Effective February 2026

Notice of Privacy Practices                                                                                                                                   Kansas City Urology Care, PA 

NOTICE OF PRIVACY PRACTICES 

KANSAS CITY UROLOGY CARE, PA 

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU (AS A PATIENT OF KCUC UROLOGY & ONCOLOGY) MAY BE USED AND  DISCLOSED, AND HOW YOU CAN GET ACCESS TO YOUR PROTECTED HEALTH INFORMATION (PHI). PLEASE REVIEW IT CAREFULLY. 

Effective Date: This Notice is in effect as of February 16, 2026. 

Expiration Date: This Notice remains in effect until superseded or cancelled. 

PLEASE REVIEW THIS NOTICE CAREFULLY. 

OUR COMMITMENT TO YOUR PRIVACY: 

We understand that information about you and your health is personal. Our primary responsibility is to safeguard your personal health information.  Our practice is dedicated to maintaining the privacy of your protected health information (PHI). In conducting our business, we will create records  regarding you and the treatment and services we provide to you. We are required by law to maintain the privacy and security of health information  that identifies you and let you know promptly if a breach occurs that may compromise the privacy or security of your information. We also are  required by law to provide you with this Notice of our legal duties and the privacy practices that we maintain in our practice concerning your PHI. By  federal and state law, we must follow the terms of the Notice of Privacy Practices that we have in effect at the time. We realize that these laws are  complicated, but we must provide you with the following important information: 

  • How we may use and disclose your PHI 
  • Your privacy rights in your PHI 
  • Our obligation concerning the use and disclosure of your PHI 

The terms of this Notice apply to all records containing your PHI that are created or retained by our practice. We reserve the right to revise or amend  this Notice of Privacy Practices. We reserve the right to make the revised or changed Notice effective for health information we already have about  you as well as any information we receive in the future. Our practice will post a copy of our current Notice in our offices in a visible location, and you  may request a copy of our most current Notice at any time. Our Notice of Privacy Practices may be found on our web site at www.kcuc.com and will  be updated when changes are made. 

QUESTIONS REGARDING OUR NOTICE PLEASE CONTACT: 

Privacy Officer 

8551 Bluejacket Street 

Lenexa, KS 66214 

913-981-1225 

e-mail HIPAA@kcurology.com 

OTHER FEDERAL AND STATE LAWS: 

Other federal and state laws may provide privacy protections in addition to HIPAA for certain diagnoses. This includes information related to alcohol  and substance use, genetics, mental health, HIV/AIDS, or minors’ information. We will follow the more stringent law, where it applies to us. 

WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION (PHI) IN THE FOLLOWING WAYS: 

The following categories describe the different ways in which we may use and disclose your PHI. We have not listed every use or disclosure within  the categories, but all permitted uses and disclosures will fall within one of the following categories. 

OUR USES AND DISCLOSURES— 

We typically use or share your PHI in the following ways: 

TREATMENT — Our practice may use your PHI to treat you. For example, we may ask you to have laboratory tests and we may use the results to  help us reach a diagnosis. We might use your PHI in order to write a prescription for you, or we might disclose your PHI to a pharmacy when we  order a prescription for you. Many of the people who work for our practice— including, but not limited to, our doctors and nurses— may use or  disclose your PHI in order to treat you or to assist others in your treatment. Additionally, we may also disclose your PHI to other health care  providers for purposes related to your treatment. 

PAYMENT — Our practice may use and disclose your PHI in order to bill and collect payment, from you, an insurance company or a third party, for  the services and items you may receive from us. For example, we may contact your health insurer to certify that you are eligible for benefits, and we may provide your insurer with details regarding your treatment to determine if your insurer will cover, or pay for, your treatment.  However, if you pay out of pocket for your treatment and make a specific request that we not send information to your insurer for that treatment,  we will not send that information to your insurer except under certain circumstances, for example, if you participate in a federally funded  healthcare program like Medicare or Medicaid and those programs may require us to share the information. We also may use and disclose your PHI to obtain payment from third parties that may be responsible for such costs, such as family members. Also, we may use your PHI to bill you  directly for services and items. We may disclose your PHI to other health care providers and entities to assist in their billing and collection efforts. 

