This notice describes how medical
information about you may be used and disclosed and how you can access it.
Please review
it carefully.
I. Who We Are
This notice describes the privacy practices of the OnLineDoctorsUSA, LLC. (OnLineDoctorsUSA, LLC. ). This
notice applies to all of these primary care physicians and specialists,
nurses, residents, researchers and Physician Assistants of OnLineDoctorsUSA, LLC.
OnLineDoctorsUSA, LLC. is required by law to maintain the privacy of your health
information ("Protected Health Information" or "PHI") and to provide you with
this notice.
II. How We
May Use and Disclose Health Information, Treatment, Payments and Healthcare
Operations
We will take
precautions to protect information necessary to your care. We will use your
health information for treatment, to run our healthcare network and to obtain
payment.
A.
B. Payment.
We may disclose your PHI to obtain payment for services that we provide to you,
for example, to request payment from your health insurer and to verify that
your health insurer will pay for your healthcare services.
C.
D. Other
Healthcare Providers. We may also disclose PHI to other healthcare providers when
such PHI is required for them to treat you (e.g., specialists, pharmacists),
receive payment for services they provide to you, or conduct certain healthcare
operations. For example, emergency ambulance companies use PHI to request
payment for services in bringing you to the hospital.
III. Other Uses and Disclosures of Your PHI That Don't Require Your
Written Authorization
A. Use or
Disclosure of Our Hospital Directory. We may include your name and general
health condition and religious affiliation in our directory without obtaining
your written authorization unless you object after reading this notice.
Information in the directory (other than religious affiliation) may be
disclosed to anyone who asks for you by name, either in person or by telephone.
This information (including religious affiliation) may also be disclosed to
members of the clergy.
B. Disclosure
to Relatives, Friends and Other Caregivers. We may disclose your PHI to a
family member, other relative, friend or any other person if we: 1) obtain your agreement; 2) provide you with the opportunity
to object to the disclosure, and you do not object; 3) we reasonably assume
that you do not object. If we provide information and any individual(s) listed
above we will release only information that we believe is directly relevant to
that person's involvement with your healthcare or payment related to your
healthcare. We may also disclose your PHI in the event of an emergency or to
notify (or assist in notifying) such persons of your location, general
condition or death.
C. Marketing.
We may use PHI to communicate with you about products or services relating to
your treatment, case management or care coordination, or alternative
treatments, therapies, providers or care settings without your written authorization.
We offer you help in finding a physician and look at how this referral service
is used. We may send you newsletters or informational mailers regarding our
services, programs and community events. If you have taken part in one of our
health screenings or other community events, we may follow up with you by
telephone or mail about services that may benefit you.
D.
E. Victims of
Abuse, Neglect or Domestic Violence. If we reasonably believe you are a victim
of abuse, neglect or domestic violence, we may disclose your PHI to a
governmental authority, including a social service or protective agency,
authorized by law to receive reports of such abuse, neglect or domestic
violence.
F. Health Oversight
Activities. We may disclose your PHI to a health oversight agency that is
responsible for ensuring compliance with rules of government health programs
such as Medicare or Medicaid.
G. Legal
Proceedings and Law Enforcement. We may disclose your PHI in response to a
court order, subpoena, or other lawful process.
H. Deceased
Persons. We may disclose PHI of deceased individuals to a coroner or medical
examiner authorized by law to receive such information.
I. Obtaining
Organs and Tissues. We may disclose your PHI to organizations that obtain
organs or tissues for banking and/or transplantations.
J. Research.
When conducting research, in most cases, we will ask for your written
authorization before PHI is used. However, we may use or disclose your PHI without
your specific authorization in certain circumstances (for example, if we
believe that because of your illness or medical condition you might benefit
from or have interest in learning about a particular research study).
K. Public
Safety. We may use or disclose your PHI to prevent or lessen a serious and
imminent threat to personal or public safety.
L.
Specialized Government Functions. We may release your PHI to government units
with special functions, such as the U.S. Department of State, under certain
circumstances, such as for intelligence, counterintelligence or national
security activities.
M. Workers'
Compensation. We may disclose your PHI as authorized by state law relating to
workers' compensation or other similar government programs.
