Federal regulations implemented by the government under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) are in effect as of April 14, 2003. These regulations require our office to provide you with a privacy notice. This notice describes how your personal medical information may be used and/or disclosed by HelixVM to carry out treatment, payment, or health care operations, and for other purposes that are permitted or required by law. It also describes how you can obtain access and control of this information. These regulations also require our office to obtain your acknowledgement of receipt of this notice. Please take this privacy notice home with you for your records. If you have any questions, please feel free to ask a HELIX employee.
PROTECTED HEALTH INFORMATION (PHI)
Protected Health Information (PHI) refers to any patient information relating to treatment, diagnosis, or payment that identifies a person.
YOUR RIGHTS REGARDING YOUR PHI:
- You have the right to inspect and obtain a copy of your PHI in your designated record set. This designated record set includes any records that HelixVMmay have about you that are used for making medical treatment decisions. Under federal law, you may not inspect a copy of psychotherapy notes, information being used in anticipation of legal proceedings, or PHI that is otherwise prohibited.
- You have the right to request restrictions be placed on certain uses and/or disclosures of your PHI. You may ask us not to use and/or disclose part of your PHI for treatment, payment, or health care operations. You may also request that any part of your PHI not be disclosed to any of your family members. You must state the specific restriction request, and to whom it applies. Please submit these requests in writing to the Site Manager. HelixVM has the right not to agree with your request if the physician determines it is in your best interest to allow use and/or disclosure of your PHI, subject to certain applicable legal restrictions.
- You have the right to receive confidential communications from us by alternative means or at an alternative location. Please notify the Site Manager in writing of this request.
- You have the right to request a listing of certain disclosures HelixVM has made of your PHI. Please request an accounting list from the Site Manager.
- You have the right to request amendments be made to your PHI. Please submit requests to the Site Manager.
- You have a right to receive a copy of this Privacy Notice. Please request a copy from the Site Manager.
- HelixVM has the right to change the terms of this notice. HelixVM will inform you of any changes made to this Privacy Notice.
- If you feel your rights have been violated, you have the option to file a formal complaint. Please contact the Site Manager or your local Department of Health & Human Resources to do so.
USES & DISCLOSURES OF PHI:
HelixVM uses PHI when employees within the organization share, examine, or analyze a patient’s medical information. HelixVM discloses PHI upon the release, transfer, or given access of PHI to other external persons or facilities. Except for the following circumstances, HelixVM will not release your PHI without your written authorization.
HelixVM will use and/or disclose your PHI to provide medical services, coordinate medical care, and/or help manage your health care and other medical services. HelixVM may also disclose PHI to external persons or facilities that will be involved in your medical care.
Your PHI will be used and/or disclosed, as needed, to help obtain payment for your services. These uses are often required to obtain payment from third parties. Many services require prior authorization, and your PHI may be disclosed to obtain insurance authorization for such services before they are rendered.
Health Care Operations:
Your PHI may be used and/or disclosed, as needed, to aid in the everyday administration of HelixVM. In order to provide you and your family with quality care, HelixVM may use your PHI for quality control reviews, internal investigations, performance reviews, training of new employees, and for other health-related activities. HelixVMmay also use and/or disclose your PHI to provide information to you.
Continuation of Treatment:
HelixVM may use and/or disclose your PHI to ensure continuation of care by checking on your progress or notifying you of received test results.
HelixVM may use and/or disclose your PHI to inform you of various treatment options or programs that may be of benefit to your care.
Medical Benefit Services:
HelixVM may use and/or disclose your PHI to inform you of various medical benefit services in the community that may be of use to you.
OTHER PERMITTED/REQUIRED USES & DISCLOSURES:
HelixVM may use and/or disclose your PHI to the appropriate authorities in the following situations without your authorization:
- Requirements of federal, state, or local law
- Public safety issues that require notification to the proper public health authorities
- Issues of national security or military activity
- Health oversight agencies
- Court-ordered legal proceedings
- Law enforcement
- Correctional institutions at which a patient may be an inmate
- Approved research projects
- Coroners, organ donation services, and funeral directors
- Workers’ compensation
- Change in ownership of Helix Urgent Care
- The Food & Drug Administration
PERMITTED USES & DISCLOSURES THAT MAY BE USED WITH YOUR AUTHORIZATION & OPPORTUNITY TO OBJECT:
HelixVM may use and/or disclose your PHI to the appropriate authorities in certain situations. You have the opportunity to consent or object to the use and/or disclosure of all, or part, of your PHI in the following situations:
If an emergent situation exists where it is impossible to obtain your consent for PHI uses and/or disclosures, HelixVM will make every effort to obtain consent once the emergent situation is resolved.
HelixVM will not use and/or disclose your PHI to any outside marketing agencies without written consent.
OTHER PERSONS INVOLVED IN YOUR CARE:
HelixVM may disclose your PHI to notify a family member or another responsible person of your care or condition. You will be given the opportunity to agree or object to the disclosure of this PHI before we will communicate with other persons involved in your care.
We may contract with third-party service providers to assist us in better understanding our site visitors. These service providers are not permitted to use the information collected on our behalf, except to help us conduct and improve our business.
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HelixVM is committed to ensuring that individuals with disabilities can access all of the goods, services, facilities, privileges, advantages, and accommodations offered by HelixVM through its website, https://staging.helixvm.com/wp-sysadmin. We are utilizing guidelines issued by the Web Accessibility Initiative (WAI) of the World Wide Web Consortium (W3C) to implement functional improvements, and are also working to ensure that all content on https://staging.helixvm.com/wp-sysadmin satisfies the criteria set forth in WCAG 2.1. If you are having trouble accessing our site, please call us at 561-249-4449 or email firstname.lastname@example.org for assistance.