Notice of Privacy Policy
Your Information. Your Rights. Our Responsibilities.
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.
Your Rights
You have the right to:
· Get a copy of your paper or electronic medical record
· Correct your paper or electronic medical record
· Request confidential communication
· Ask us to limit what we use or share
· Get a list of those with whom we’ve shared your information
· Get a copy of this privacy notice
· Choose someone to act for you
· File a complaint if you believe your privacy rights have been violated
Your Choices
You have choices in the way we use and share information as we:
· Tell family and friends about your condition
· Provide disaster relief
· Include you in a hospital directory (if applicable)
· Provide mental health care
· Market our services or sell your information
· Raise funds
Our Uses and Disclosures
We may use and share your information to:
· Treat you
· Run our organization
· Bill for your services
· Help with public health and safety issues
· Do research
· Comply with the law
· Respond to organ and tissue donation requests
· Work with a medical examiner or funeral director
· Address workers’ compensation, law enforcement, and government requests
· Respond to lawsuits and legal actions
Details of Your Rights
Get an electronic or paper copy of your medical record
You may request to view or obtain a copy of your health record. We will respond within 30 days and may charge a reasonable, cost-based fee.
Ask us to correct your medical record
You can request corrections to your health information. We may deny your request, but we’ll explain why in writing within 60 days.
Request confidential communications
You can request contact through specific methods or locations. We will honor reasonable requests.
Ask us to limit what we use or share
You may request restrictions on our use or disclosure of information for treatment, payment, or operations. While we are not required to agree, we will comply with reasonable restrictions.
If you pay in full out-of-pocket for a service, you may request that we not share that information with your health insurer.
Get a list of those with whom we’ve shared information
You may request an accounting of disclosures over the past six years (excluding those related to treatment, payment, and operations). The first request in a 12-month period is free; additional requests may incur a fee.
Get a copy of this privacy notice
You may request a paper or electronic copy of this notice at any time.
Choose someone to act for you
If you have appointed a medical power of attorney or legal guardian, that individual may act on your behalf.
File a complaint
If you feel your rights are violated, contact us at:
MAR Wellness
Phone: (904) 560-5652
Email: marissa@mckinley-medical.com
Or file a complaint with the U.S. Department of Health and Human Services:
www.hhs.gov/ocr/privacy/hipaa/complaints
We will not retaliate against you.
Your Choices
For certain uses and disclosures, you have the right to make decisions about how we share your information.
You may tell us to:
· Share information with family, friends, or others involved in your care
· Share information in a disaster relief situation
· Include you in a directory (if applicable)
If you are unable to express your preference, we may act in your best interest when necessary.
We will never share your information for the following without your written permission:
· Marketing purposes
· Sale of your information
· Most sharing of psychotherapy notes
Our Uses and Disclosures
Treat You
We may share your PHI with other healthcare professionals involved in your care.
Example: A specialist involved in your virtual consultation.
Run Our Organization
We use your PHI for quality improvement, coordination, and administrative functions.
Example: Internal communication to manage your treatment plan.
Bill for Your Services
Since MAR Wellness operates on a fee-for-service model, a bill is sent directly to you.
Other Disclosures Permitted by Law
We may use or disclose your health information for:
Public Health and Safety
· Preventing disease
· Reporting adverse medication effects
· Notifying authorities of abuse or domestic violence
· Preventing serious threats to health or safety
Research
We may share information for health-related research when permitted by law.
Legal Compliance
We will comply with federal or state laws requiring PHI disclosure.
Organ and Tissue Donation
We may share data with organ procurement organizations.
Medical Examiners and Funeral Directors
We may share PHI in cases of death.
Government Requests
· Workers' compensation
· Law enforcement
· Health oversight agencies
· National security and presidential protection
Lawsuits and Legal Actions
We may share your PHI in response to subpoenas or court orders.
Our Responsibilities
· We are legally required to maintain the privacy and security of your PHI.
· We will notify you promptly in case of a breach.
· We must follow the terms of this Notice and provide you with a copy.
· We will not use or share your information in ways not described here unless you provide written consent. You may revoke that consent at any time.