This Notice describes how medical information about your medical history may be used and disclosed by Doctor Rx Weight Loss, LLC (“Company”) in its capacity as a Business Associate to the Company’s affiliated practitioners who takes care of you (“Practitioner”), and how you can get access to this information. Please review this Notice carefully.
All the health care related information your Practitioner and the Company have in your file, including your medical history, current condition, diagnosis, examination notes, test results, and prescriptions.
The Company is a Business Associate to your Practitioner and, as such, performs certain administrative functions for your Practitioner which requires access to your medical record. As a Business Associate, the Company must comply with the HIPAA Privacy Rule that requires Company to protect the confidentiality of your medical information. As a medical services provider, your Practitioner must also comply with the HIPAA Privacy Rule. The Privacy Rule also gives you certain rights with respect to your medical information. This Notice explains both our obligations and your rights under the Privacy Rule.
Although your physical medical file belongs to your Practitioner, the information in your file belongs to you. You therefore have the right to:
We are required to do the following:
Please note that the Company reserves the right to change its privacy practices and apply the changes to your medical information. If we do change our privacy practices, we will mail you a revised Notice to the address you have provided to us.
These are some examples of the uses and disclosures of your medical information that the Company will make:
We may disclose your medical information as required by law, including worker’s compensation regulations; to the Centers for Medicare and Medicaid Services or other regulatory agency; in response to an order of court or administrative tribunal and as required by a valid subpoena; for law enforcement purposes; for public health purposes; to governmental authorities, including social service or protective service agencies, if we believe you have been the victim of abuse, neglect or domestic violence; to a health oversight agency for oversight activities authorized by law; to avert a serious threat to health or safety; in connection with specialized government functions including military or veteran’s activities, national security and intelligence activities and national security or intelligence activities; or during a medical emergency as necessary to protect your welfare.
The Company will make any other uses and/or disclosures of your medical information that are not related to treatment, payment or health care operations only with your prior written authorization. If the Company wishes to use your medical information for any such other purpose (for example, marketing), we will speak to you first and give you the option of signing an Authorization. You are not required to sign the Authorization and if you do, you may revoke that Authorization at any time.
We will contact you to provide appointment reminders but will do so only at the telephone number(s) or e-mail address you provide to us for that purpose.
If you think your privacy rights have been violated, you may complain to the Compliance Director at Company and/or to the Secretary of Health and Human Services. In order to file a complaint with Company, please speak with the Company’s Privacy Officer, Nora Merla (see below), and she will complete a written complaint form with you and follow up on your complaint. The Company will not retaliate against you for filing a complaint.
If you have any questions or complaints regarding your medical information or anything contained in this Notice, please contact the Privacy Officer, Nora Merla at 941-957-0200.
This Notice is effective as of October 5, 2021 until revised or revoked.
DISCLAIMER: This website is an educational service that provides general health and weight loss information only. It is not intended to diagnose, treat or cure any health related condition. Please always consult a physician regarding your health before starting any health or diet program. Results vary from patient to patient.