HEALTH CARE OPERATIONS — Our practice may use and disclose your PHI to operate our business, improve your care, and contact you  when necessary. As examples of the ways in which we may use and disclose your information for our operations, our practice may use your  PHI to evaluate the quality of care you received from us; to conduct cost-management and business planning activities for our practice;  customer service activities, including investigation of complaints; and certain marketing and research activities. We may disclose your PHI to  other health care providers and entities to assist in their health care operations. We, along with our affiliates and/or vendors, may use and  disclose your contact information (landline or cellular phone numbers, email address). Some examples of how we may use your contact  information include appointment reminders and to provide you with notification of other health-related benefits and services, all of which are  discussed in more detail below. We may also contact you related to our health care operations concerning the quality of care you received, your  satisfaction with the practice and its providers, and other customer service activities. By providing us with your contact information, you give  your consent that we may use it. We may contact you by the following means (even if we initiate contact using an automated telephone dialing  system (ATDS) and/or an artificial or prerecorded voice): (1) paging system; (2) cellular telephone service; (3) landline; (4) text message; (5)  email message; or (6) facsimile. For your convenience, email and text messages may be sent unencrypted. Before using or agreeing to use of  any unsecure electronic communication to communicate with us, note that there are certain risks, such as interception by others,  misaddressed/misdirected messages, shared accounts, messages forwarded to others, or messages stored on unsecured potable electronic  devices. All calls or text messages using an automatic telephone dialing system and/or artificial voice are conducted in accordance with the  Telephone Consumer Protection Act (TCPA). If you want to limit these communications to a specific telephone number or numbers, you need to  request that only a designated number or numbers be used for these purposes. If you inform us that you do not want to receive such  communications, we will stop sending these communications to you. 

APPOINTMENT REMINDERS; TELEPHONE, EMAIL, TEXT, & PATIENT PORTAL MESSAGES — Our practice may use and disclose  your PHI to contact you and remind you of an appointment. This may include contacting you with the date, time, and location of your  appointment by (1) sending a reminder card to the most recent mailing address we have for you; (2) sending an email message to the most  recent email address we have for you; (3) calling the most recent telephone number we have available and, if necessary, leaving a voicemail  message or a message with a person other than you who answers your telephone; (4) sending a text message to the most recent cellular  telephone number we have for you; or (5) sending you a message through the practice’s patient portal. If we need to contact you for a reason  other than an appointment reminder (for example, to report lab results), we may send or leave a message asking you to contact us.  

TREATMENT OPTIONS — Our practice may use and disclose your PHI to inform you of potential treatment option alternatives or research  related opportunities. 

HEALTH RELATED BENEFITS & SERVICES — Our practice may use and disclose your PHI to inform you of health related benefits or  services that may be of interest to you. 

BUSINESS ASSOCIATES — Our practice may use and disclose your PHI to our contracted business associates in order to carry out specific tasks  related to the practice’s health care operations. Examples of business associates include but are not limited to accreditation agencies,  management consultants, quality assurance reviewers, collection agencies, transcription services, statement services eligibility verifications,  insurance clearinghouses, etc. We may disclose your PHI to our business associates so that they can perform the job we have asked them to  do. To protect your health information, we require our business associates to sign a contract that states they will appropriately safeguard your PHI. 

YOUR CHOICES – 

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your  information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.  

