Health information privacy
Notice of Privacy Practices
Effective date:
Revised:
Status: Adopted
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU MAY OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Jiffy Doctor and/or the healthcare providers participating in your care, as applicable (“we,” “us,” or “our”), are committed to protecting the privacy and security of your health information.
Where the Health Insurance Portability and Accountability Act (“HIPAA”) applies, this Notice describes permitted uses and disclosures of your protected health information (“PHI”) and your rights concerning that information.
This Notice is separate from Jiffy Doctor’s general Website Privacy Policy and from the internal/draft HIPAA policy set. Publication of this Notice does not by itself establish that HIPAA applies to every Jiffy Doctor service, that Jiffy Doctor is a covered entity or business associate in every circumstance, or that any unverified vendor agreement is in place.
Unless stated otherwise, every reference in this Notice to HIPAA duties, rights, uses, disclosures, authorizations, or complaints applies only where HIPAA applies to the responsible healthcare entity and the information at issue.
Our Responsibilities
Where HIPAA applies, the healthcare entity responsible for your information is required to:
- Maintain the privacy and security of your protected health information.
- Follow the duties and privacy practices described in the Notice currently in effect.
- Provide you with a Notice describing its legal duties and privacy practices.
- Notify affected individuals following a breach of unsecured protected health information when notification is required by law.
How We May Use and Disclose Your Health Information
Treatment
We may use or disclose health information for treatment purposes and to coordinate your care. For example, information you provide during patient intake may be made available to a healthcare provider evaluating you.
Payment
We may use or disclose information as necessary for permitted payment and billing activities.
Healthcare Operations
We may use and disclose health information for permitted healthcare operations, including quality assessment, compliance, security, administrative functions, and other activities allowed by law.
Healthcare Providers
Information may be shared with healthcare professionals involved in your treatment or evaluation when permitted by law.
State Medical Cannabis Programs
When requested by you and permitted or required by law, information may be used or disclosed as necessary to facilitate participation in an applicable state medical cannabis program, registry, or related process.
Required by Law
We may disclose health information when required by federal, state, or local law.
Public Health and Safety
We may disclose information for certain legally authorized public-health, health-oversight, safety, or law-enforcement purposes.
Legal Proceedings
Information may be disclosed in response to a valid court order, subpoena, administrative proceeding, or other lawful process when permitted or required by law.
Uses Requiring Your Authorization
Certain uses or disclosures of protected health information require your written authorization. When authorization is required, the responsible healthcare entity will obtain it before making the applicable use or disclosure.
You may generally revoke an authorization in writing, subject to applicable law and actions already taken in reliance upon that authorization.
Protected health information will not be sold or used for prohibited marketing purposes.
Your Rights
Where applicable under HIPAA, you may have the following rights:
Obtain a Copy of Your Health Information
You may request to inspect or obtain a copy of certain health information maintained about you.
Request Corrections
If you believe information in your record is incorrect or incomplete, you may request an amendment. Certain requests may be denied as permitted by law, with an explanation when required.
Request Confidential Communications
You may request communication in a particular way or at a particular location, such as through a particular telephone number.
Request Restrictions
You may ask to limit certain uses or disclosures of your health information. The responsible healthcare entity is not required to agree to every requested restriction, except when applicable law requires it.
Obtain an Accounting of Certain Disclosures
You may request information regarding certain disclosures of your protected health information as provided by HIPAA.
Obtain a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
Choose Someone to Act for You
A person with legal authority to make healthcare decisions for you, or who is otherwise legally authorized to act on your behalf, may exercise applicable privacy rights for you.
Communications
We may contact you regarding appointments, patient-service matters, documentation requirements, renewals, treatment-related information, or other healthcare operations as permitted by law.
Separate consent may be requested for promotional SMS, email, or other marketing communications. Review the separate SMS & Email Communications Consent for details.
Complaints
If you believe your privacy rights have been violated, you may submit a complaint to the Privacy Contact for the healthcare entity responsible for your information.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
You will not be retaliated against for filing a privacy complaint or exercising your privacy rights.
Changes to This Notice
The responsible healthcare entity may change this Notice and its privacy practices as permitted by law. An updated Notice may apply to information already maintained as well as information received in the future.
The current Notice will be made available through the applicable website or patient service.
Privacy Contact
- Organization
- Jiffy Doctor Enterprises, LLC
- Title
- Privacy Contact
- patients@jiffydoctor.com
- Phone
- 844-78-JIFFY (844-785-4339)
- Mailing address
- 13712 Bodega Drive, Oklahoma City, OK 73170