HIPAA Privacy Notice
NOTICE OF PRIVACY PRACTICES
Effective Date:
January 1, 2006
THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
INFORMATION.
PLEASE REVIEW IT CAREFULLY.
If you have any questions about this notice, please contact:
Nutradvice, c/o Joe Farar, Executive Manager, 18414 Collins St.
Suite #111, Tarzana, CA 91356, 1-800-980-9780, support@nutradvice.com
OUR PLEDGE REGARDING PROTECTED HEALTH INFORMATION:
Nutradvice understands that protected health information
about you and your health is personal. We are committed to protecting health
information about you. This Notice applies to all of the records of your care
generated by Nutradvice whether made by Nutradvice personnel or your personal
doctor.
This Notice will tell you about the ways in which we may use
and disclose protected health information about you. We also describe your
rights and certain obligations we have regarding the use and disclosure of
protected health information. The law requires us to:
·
make sure that protected health information that identifies you
is kept private;
·
notify you about how we protect protected health information
about you;
·
explain how, when and why we use and disclose protected health
information;
·
follow the terms of the Notice that is currently in effect.
We are required to follow the procedures in this Notice. We
reserve the right to change the terms of this Notice and to make new notice
provisions effective for all protected health information that we maintain by:
·
posting the revised Notice in our office
·
making copies of the revised Notice available upon request;
·
posting the revised Notice on our Web site.
HOW WE MAY USE AND DISCLOSE PROTECTED HEALTH INFORMATION ABOUT YOU.
The following categories describe different ways that we use
and disclose protected health information without your written authorization.
For Treatment. We may use protected health
information about you to provide you with, coordinate or manage your medical
treatment or services. We may disclose protected health information about you
to doctors, nurses, technicians, medical students, or other personnel who are
involved in taking care of you.
Nutradvice staff may also share protected health information
about you in order to coordinate the different things you need, such as
prescriptions, lab work and x-rays. We also may disclose protected health
information about you to people outside Nutradvice who may be involved in your
medical care, such as clergy or others we use to provide services that are part
of your care.
We may use and disclose protected health information to
contact you as a reminder that you have an appointment for treatment or medical
care with Nutradvice. We may use and disclose protected health information to
tell you about or recommend possible treatment options or alternatives or
health-related benefits or services that may be of interest to you.
For Payment for Services. We may use and disclose
protected health information about you so that the treatment and services you
receive with Nutradvice may be billed to and payment may be collected from you.
For Health Care Operations. We may use and disclose
protected health information about you for health care operations, such as our
quality assessment and improvement activities, case management, coordination of
care, business planning, customer services and other activities. These uses and
disclosures are necessary to run our operation of business, reduce health care
costs, and make sure that all of our patients receive quality care.
For example, we may use protected health information to
review our treatment and services and to evaluate the performance of the
dietitian who is providing your services. We may also combine protected health
information about many Nutradvice patients to decide what additional services
Nutradvice should offer, what services are not needed, and whether certain new
treatments are effective. We may also disclose information to doctors, nurses,
technicians, medical students, and other Nutradvice personnel for review and
learning purposes. We may also combine the protected health information we have
with protected health information from other health care facilities to compare
how we are doing and see where we can make improvements in the care and
services we offer. We may remove information that identifies you from this set
of protected health information so others may use it to study health care and
health care delivery without learning who the specific patients are. We may
also contact you as part of a fundraising effort.
Subject to applicable state law, in some limited situations
the law allows or requires us to use or disclose your health information for
purposes beyond treatment, payment, and operations. However, some of the
disclosures set forth below may never occur with Nutradvice.
As Required By Law. We will disclose protected health
information about you when required to do so by federal, state or local law.
Research. We may disclose your PHI to researchers when
their research has been approved by an institutional review board or privacy
board that has reviewed the research proposal and established protocols to
ensure the privacy of your information
Health Risks. We may disclose protected health
information about you to a government authority if we reasonably believe you
are a victim of abuse, neglect or domestic violence. We will only disclose this
type of information to the extent required by law, if you agree to the
disclosure, or if the disclosure is allowed by law and we believe it is
necessary to prevent or lessen a serious and imminent threat to you or another
person.
Judicial and Administrative Proceedings. If you are
involved in a lawsuit or dispute, we may disclose your information in response
to a court or administrative order. We may also disclose health information
about you in response to a subpoena, discovery request, or other lawful process
by someone else involved in the dispute, but only if efforts have been made,
either by us or the requesting party, to tell you about the request or to
obtain an order protecting the information requested.
Business Associates. We may disclose information to
business associates who perform services on our behalf (such as billing
companies); however, we require them to appropriately safeguard your
information.
Public Health. As required by law, we may disclose
your protected health information to public health or legal authorities charged
with preventing or controlling disease, injury, or disability.
To Avert a Serious Threat to Health or Safety. We may
use and disclose protected health information about you when necessary to
prevent a serious threat to your health and safety or the health and safety of
the public or another person.
Health Oversight Activities. We may disclose
protected health information to a health oversight agency for activities
authorized by law. These activities include audits, investigations, and
inspections, as necessary for licensure and for the government to monitor the
health care system, government programs, and compliance with civil rights laws.
Law Enforcement. We may release protected health
information as required by law, or in response to an order or warrant of a
court, a subpoena, or an administrative request. We may also disclose protected
health information in response to a request related to identification or
location of an individual, victims of crime, decedents, or a crime on the
premises.