In these cases, you have both the right and choice to tell us to: 

SHARE INFORMATION WITH YOUR FAMILY, CLOSE FRIENDS, OR OTHERS INVOLVED IN YOUR CARE — Our practice may  release your PHI to a family member or friend that is involved in your care, or who assists in taking care of your health care needs with your  written permission. For example, a guardian may bring a patient to our office for treatment. In this example, the guardian may have access to  your medical information. We may also allow a family member to pick up your written prescription signed by your provider. If you are not able to  tell us a preference, for example, if you are incapacitated, in an emergency situation, or unavailable, we may go ahead and share your  information if we believe it is in your best interests. In addition, we may disclose your PHI to an entity assisting in a disaster relief effort so that  your family can be notified about your location, status, and condition. 

MARKETING, SALES OF PHI, AND PSYCHOTHERAPY NOTES — Most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and uses and disclosures that constitute a sale of PHI require your authorization.  

PSYCHOTHERAPY NOTES — Psychotherapy notes are a particular type of PHI. Mental health records generally are not considered  psychotherapy notes. Your authorization is necessary for us to disclose psychotherapy notes. However, the practice does not create or  maintain psychotherapy notes. 

MARKETING AND SALE OF PHI — There are some circumstances when we directly or indirectly receive a financial (e.g., monetary  payment) or non-financial (e.g., in-kind item or service) benefit from a use or disclosure of your PHI. Your authorization is necessary for us to  sell your protected health information. Your authorization is also necessary for some marketing uses of your PHI.  

CONTACT YOU FOR FUNDRAISING ACTIVITIES — HIPAA allows a covered entity to utilize limited PHI in raising funds for a covered entity’s  foundation. This information includes contact information, such as your name, address, and telephone number; the dates you received treatment or  services; treating physicians; and outcome information. The covered entity must notify the patient of his/her right to opt out of receiving fundraising  communications. However, the practice does not have a foundation and does not otherwise utilize patient PHI for fundraising activities.  

OTHER USES AND DISCLOSURES — Other uses and disclosures of your PHI not covered by this Notice or the laws that apply to us will be made only  with your written authorization. 

Once we disclose your health information based on your authorization or as legally permitted under state and federal law as described in this Notice, the  disclosed health information may no longer be protected and may be re-disclosed by the recipient without your knowledge or authorization. 

You may revoke your authorization in writing at any time, provided you notify us. If you revoke your authorization, it will not be effective for any uses  and disclosures we have already made in reliance on your prior authorization. 

ADDITIONAL WAYS WE USE OR DISCLOSE YOUR HEALTH INFORMATION— 

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. 

COMPLY WITH THE LAW — Our practice will use and disclose your PHI when we are required to do so by federal or state law, including  disclosures to the Department of Health and Human Services if it wants to see that we’re complying with federal privacy laws. 

WORK WITH A MEDICAL EXAMINER OR FUNERAL DIRECTOR— Our practice may release PHI to a medical examiner or coroner to  identify a deceased individual or to identify the cause of death. We may also disclose your PHI to a funeral director. We are required to protect  your PHI for fifty (50) years following your death. 

PUBLIC HEALTH AND SAFETY ISSUES — Our practice may disclose your PHI to public health authorities that are authorized by law to collect  information for the purpose of: 

  • maintaining vital records, such as births and deaths 
  • reporting child abuse or neglect 
  • preventing or controlling disease, injury or disability 
  • notifying a person regarding potential exposure to a communicable disease 
  • notifying a person regarding a potential risk for spreading or contracting a disease or condition 
  • reporting reactions to drugs or problems with products or devices 
  • notifying individuals if a product or device they may be using has been recalled 
  • notifying appropriate government agency(ies) and authority(ies) regarding the potential abuse or neglect of an adult patient; however, we  will only disclose this information if the patient agrees or we are required or authorized by law to disclose this information • notifying your employer under limited circumstances related primarily to workplace injury or illness or medical surveillance 

HEALTH OVERSIGHT ACTIVITIES — Our practice may disclose your PHI to a health oversight agency for activities authorized by law.  Oversight activities can include, for example, investigations, inspections, audits, surveys, licensure and disciplinary actions; civil, administrative,  and criminal procedures or actions; or other activities necessary for the government to monitor government programs, compliance with civil  rights laws and the health care system in general. 

