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THE PROVIDER PRIVACY NOTICE

Effective Date: November 1, 2020

When you book an appointment through the Uplin Technology, the medical services, including health care, are provided not by Uplin, but by Doctors and other Providers and Provider Groups who are licensed Medical Doctors or Doctors of Osteopathic Medicine in your state (the “Providers,” “we,” “our,” and “us”). Uplin is not a medical service provider; rather, it is a technology company that bridges users or patients like you to the Providers. This Privacy Notice describes how medical information about you may be used and disclosed by the Providers and how you can get access to this information. Please review it carefully.

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 the information we share
  • Get a list of those whom we’ve shared your information
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

    • You have some choices in the way that we can use and share information as we:

  • Tell family and friends about your condition
  • Provide disaster relief
  • Provide health care

    • When it comes to your health information, you have certain rights.

  • You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
  • We will provide you a copy of your visit summary.
  • We will provide a copy of your health record to your primary care provider.

    • Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
  • We may say “no” to your request, but we’ll tell you why in writing within 30 days.

    • Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will say "yes" to all reasonable requesets

    • Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

    • Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make).

    • 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.

    • Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  • We will make sure the person has this authority and can act for you before we take any action.

    • File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting us using the information found below.
  • 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: www.hhs.gov/ocr/privacy/hipaa/complaints/

    • For certain health information, you can tell us your choices about what we share.
    In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care, share information in a disaster relief situation, include your information in a hospital directory.

    • In these cases, we never share your information unless you give us written permission:

  • Marketing purposes
  • Most sharing of medical notes.

    • How do we typically use or share your health information?
    To treat you:

  • We can use your health information and share it with other professionals who are treating you. Example: Sharing with your Primary Care Provider certain notes concerning your symptoms, diagnosis, treatment, or your overall health condition.

    • Run our organization:

  • We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.

    • Help with public health and safety issues:

  • We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.
  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety

    • Comply with the Law

  • We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.

    • Work with a medical examiner or funeral director:

  • We can share health information with a coroner, medical examiner, or funeral director where an individual passes away. 

    • Address workers' compensation, law enforcement, and other government requests:

  • We can use or share health information about you:
  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

    • Respond to lawsuits and legal actions:

  • We can share health information about you in response to a court or administrative order, or in response to a subpoena. 

    • Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this Notice and give you a copy of it.
  • We will not use or share your information other than as described herein 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.
  • Feel free to contact us through Uplin at contactus@pbdhc.com.
  • For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

    • We may 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 through this website.

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