Special Government Functions. If you are a member of
the armed forces, we may release protected health information about you if it
relates to military and veterans activities. We may also release your protected
health information for national security and intelligence purposes, protective
services for the President, and medical suitability or determinations of the
Department of State.
Coroners, Medical Examiners, and Funeral Directors.
We may release protected health information to a coroner or medical examiner.
This may be necessary, for example, to identify a deceased person or determine
the cause of death. We may also disclose protected health information to
funeral directors consistent with applicable law to enable them to carry out
their duties.
Worker's Compensation. We may disclose information as
necessary to comply with laws relating to worker's compensation or other
similar programs established by law.
Food and Drug Administration. We may disclose to the
FDA, or persons under the jurisdiction of the FDA, protected health information
relative to adverse events with respect to drugs, foods, supplements, products
and product defects, or post marketing surveillance information to enable
product recalls, repairs, or replacement.
YOU CAN OBJECT TO CERTAIN USES AND DISCLOSURES
Unless you object, or request that only a limited amount or
type of information be shared, we may use or disclose protected health
information about you in the following circumstances:
·
We may share with a family member, relative, friend or other
person identified by you protected health information directly relevant to that
person's involvement in your care or payment for your care. We may also share
information to notify these individuals of your location, general condition or
death.
·
We may share information with a public or private agency (such as
the American Red Cross) for disaster relief purposes. Even if you object, we
may still share this information if necessary for the emergency circumstances.
If you would like to object to use and disclosure of
protected health information in these circumstances, please call or write to
our contact person listed on page 1 of this Notice.
YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION ABOUT
YOU.
You have the following rights regarding protected health information we
maintain about you:
Right to Inspect and Copy. You have the right to
inspect and copy protected health information that may be used to make
decisions about your care. Usually, this includes medical and billing records.
To inspect and copy protected health information that may be
used to make decisions about you, you must submit your request in writing to Nutradvice,
c/o Joe Farar. If you request a copy of the information, we may charge a fee
for the costs of copying, mailing or other supplies associated with your
request, and we will respond to your request no later than 30 days after
receiving it. There are certain situations in which we are not required to
comply with your request. In these circumstances, we will respond to you in
writing, stating why we will not grant your request and describe any rights you
may have to request a review of our denial.
Right to Amend. If you feel that protected health
information we have about you is incorrect or incomplete, you may ask us to
amend or supplement the information.
To request an amendment, your request must be made in
writing and submitted to Nutradvice, c/o Joe Farar. In addition, you
must provide a reason that supports your request. We will act on your request
for an amendment no later than 60 days after receiving the request.
We may deny your request for an amendment if it is not in
writing or does not include a reason to support the request, and will provide a
written denial to you. In addition, we may deny your request if you ask us to
amend information that:
·
Was not created by us, unless the person or entity that created
the information is no longer available to make the amendment;
·
Is not part of the protected health information kept by Nutradvice;
·
Is not part of the information which you would be permitted to
inspect and copy; or
·
We believe is accurate and complete.
Right to an Accounting of Disclosures. You have the
right to request an "accounting of disclosures." This is a list of
the disclosures we made of protected health information about you.
To request this list or accounting of disclosures, you must
submit your request in writing to Nutradvice, c/o Joe Farar. You may ask for
disclosures made up to six years before your request. The first list you
request within a 12-month period will be free. For additional lists, we may
charge you for the costs of providing the list. We are required to provide a
listing of all disclosures except the following:
·
For your treatment
·
For billing and collection of payment for your treatment
·
For health care operations
·
Made to or request by you, or that you authorized
·
Occurring as a byproduct of permitted use and disclosures
·
For national security or intelligence purposes or to correctional
institutions or law enforcement regarding inmates
·
As part of a limited data set of information that does not
contain information identifying you
Right to Request Restrictions. You have the right to
request a restriction or limitation on the protected health information we use
or disclose about you for treatment, payment or health care operations or to
persons involved in your care.
We are not required to agree to your request. If we do
agree, we will comply with your request unless the information is needed to
provide you emergency treatment, the disclosure is to the Secretary of the
Department of Health and Human Services, or the disclosure is for one of the
purposes described on page 4.
To request restrictions, you must make your request in
writing to Nutradvice, c/o Joe Farar.
Right to Request Confidential Communications. You
have the right to request that we communicate with you about medical matters in
a certain way or at a certain location. For example, you can ask that we only
contact you at work or by mail.
To request confidential communications, you must make your
request in writing to Nutradvice, c/o Joe Farar. We will accommodate all
reasonable requests.
Right to a Paper Copy of This Notice. You have the
right to a paper copy of this Notice at any time by contacting Nutradvice,
c/o Joe Farar or you may print this for your records.
OTHER USES AND DISCLOSURES
We will obtain your written authorization before using or
disclosing your protected health information for purposes other than those
provide for above (or as otherwise permitted or required by law). You may
revoke this authorization in writing at any time. Upon receipt of the written
revocation, we will stop using or disclosing your information, except to the
extent that we have already taken action in reliance on the authorization.
YOU MAY FILE A COMPLAINT ABOUT OUR PRIVACY PRACTICES
If you believe your privacy rights have been violated, you
may file a complaint with Nutradvice, c/o Joe Farar or file a written complaint
with the Secretary of the Department of Health and Human Services. A complaint
to the Secretary should be filed within 180 days of the occurrence or action that
is the subject of the complaint.
If you file a complaint, we will not take any action against
you or change our treatment of you in any way.