LAWSUITS AND SIMILAR PROCEEDINGS — Our practice may use and disclose your PHI in response to a court or administrative order. We  also may disclose your PHI in response to a discovery request, subpoena, or other lawful process. If there is no court order or judicial  subpoena, the requesting party must make an effort to tell you about the request for your PHI. 

LAW ENFORCEMENT — We may release PHI if asked to do so by a law enforcement official: 

  • regarding a crime victim if we obtain the person’s agreement, or, under certain circumstances, if we are unable to obtain the person’s agreement 
  • concerning a death we believe has resulted from criminal conduct 
  • regarding criminal conduct at our offices 
  • in response to a warrant, summons, court order, subpoena or similar legal process 
  • to identify/locate a suspect, material witness, fugitive or missing person 
  • in an emergency, to report a crime (including the location or victim(s) of the crime, or the description, identity or location of the perpetrator) 

ORGAN AND TISSUE DONATION — Our practice may release your PHI to organizations that handle organ, eye or tissue procurement or  transplantation, including organ donation banks, as necessary to facilitate organ or tissue donation and transplantation if you are an organ  donor.

MILITARY — Our practice may disclose your PHI if you are a member of US or foreign military forces (including veterans) and if required by the  appropriate authorities. 

NATIONAL SECURITY AND PROTECTIVE SERVICES FOR THE PRESIDENT AND OTHERS — Our practice may disclose your PHI to federal officials for intelligence and national security activities authorized by law. We also may disclose your PHI to federal officials in order to  protect the President, other officials or foreign heads of state, or to conduct investigations. 

INMATES — Our practice may disclose your PHI to correctional facilities or law enforcement officials if you are an inmate or under the custody of a  law enforcement official. Disclosure would be necessary: (1) for the facility to provide necessary care, (2) safety and security of the facility,  and/or (3) to protect your health and safety or the health/safety of others. 

WORKERS’ COMPENSATION — Our practice may release your PHI for workers’ compensation and similar programs to the extent necessary to  comply with the law. 

RESEARCH — Under certain circumstances, we may use and disclose medical information about you for research purposes, subject to certain  safeguards. For example, a research project may involve comparing the health and recovery of all patients who received one medication to  those who received another, for the same condition. Also, as part of the research process we may disclose medical information about you to  individuals preparing to conduct the research project, for example, to help them look for patients with specific medical needs, but any such  medical information will not be allowed to leave our practice. Where consistent with the research goals and purposes, we will use or disclose  only de-identified information, so that your identity cannot be ascertained from the information disclosed. When research cannot be conducted  with such de-identified information, we will usually ask for your specific authorization for such use or disclosure. However, some research  projects that involve information gathering may be adversely affected by requiring prior patient authorization before confidential health  information can be used or disclosed for research purposes. In those circumstances, the research project will be subject to a specific and  comprehensive approval process. This process evaluates the proposed research project and its use of medical information, balancing research  needs with patients’ right to privacy of medical information. Before we use or disclose medical information for research under such  circumstances, the project will have been approved by an Institutional Review Board (IRB) or a specially designated Privacy Board, which will  be required to determine whether the nature of the research is such that it could not properly be conducted if prior patient authorization was  required. The IRB or Privacy Board will also be required to determine that adequate protections are in place to protect patient information from  unauthorized use or disclosure. 

SERIOUS THREATS TO HEALTH OR SAFETY — Our practice may use and disclose your PHI when necessary to reduce or prevent a  serious threat to your health and safety or the health and safety of another individual or the public. Under these circumstances, we will only  make disclosures to a person or organization able to help prevent the threat. 