N. Inmates.
If you are or become a correctional institution inmate or you are in custody of
a law enforcement official, we may release your PHI to the institution or
official if required to provide you with healthcare or to protect the health
and safety of others.
O. As
Required By Law. We may use and disclose your PHI when required to do so by any
other laws not already referenced above.
P. Business
Associates. If a business associate assists OnLineDoctorsUSA, LLC.
operations. OnLineDoctorsUSA, LLC. will disclose PHI as needed, but only
if the business associate has signed a privacy addendum agreeing to maintain
the privacy of PHI.
IV. Uses and
Disclosures Requiring Your Specific Written Authorization
For any purpose other than the ones described above, we may use or disclose
your PHI only when you give OnLineDoctorsUSA, LLC. your specific written
authorization. For instance, you will need to sign an authorization form before
we can send your PHI to a life insurance company.
A. Highly
Confidential Information. Federal and state laws require special privacy
protections for certain highly confidential information about you. This
includes PHI: 1) maintained in psychotherapy notes; 2) documenting mental
health and developmental disabilities services; 3) about drug and alcohol
abuse, prevention, treatment and referral; 4) relating to HIV/AIDS testing,
diagnosis or treatment and other sexually transmitted diseases; and 5) genetic
testing.
Generally we
must obtain your written authorization to release this type of information.
However, there are limited circumstances under the law when this information
may be released without your consent.
V. Your
Rights Regarding Your Protected Health Information
A.
B. Right to
Request Restrictions. You may request additional restrictions on OnLineDoctorsUSA, LLC. ' use and disclosure of your PHI 1) for treatment, payment
and healthcare operations; 2) to individuals (such as family members, or other
relatives, close friends or any other person identified by you) involved with
your care or with payment related to your care; and 3) to notify or assist in
the notification of such individuals regarding your location in the hospital
and your general condition. You will need to make a separate request for each
OnLineDoctorsUSA, LLC. department or facility that uses or discloses
your PHI. While we will consider all requests for restrictions carefully, we
are not required to agree to a request.
C. Right to
Receive Confidential Communications. You may request to receive you PHI by
alternate means of communication or at alternate locations. For example, you
may instruct us not to contact you by telephone at home, or you may give us a
mailing address other than your home for test results. You will need to make a
separate written request in each OnLineDoctorsUSA, LLC. department or
facility.
D. Right to
Revoke Your Authorization. You may revoke (take back) your authorization by
delivering a written form requesting us to stop using your authorization. The
request will be effective once agreed to by as set forth above. A revocation
form is available upon request from OnLineDoctorsUSA, LLC.
E. Right to
Amend Your Records. You have the right to request that we amend (change) PHI
maintained in your medical or billing records. To do so, you must submit a
written request to the appropriate OnLineDoctorsUSA, LLC. office or
department. We may deny your request if OnLineDoctorsUSA, LLC.
reasonably believes that the information is accurate and complete, if the PHI
was not created by OnLineDoctorsUSA, LLC. , or other special
circumstances apply.
F. Right to
Receive and Accounting of Disclosures. You may request a record of certain
disclosures made in the six years prior to the date of your request. However,
we are not required to give you a record of disclosures that occurred before
January 27th, 2006.
G. Right to
Stop Receiving Fundraising or Marketing Materials. You may request that your
name be removed from our fundraising and marketing lists. Please contact our
customer service at OnLineDoctorsUSA, LLC.
H.
5944 Coral Ridge Drive, Suite 229
Coral Springs, FL 33076
1(866) 500-6348
OnLineDoctorsUSA, LLC.
Email: mdwiz1@gmail.com
Additionally, you may file a written complaint with the Director, Office for Civil Rights of the U.S. Department of Health and Human Services. Upon request, the Privacy Officer will provide you with contact information.
VI. Effective
Date and Duration of This Notice
A. Effective
Date: This notice is effective April 22, 2007
B. Right to change Terms of this Notice. We may change the terms of
this notice at any time. If we change this notice, we will post
the revised list online at www.onlinedoctorsusa.com. You may obtain any revised notice by contacting
the Privacy Officer.




