LeReve Wellness HIPAA Notice
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.
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Our Pledge Regarding Your Health Information
We understand that your health information is personal and we are committed to protecting it. This notice tells you about the ways we may use and share your health information. It also tells you about your rights and our duties regarding the use and disclosure of your health information.
Who Will Follow This Notice
This notice applies to LeReve Wellness and all personnel who have access to your health information through our application.
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How We May Use and Disclose Your Health Information
Uses and Disclosures That Do Not Require Your Authorization
For Treatment
We may use your health information to provide you with health assessments and share results with healthcare providers involved in your care.
For Health Care Operations
We may use your health information to improve our services, train staff, and conduct quality assessments.
As Required by Law
We will disclose your health information when required by federal, state, or local law.
To Avert Serious Threat
We may use and disclose your health information when necessary to prevent a serious threat to your health and safety or the health and safety of others.
For Public Health Activities
We may disclose your health information to public health authorities for activities such as preventing or controlling disease.
Uses and Disclosures That Require Your Authorization
We will obtain your written authorization before using or disclosing your health information for:
– Marketing purposes
– Sale of your health information
– Sharing with healthcare providers not directly involved in your care
– Any purpose not described in this notice
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Your Rights Regarding Your Health Information
Right to Access
You have the right to look at or get a copy of your health information. You may request this in writing. We may charge a reasonable fee for copies.
Right to Amend
If you believe that health information we have about you is incorrect or incomplete, you may ask us to amend the information. Your request must be in writing and provide a reason for the amendment.
Right to an Accounting of Disclosures
You have the right to receive a list of certain disclosures we have made of your health information. The list will not include disclosures made for treatment, payment, or health care operations.
Right to Request Restrictions
You have the right to request a restriction on the health information we use or disclose about you. We are not required to agree to your request. If we do agree, we will comply unless the information is needed for emergency treatment.
Right to Request Confidential Communications
You have the right to request that we communicate with you about health matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this notice at any time, even if you agreed to receive it electronically.
Right to Data Portability
You have the right to export your health data in machine-readable formats (JSON, CSV) at any time through the app.
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Our Duties
We are required by law to:
– Maintain the privacy of your health information
– Give you this notice of our legal duties and privacy practices
– Follow the terms of the notice currently in effect
– Notify you if a breach occurs that may have compromised your health information
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Changes to This Notice
We reserve the right to change this notice at any time. Changes will apply to information we already have about you as well as any information we receive in the future. The new notice will be available in the app and on our website.
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Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.
To file a complaint with us:
Email: privacy@lerevewellness.com
Phone: 1-800-LEREVE-1
Address: 2516 Samaritan Drive, Suite G, San Jose, CA 95124
To file a complaint with HHS:
https://www.hhs.gov/hipaa/filing-a-complaint/index.html
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Contact Information
Privacy Officer
Email: privacy@lerevewellness.com
Phone: 1-800-LEREVE-1
Address: 2516 Samaritan Drive, Suite G, San Jose, CA 95124
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Acknowledgment
By using LeReve Wellness, you acknowledge that you have received this Notice of Privacy Practices.