Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT CARPEVITA GENOMICS CLIENTS MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO YOUR INFORMATION.

PLEASE REVIEW THIS NOTICE CAREFULLY

This notice applies to all clients of CarpeVITA Precision Health, Inc., its subsidiaries and affiliates including, but not limited to CarpeVITA Genomics, Inc. and CarpeVITA Care Management, Inc., and any Authorized Reseller, Provider, Contractor, or Healthcare Professionals (collectively referred to as “CarpeVITA”) providing care and services to Client.

CarpeVITA understands the importance of privacy and we are committed to maintaining the confidentiality of your information. We use this information to provide quality care, to obtain payment for services provided to you as allowed by your health plan and to enable us to meet our professional and legal obligations to operate properly. We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. This notice describes how we may use and disclose your information. It also describes your rights and our legal obligations with respect to your information. If you have any questions about this Notice, please contact our Chairman of the Board and Chief Executive Officer at 240 North James Street, Suite 103, Newport, DE 19804.

A.   How CarpeVITA May Use or Disclose Your Client Assessment

CarpeVITA collects an assessment about you and stores it in a client file and on a computer. The client assessment is the property of CarpeVITA, but the information in the assessment belongs to you. The law permits us to use or disclose your assessment for the following purposes:

  1. Treatment. We use the assessment about you to provide your care. We disclose the assessment to our employees and others who are involved in providing the care you need.
  2. Payment. We use and disclose the assessment about you to obtain payment for the services we provide. For example, we may be required to give your health insurance provider the information it requires before they will pay us.
  3. Health Care Operations. We may use and disclose the assessment about you to operate CarpeVITA. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence and qualifications of our professional staff. We may use and disclose this information to get your health insurance provider to authorize services or referrals. We may also use and disclose this information as necessary for legal services and audits, including fraud and abuse detection and compliance programs and business planning and management.
  4. Notification and Communication With Family and Selected Healthcare Professionals and Advisors. We may disclose your assessment to notify or assist in notifying a family member, your personal representative or another person responsible for your care, about your location, your general condition or, unless you instruct us otherwise, or in the event of your death. We may also disclose information to someone who is involved with your care or who helps pay for your care. If you are able and available to agree or object, we will give you the opportunity to object prior to making these disclosures, although we may disclose this information in a disaster even over your objection if we believe it is necessary to respond to the emergency circumstances. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others.
  5. Required by Law. As required by law, we will use and disclose your assessment, but we will limit our use or disclosure to the relevant requirements of the law. When the law requires us to report abuse, neglect or domestic violence, or respond to judicial or administrative proceedings, or to law enforcement officials, we will further comply with the requirement set forth below concerning those activities.
  6. Public Health. We may, and are sometimes required by law, to disclose your assessment to public health authorities for purposes related to: injury or disability; reporting child, elder or dependent adult abuse or neglect; reporting domestic violence. When we report suspected elder or dependent adult abuse or domestic violence, we will inform you or your personal representative promptly unless in our best professional judgment, we believe the notification would place you at risk of serious harm or would require informing a personal representative we believe is responsible for the abuse or harm.
  7. Health Oversight Activities. We may, and are sometimes required by law, to disclose your assessment to health oversight agencies during the course of audits, investigations, inspections, licensure and other proceedings, subject to the limitations imposed by law.
  8. Judicial and Administrative Proceedings. We may, and are sometimes required by law, to disclose your assessment in the course of any administrative or judicial proceeding to the extent expressly authorized by a court or administrative order. We may also disclose information about you in response to a subpoena, discovery request, or other lawful process if reasonable efforts have been made to notify you of the request and you have not objected, or if your objections have been resolved by a court or administrative order.
  9. Law Enforcement. We may, and are sometimes required by law, to disclose your assessment to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order, warrant, grand jury subpoena and other law enforcement purposes.
  10. Public Safety. We may, and are sometimes required by law, to disclose your assessment to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public.
  11. Specialized Government Functions. We may disclose your assessment for military or national security purposes or to correctional institutions or law enforcement officers that have you in their lawful custody.
  12. Change of Ownership. In the event that CarpeVITA is sold or merged with another organization, your assessment will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to another physician or medical group.
  13. Breach Notification. In the case of a breach of unsecured protected health information, we will notify you as required by law. If you have provided us with a current e-mail address, we may use e-mail to communicate information related to the breach. In some circumstances our business associate may provide the notification. We may also provide notification by other methods as appropriate. [Note: Only use e-mail notification if you are certain it will not contain protected health information and it will not disclose inappropriate information. For example if your e-mail address is “digestivediseaseassociates.com” an e-mail sent with this address could, if intercepted, identify the patient and their condition].