ADDITIONAL PRIVACY FOR SUBSTANCE USE DISORDER (SUD) TREATMENT — 

Federal law (42 C.F.R. Part 2) protects the confidentiality of substance use disorder information, and these protections are now more consistent with  HIPAA. Although we are not a substance use treatment program (SUD Program operating under the 42 C.F.R. Part 2 regulations), we may  receive information from a SUD Program about your treatment. We may not disclose this information so that it can be used in a civil, criminal,  administrative, or legislative proceeding against you unless: 

*We have your written consent; or 

* A court order accompanied by a subpoena or other legal requirement compelling disclosure issued after we and you were given notice and an  opportunity to be heard.  

Substance use disorder counseling notes have enhanced confidentiality protections similar to psychotherapy notes under HIPAA and generally  require specific patient written authorization for disclosure, unless the law permits otherwise. In all other situations, we will follow our privacy  practices regarding the disclosure of substance use disorder information as stated in this Notice. 

In addition, if we use this information to raise funds for our benefit, we must first provide you with a clear and conspicuous opportunity to elect  not to receive any fundraising communication. The practice will not use this information for fundraising activities.  

YOUR RIGHTS REGARDING YOUR PHI: 

You have the following rights regarding the PHI that we maintain about you and may request additional information in writing addressed to  Privacy Officer, 8551 Bluejacket Street Lenexa, KS 66214 regarding any of your rights: 

REQUEST CONFIDENTIAL COMMUNICATIONS — You have the right to request that our practice communicate with you about your health and related issues in a particular manner or at a certain location. For instance, you may ask that we contact you at home, rather than at work, or you  may prefer that we communicate with you via unencrypted email or text messaging There are risks associated with communications via  unencrypted email or text messaging, for example, a third party could intercept the email or text message in transmission. In order to request a type of confidential communication, you must make a written request specifying the requested method of contact, or the location where you wish  to be contacted. Our practice will accommodate reasonable requests. You do not need to give a reason for you request. 

ASK US TO LIMIT WHAT WE USE OR SHARE — You have the right to request a restriction in our use or disclosure of your PHI for treatment,  payment or health care operations. Additionally, you have the right to request that we restrict our disclosure of your PHI to only certain individuals involved in your care or the payment for your care. We are not required to agree to your request in most instances and we may refuse if it would affect your care; however, if we do agree, we are bound by our agreement except when otherwise required by law, emergencies, or your treatment require such use or disclosure. Your request must be in writing and describe clearly: 

  1. the information you wish restricted; 
  2. whether you are requesting to limit our practice’s use, disclosure or both; and 
  3. to whom you want the limits to apply. 

If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for purposes of payment  or our operations with your insurer. We will grant your request unless a law requires us to share that information.  

GET AN ELECTRONIC OR PAPER COPY OF YOUR MEDICAL RECORD — You have the right to inspect and obtain an electronic or  paper copy of the PHI that may be used to make decisions about you, including patient medical records and billing records. Ask us how to do  this. Generally, an inspection or copy request must be presented in writing. However, alternative arrangements may be made for individuals  unable to present a request in writing. Our practice may charge a reasonable, cost-based fee for the costs of copying, mailing, labor and  supplies associated with your inspection/copy request for an electronic or paper copy of your records. Our practice may deny your request to  inspect/copy in certain limited circumstances. If we refuse access, we will you tell you in writing and in some circumstances you may ask  that a neutral person review the refusal.  

We will provide you a copy or a summary of your health information, usually within thirty (30) days of your request. You may request that your  records be provided in an electronic format, and we will provide your records in the form and format you request, if it is readily producible. If we  cannot readily produce the records in the form and format that you request, we can work together to agree on an appropriate electronic format.  You may also direct us to transmit your PHI in paper or electronic format to a third party. If you direct us to transmit your PHI to a third party, we  will do so, provided your signed, written direction clearly identifies the designated third party and where to send the PHI. 

