Celly Mobile Dialysis, Inc. — Covered Entity / Business Associate
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.
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 summary, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
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'll tell you why in writing within 60 days.
You can ask us to contact you in a specific way (for example, by phone or mail to a specific address). We will accommodate all reasonable requests.
You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree if it would affect your care.
If you pay for a dialysis service out-of-pocket in full, you can ask us not to share that information with your health insurer for payment or operations purposes. We will honor this unless a law requires us to share it.
You can request an accounting of disclosures of your health information for the six years prior to the date of your request. We'll provide one accounting per year at no charge; a reasonable fee may apply for additional requests within 12 months.
You can request a paper copy of this notice at any time, even if you have received it electronically. We will provide it promptly.
If you have granted medical power of attorney or have a legal guardian, that person may exercise your rights and make choices about your health information. We will verify authority before taking action.
If you believe we have violated your HIPAA rights, you may file a complaint with us using the contact information at the bottom of this page.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights: 200 Independence Avenue, S.W., Washington, D.C. 20201 — call 1-877-696-6775, or visit www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your preferences. If you have a clear preference for how we share your information in the situations below, let us know and we will follow your instructions.
Share information with your family, close friends, or others involved in your care
Share information in a disaster relief situation
Marketing purposes
Sale of your information
We may share your information in other ways permitted or required by law, generally for public good purposes. We must meet legal conditions before sharing for these purposes.
For more information: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/
For more information: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
We may change the terms of this notice at any time. Changes will apply to all health information we hold about you. The updated notice will be available on our website and upon request.
Email: info@cellymobiledialysis.com
Phone: 1-407-324-4023
Mail: Celly Mobile Dialysis, Inc., Attn: Legal, 582 Monroe Rd Suite 1424, Sanford, FL 32771
Celly Mobile Dialysis, Inc. — Covered Entity / Business Associate. © 2026 Celly Mobile Dialysis, Inc. All rights reserved.