For the United States
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.
Prehos USA Inc. (“we”) share a commitment with your healthcare provider to help protect the privacy and confidentiality of Protected Health Information (“PHI”) that we obtain when we provide services to your healthcare provider subject to the terms of a contract known as a Business Associate Agreement.
“Protected health information” or “PHI” is any individual identifiable health information that can be used to identify an individual and that was created, used, or disclosed in (a) the course of providing a health care service such as diagnosis or treatment, or (b) in relation to the payment for the provision of health care services.
Our Uses and Disclosures of PHI
We use PHI to:
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The disclosure of any psychotherapy notes, the sale of PHI or the use or disclosure of PHI for marketing purposes requires your written authorization. We do not ordinarily make use of or disclose PHI for these purposes, and we would be required to seek your written authorization before doing so.
Please note the potential for PHI appropriately disclosed by us pursuant to this notice to be subject to redisclosure by any recipient of that information, in which case your PHI would no longer be protected.
We will make information available to your healthcare provider to address your rights of to access, amend, and receive an accounting of disclosures of your protected health information in accordance with HIPAA regulations. You have the right to request that certain uses and disclosures of your information be restricted, though we are not required to agree to your request in every instance. You have the right to request that communications to you be made confidentially.
In the event that PHI must be disclosed to a subcontractor or agent, we will require that the subcontractor or agent agree to abide by the same restrictions and conditions that apply to us under our agreements with your healthcare provider with respect to PHI, including the implementation of reasonable and appropriate safeguards.
Upon request, we will make our internal practices, books, and records including policies and procedures, relating to the use and disclosure of PHI received from, or created or received by us on behalf of a healthcare provider available to that provider or the Secretary of the U.S. Department of Health and Human Services for the purpose of determining compliance with HIPAA regulations.
Your Rights
When it comes to your health information, you have certain rights. You can get an electronic or paper copy of your medical record or ask to correct it, request that the uses or sharing of PHI be limited, get a list of those to whom PHI was shared or choose someone to act for you.
We defer requests for access to your healthcare provider unless prohibited at law.
If we have agreed with your healthcare provider to assist them with such requests, then we can provide you with some of the documents or information requested.
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
File a complaint if you feel your rights are violated
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You can complain if you feel we have violated your rights by contacting us at [name or title, and telephone number].
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You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting http://www.hhs.gov/ocr/privacy/hipaa/complaints/ .
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We will not retaliate against you for filing a complaint.
Our Responsibilities
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We are required by law to maintain the privacy and security of your PHI.
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We must follow the duties and privacy practices described in this notice and give you a copy of it.
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We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
We use appropriate safeguards to prevent the use or disclosure of PHI. We have implemented administrative, physical, and technical safeguards designed to reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic PHI that we create, receive, maintain, or transmit on behalf of our healthcare provider clients.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, and on our web site.
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Effective Date of this Notice: |
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