ASK US TO CORRECT YOUR MEDICAL RECORD — You may request to amend your PHI if you believe it is incorrect or incomplete, if the  information is kept by or for our practice. To request an amendment, your request must be made in writing. You must provide us with a reason  that supports your request for amendment. We may deny your request if you ask us to amend information that in our opinion is (a) accurate and  complete; (b) not part of the PHI kept by or for the practice; (c) not part of the PHI which you would be permitted to inspect/copy; or (d) not  created by our practice, unless the individual or entity that created the information is unavailable to amend the information. You will be notified in  writing within sixty (60) days if your request is refused and you will be provided an opportunity to have your request included in your records. 

Please note that even if we accept your request, we are not required to delete any information from your health record. 

GET A LIST OF THOSE WITH WHOM WE’VE SHARED INFORMATION — All of our patients have the right to request an “accounting of  disclosures.” An “accounting of disclosures” is a listing of the times we’ve shared your PHI for six (6) years prior to the date you ask, who we  shared it with, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain  other disclosures (such as any you asked us to make). In order to obtain an “accounting of disclosures,” you must submit your request in  writing. All requests must state a time period which may not be longer than six (6) years from the date of disclosure. The first list you request  within a 12-month period is free of charge; additional lists within the same 12-month period are subject to reasonable, cost-based fees. Our practice will notify you of the fee involved allowing you the option to withdraw your request before incurring any cost. 

RIGHT TO A PAPER COPY OF NOTICE — You are entitled to receive a paper copy of our Notice of Privacy Practices at any time, even if  you’ve agreed to receive the Notice electronically, by contacting our Privacy Officer. We will provide you with a paper copy promptly. 

CHOOSE SOMEONE TO ACT FOR YOU – If you have given someone medical power of attorney or if 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 authority and can act for  you before we take any action. 

RIGHT TO FILE A COMPLAINT IF YOU FEEL YOUR RIGHTS ARE VIOLATED — If you believe your privacy rights have been violated,  you may file a complaint with our practice using the contact information listed on page 1 of this Notice. This complaint must be in writing to our  Privacy Officer. You have the right to file a complaint to the Secretary of the Department of Health & Human Services, Office for Civil Rights,  200 Independence Avenue, S.W., Room 509F HHH Bldg., Washington, D.C. 20201, by phone 1-800-537-7697, by email at  OCRcomplaint@hhs.gov, or via the Office for Civil Rights online complaint portal https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf . The Office  for Civil Rights Health Information Privacy & Security Complaint package is available at https://www.hhs.gov/sites/default/files/ocr-hip-security complaint-form-package.pdf.  

We will not retaliate against you for filing a complaint. 

RIGHT TO NOTIFICATION OF A BREACH – A “breach” occurs when your PHI is acquired, accessed, used or disclosed in a manner  not permitted by HIPAA which compromises the security or privacy of your PHI. You are entitled to written notification of a breach. We will provide such notification without unreasonable delay, but in no case, later than sixty (60) days after we discover the breach.

NOTICE OF NONDISCRIMINATION 

DISCRIMINATION IS AGAINST THE LAW: 

The practice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or  sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.  

The practice: 

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need these services, contact the Privacy Officer.

 

If you believe that practice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability,  or sex, you can file a grievance with:  

Privacy Officer 

8551 Bluejacket Street Lenexa, KS 66214 

913-981-1225 

e-mail HIPAA@kcurology.com 

Fax: 913-341-7988 

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Privacy Officer is available to help you.  

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office  for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf, or by mail or phone at:  

U.S. Department of Health and Human Services 

200 Independence Avenue, SW 

Room 509F, HHH Building 

Washington, D.C. 20201 

1-800-368-1019, 800-537-7697 (TDD) 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html 

NOTICE OF NONDISCRIMINATION TAGLINES 

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LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-913-981-1225.. KUMBUKA: Ikiwa unazungumza Kiswahili, unaweza kupata, huduma za lugha, bila malipo. Piga simu 1-913-981-1225.