 180 days of when you knew that the act or omission complained of occurred. OCR may extend the 180-day period if you can show "good cause."
Anyone can file a complaint alleging a violation of the Privacy or Security Rule. We recommend that you use the OCR Health Information Privacy Complaint Form Package. You can also request a copy of this form from an OCR regional office. If you need help filing a complaint or have a question about the complaint or consent forms, please e-mail OCR at
HOW TO SUBMIT YOUR COMPLAINT- To submit a complaint, please use one of the following methods.
If you mail or fax the complaint, be sure to send it to the appropriate OCR regional office. based on where the alleged violation took place. OCR has ten regional offices, and each regional office covers specific states. Send your complaint to the attention of the OCR Regional Manager. You do not need to sign the complaint and consent forms when you submit them by e-mail because submission by e-mail represents your signature.
Health by Design’s Privacy Officer is Dr. James Ogletree. He may be contacted at email@example.com