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
CallMD’s Commitment to Your Privacy
CallMD is dedicated to maintaining the privacy of your protected health
related information (‘PHRI’). PHRI is information about you that may be
used to identify you (such as your name, social security number or
address), and that relates to (a) your past, present or future physical or
mental health or condition, (b) the provision of health care to you, or
(c) your past, present, or future payment for the provision of health
care. In conducting its business, CallMD will receive and create records
containing your PHRI. CallMD is required by law to maintain the privacy of
your PHRI and to provide you with notice of its legal duties and privacy
practices with respect to your PHRI.
CallMD must abide by the terms of this Notice while it is in effect. This
current Notice takes effect on August 14, 2013, and will remain in effect
until CallMD replaces it. CallMD reserves the right to change the terms of
this Notice at any time, as long as the changes are in compliance with
applicable law. If CallMD changes the terms of this Notice, the new terms
will apply to all PHRI that it maintains, including PHRI that was created
or received before such changes were made. If CallMD changes this Notice,
it will post the new Notice on its Web site and will make the new Notice
available upon request.
Uses and Disclosures of PHRI
CallMD may use and disclose your PHRI in the following ways:
Treatment, Payment and Health Care Operations.
CallMD is permitted to use and disclose your PHRI for purposes of (a)
treatment, (b) payment and (c) health care operations. For example:
CallMD may disclose your PHRI to another physician or health care
provider for purposes of a consult or in connection with the provision
of follow-up treatment.
CallMD may use and disclose your PHRI to your health insurer or health
plan in connection with the processing and payment of claims and other
Health Care Operations.
CallMD may use and disclose your PHRI in connection with its health
care operations, such as providing customer services and conducting
quality review assessments. CallMD may engage third parties to provide
various services for CallMD. If any such third party must have access
to your PHRI in order to perform its services, CallMD will require that
third party to enter an agreement that binds the third party to the use
and disclosure restrictions outlined in this Notice.
CallMD is permitted to use and disclose your PHRI upon your written
authorization, to the extent such use or disclosure is consistent with
your authorization. You may revoke any such authorization at any time.
As Required by Law.
CallMD may use and disclose your PHRI to the extent required by law.
The following categories describe unique circumstances in which CallMD may
use or disclose your PHRI:
Public Health Activities.
CallMD may disclose your PHRI to public health authorities or other
governmental authorities for purposes including preventing and
controlling disease, reporting child abuse or neglect, reporting domestic
violence and reporting to the Food and Drug Administration regarding the
quality, safety and effectiveness of a regulated product or activity.
CallMD may, in certain circumstances disclose PHRI to persons who have
been exposed to a communicable disease or may otherwise be at risk of
contracting or spreading a disease or condition.
Workers’ Compensation. CallMD may disclose your PHRI as authorized by,
and to the extent necessary to comply with, workers’ compensation
programs and other similar programs relating to work-related illnesses or
Health Oversight Activities.
CallMD may disclose your PHRI to a health oversight agency for authorized
activities such as audits, investigations, inspections, licensing and
disciplinary actions relating to the health care system or government
Judicial and Administrative Proceedings.
CallMD may disclose your PHRI, in certain circumstances, as permitted by
applicable law, in response to an order from a court or administrative
agency, or in response to a subpoena or discovery request.
CallMD may, under certain circumstances, disclose your PHRI to a law
enforcement official, such as for purposes of identifying or locating a
suspect, fugitive, material witness or missing person.
CallMD may, under certain circumstances, disclose PHRI to coroners,
medical examiners and funeral directors for purposes such as
identification, determining the cause of death and fulfilling duties
relating to decedents.
CallMD may, under certain circumstances, use or disclose PHRI for the
purposes of organ donation and transplantation.
CallMD may, under certain circumstances, use or disclose PHRI that is
necessary for research purposes.
Threat to Health or Safety.
CallMD may, under certain circumstances, use or disclose PHRI if
necessary to prevent or lessen a serious and imminent threat to the
health or safety of a person or the public.
Specialized Government Functions.
CallMD, may in certain situations, use and disclose PHRI of persons who
are, or were, in the Armed Forces for purposes such as ensuring proper
execution of a military mission or determining entitlement to benefits.
CallMD may also disclose PHRI to federal officials for intelligence and
national security purposes.
Your Rights Regarding Your PHRI
You have the following rights regarding the PHRI maintained by CallMD:
You have the right to receive confidential communications of your PHRI.
You may request that CallMD communicate with you through alternate means
or at an alternate location, and CallMD will accommodate your reasonable
requests. You must submit your request in writing to CallMD.
You have the right to request restrictions on certain uses and
disclosures of PHRI for treatment, payment or health care operations.
You also have the right to request that CallMD restrict its disclosures
of PHRI to only certain individuals involved in your care or the payment
of your care. You must submit your request in writing to CallMD. CallMD
is not required to comply with your request. However, if CallMD agrees to
comply with your request, it will be bound by such agreement, except when
otherwise required by law or in the event of an emergency.
Inspection and Copies.
You have the right to inspect and copy your PHRI. You must submit your
request in writing to CallMD. CallMD may impose a fee for the costs of
copying, mailing, labor and supplies associated with your request. CallMD
may deny your request to inspect and/or copy your PHRI in certain limited
circumstances. If that occurs, CallMD will inform you of the reason for
the denial, and you may request a review of the denial.
You have a right to request that CallMD amend your PHRI if you believe it
is incorrect or incomplete, and you may request an amendment for as long
as the information is maintained by CallMD. You must submit your request
in writing to CallMD and provide a reason to support the requested
amendment. CallMD may, under certain circumstances, deny your request by
sending you a written notice of denial. If CallMD denies your request,
you will be permitted to submit a statement of disagreement for inclusion
in your records.
Accounting of Disclosures.
You have a right to receive an accounting of all disclosures CallMD has
made of your PHRI. However, that right does not include disclosures made
for treatment, payment or health care operations, disclosures made to you
about your treatment, disclosures made pursuant to an authorization, and
certain other disclosures. You must submit your request in writing to
CallMD and you must specify the time period involved (which must be for a
period of time less than six years from the date of the disclosure). Your
first accounting will be free of charge. However, CallMD may charge you
for the costs involved in fulfilling any additional request made within a
period of 12 months. CallMD will inform you of such costs in advance, so
that you may withdraw or modify your request to save costs.
You have the right to obtain a paper copy of this Notice from CallMD at
any time upon request. To obtain a paper copy of this notice, please
contact CallMD by calling 1-800-277-3514.
You may complain to CallMD and to the Secretary of the Department of
Health and Human Services if you believe that your privacy rights have
been violated. To file a complaint with CallMD, you must submit a
statement in writing to CallMD: Attn: Chief Compliance Officer, 20900 NE
30th Ave, Ste 200, Aventura, FL 33180. CallMD will not retaliate against
you for filing a complaint.
If you would like more information about your privacy rights, please
contact CallMD by calling 1-800-277-3514 and ask to speak to the Chief
Compliance Officer. To the extent you are required to send a written
request to CallMD to exercise any right described in this Notice, you must
submit your request to CallMD at: Attn: Chief Compliance Officer, 20900 NE
30th Ave, Ste 200, Aventura, FL 33180.