B.   When CarpeVITA May Not Use or Disclose Your Assessment

Except as described in this Notice of Privacy Practices, CarpeVITA will, consistent with its legal obligations, not use or disclose assessment which identifies you without your written authorization. If you do authorize CarpeVITA to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.

C.   Your Client Assessment Rights

  1. Right to Request Special Privacy Protections. You have the right to request restrictions on certain uses and disclosures of your assessment by a written request specifying what information you want to limit, and what limitations on our use or disclosure of that information you wish to have imposed. If you tell us not to disclose information to your commercial health plan concerning health care items or services for which you paid for in full out-of-pocket, we will abide by your request, unless we must disclose the information for treatment or legal reasons. We reserve the right to accept or reject any other request, and will notify you of our decision.
  2. Right to Request Confidential Communications. You have the right to request that you receive your assessment in a specific way or at a specific location. For example, you may ask that we send information to a particular e-mail account or to your work address. We will comply with all reasonable requests submitted in writing which specify how or where you wish to receive these communications.
  3. Right to Inspect and Copy. You have the right to inspect and copy your assessment, with limited exceptions. To access your assessment, you must submit a written request detailing what information you want access to, whether you want to inspect it or get a copy of it, and if you want a copy, your preferred form and format. We will provide copies in your requested form and format if it is readily producible, or we will provide you with an alternative format you find acceptable, or if we can’t agree and we maintain the record in an electronic format, your choice of a readable electronic or hardcopy format. We will also send a copy to any other person you designate in writing. We will charge a reasonable fee which covers our costs for labor, supplies, postage, and if requested and agreed to in advance, the cost of preparing an explanation or summary. We may deny your request under limited circumstances. If we deny your request to access your child’s assessment or the assessment of an incapacitated adult you are representing because we believe allowing access would be reasonably likely to cause substantial harm to the patient, you will have a right to appeal our decision.
  4. Right to Amend or Supplement. You have a right to request that we amend your assessment that you believe is incorrect or incomplete. You must make a request to amend in writing, and include the reasons you believe the information is inaccurate or incomplete. We are not required to change your assessment, and will provide you with information about CarpeVITA’s denial and how you can disagree with the denial. We may deny your request if we do not have the information, if we did not create the information (unless the person or entity that created the information is no longer available to make the amendment), if you would not be permitted to inspect or copy the information at issue, or if the information is accurate and complete as is. If we deny your request, you may submit a written statement of your disagreement with that decision, and we may, in turn, prepare a written rebuttal. All information related to any request to amend will be maintained and disclosed in conjunction with any subsequent disclosure of the disputed information.
  5. Right to an Accounting of Disclosures. You have a right to receive an accounting of disclosures of your assessment made by CarpeVITA, except that CarpeVITA does not have to account for the disclosures provided to you or pursuant to your written authorization, or as described in paragraphs 1-Treatment, 2-Payment, 3-Health Care Operations, 4-Notification and communication with family and 11-Specialized Government Functions) of Section A of this Notice of Privacy Practices or disclosures for purposes of research or public health which exclude direct patient identifiers, or which are incident to a use or disclosure otherwise permitted or authorized by law, or the disclosures to a health oversight agency or law enforcement official to the extent CarpeVITA has received notice from that agency or official that providing this accounting would be reasonably likely to impede their activities.
  6. Right to a Paper or Electronic Copy of this Notice. You have a right to notice of our legal duties and privacy practices with respect to assessment, including a right to a paper copy of this Notice of Privacy Practices, even if you have previously requested its receipt by e-mail.

If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact our Privacy Officer listed at the top of this Notice of Privacy Practices.

D.   Changes to this Notice of Privacy Practices

We reserve the right to amend this Notice of Privacy Practices at any time in the future. Until such amendment is made, we are required by law to comply with the terms of this Notice currently in effect. After an amendment is made, the revised Notice of Privacy Protections will apply to all protected health information that we maintain, regardless of when it was created or received. We will keep a copy of the current notice posted in our office, and a copy will be available at each appointment. We will also post the current notice on our website.

E.   Complaints

Complaints about this Notice of Privacy Practices or how this medical practice handles your health information should be directed to the CarpeVITA Chairman of the Board and Chief Executive Officer at the address listed above.

If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to: OCRMail@hhs.gov.

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