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HOW HEALTH INFORMATION ABOUT YOU MAY BE USED
AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY
.

This notice describes the privacy practices of Wellnet Inc., InforMed Centers and affiliated websites. Furthermore this notice describes the privacy practices of the physicians providing medical overseeing, counseling and/or consultations. These companies and physicians have agreed to the terms of this Notice of Privacy Practices, and are sending you one notice instead of sending you a separate notice from each of them. This privacy notice and the privacy practices explained in this notice notify you of our commitment to protecting private health information, and permitting people to exercise their rights concerning health information. No legal relationship between these physicians and companies is created or implied for any other purpose.

Your Health Care Information is Your Personal Information. We know that information about your health is private. To process the ordering of your Health tests, we must create certain records which contain information about you and the results of your tests. These records include your name, test/s ordered, results and billing records. The law requires that we give you notice of our privacy practices, and requires that we follow the terms of our privacy notice currently in effect. This Notice of Privacy Practices describes our commitment and the commitment of the physicians to the protection and confidentiality of your health information. This notice also describes your rights concerning your health information, including your right to inspect and amend your health information. We are committed to following the law which requires that protected health information is kept private subject to legal requirements which authorize or require its disclosure in limited circumstances.

How We May Use and Disclose Health Information. Unless we have your written authorization, we will not use and disclose your protected health information, except under the limited circumstances explained below. We will not disclose protected health information about you for any other reason without your written authorization. If you give us an authorization permitting us to release protected health information, you may revoke the authorization in writing, except to the extent we have already disclosed information pursuant to the authorization

A. Limited Information is Used to Obtain Payment for Services. We obtain payment for our services through money orders and/or your credit card company or through a check processing service. We do not share any information with your credit card company or check processing service which discloses the type or the reason of the payment made by our customers.

B. Information May Be Used for Health Care Operations. We may use or disclose health care information for our operations. For example, we may use information concerning your test/s to evaluate the quality of services our staff is providing to you.

C. Follow up testing procedures. We may use health care information to contact you by phone for the purpose of follow up the course of your testing. For example, we may have a need to change your referral to a different Service Center. Please advise our Privacy Officer at the time of ordering test/s or by e-mail or U.S. mail at the privacy contact address described at the end of this Notice if you do not wish us to contact you.

D. Disclosures as Required by Law. We may use or disclose protected health information if required to do so by federal, state, or local law. The use or disclosure will be made in compliance with the law, and will be limited to the relevant requirements of the law. For example, we may be required to disclose your health information to respond to a subpoena, or order of a court or administrative tribunal.

E. Disclosures for Public Health Activities. We may be required to disclose protected health information for public health activities to a public health authority authorized by law to collect or receive this information, such as the Food and Drug Administration, for the purpose of preventing or controlling disease, injury, or disability.

F. Disclosures to Coroners and Medical Examiners. We may be required to disclose health information about patients who have died to coroners and medical examiners so they may carry out their duties, such as determining the cause of death

G. Disclosures Concerning Organ Donors. If you are an organ donor, we may be asked to disclose information concerning your health or drugs we have prescribed to organ procurement organizations, eye banks, and other similar organizations for the purpose of facilitating organ, eye or tissue donation and transplantation.

H. Disclosures to Avert a Serious Threat to Health. As required by law and standards of ethical conduct, we are permitted to release your health information to the proper authorities if we believe, in good faith, that such release is necessary to prevent or minimize a serious and imminent threat to your, the public's, or another individual's health or safety.

I. Disclosures for Health Oversight Activities. We are permitted to disclose your health information to a health oversight agency for monitoring and oversight activities authorized by law. This might include release of information to the state agency that licenses Physicians for the purpose of monitoring or inspection

Your Rights Pertaining to Your Health Care Information

  1. Right to Request Confidential Communications. We intend to communicate with our customers primarily by phone call or e-mail at the e-mail address which you provided to us. You have the right to request that we communicate with you in a certain way or at a certain location. For example, you can ask that we only contact you by U.S. mail at a private post office box. We will not ask you the reason for your request.

   B. Right to Request Restrictions. You have the right to ask for restrictions on how your health information is used or to whom your information is disclosed, even if the restriction affects your treatment, our payment, or health care operation activities. However, we are not required to agree to your requested restriction and, even if we agree to the requested restriction, we are permitted to use your information without complying with the restriction if necessary to treat you in an emergency situation.

   C. Your Right to Inspect and Obtain a Copy of Your Health Information. You have the right to inspect and obtain a copy of health information that we maintain about you. This includes copy of the test records and billing records. To inspect or request a copy of your health information please contact our Privacy Officer as described later in this Notice. In certain very limited circumstances, the law provides that we may deny your request to inspect or copy these records. If you are denied access to health information, you may request that the denial be reviewed by a licensed health care professional chosen by us who did not participate in the original decision to deny your access to review your request and the reasons for the denial.

   D. Your Right to Request an Amendment to Your Health Information. If you believe the health information within your medical record is incorrect, you may ask us to amend the information. We are not required, however, to honor your request if we did not create the information you are requesting be amended or if the information in your record is correct. We will respond to your request in writing within 60 days of the date of receipt of your written request for amendment of your information, unless we advise you we require an additional 30 days.

   E. Right to an Accounting of Disclosures. You have the right to request a list accounting for any disclosures of your protected health information we have made, except for uses and disclosures for a) payment, and health care operations, b) disclosures to you, c) disclosures pursuant to your authorization, and d) disclosures for certain other limited reasons specified by law. To request a list of disclosures, please contact our Privacy Officer by e-mail or U.S. mail at the address listed below. Your request must state a time period which may not be longer than six years, and may not include dates before April 14, 2003. The first list you request within a 12 month period will be free.

   F. Right to a Paper Copy of this Notice. You have the right to obtain a paper copy of this notice at any time. To obtain a paper copy, please request it from our Privacy Officer at the address listed below.

   G. Effective Date. This revised Notice of Privacy Practices is effective on April 14, 2003; and pertains to all protected health information we maintain.

   H. Changes to this Notice. We reserve the right to change this notice, and we may make the revised or changed notice effective for all protected health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website. The notice will contain an effective date.

   I. Complaints. We are committed to safeguarding your protected health information. Despite our good faith efforts, questions, concerns, mistakes, and misunderstandings may arise. If you have a concern or believe that we may have violated your privacy rights, we encourage you to bring that to our attention. You may bring any complaints or concerns regarding your privacy rights to our attention by calling 440-866-6000 and requesting to speak with our Privacy Officer or their authorized representative. If you prefer, you may submit a complaint in writing to our Privacy Officer at Wellnet Inc. 5517 State Rd. Cleveland OH 44134 or by e-mail to general@informedcenters.com. You also may complain to the Secretary of the Department of Health and Human Services or his or her authorized representative if you believe your privacy rights have been violated. We take all concerns and complaints very seriously and will investigate each one promptly. If we made a mistake, we will do what we can to correct it and take steps to prevent mistakes in the future. Under no circumstances will we retaliate against you for expressing a concern or filing a complaint relating to your privacy rights.

   J. Privacy Officer and Privacy Contact Person. If you have any questions about this notice or wish to exercise any of your privacy rights, please contact Wellnet Inc.’s Privacy Officer, or their authorized representative, by e-mail to general@informedcenters.com,  or by calling the telephone number 440-866-6000 or write by U.S. mail to our Privacy Officer c/o Wellnet Inc., 5517 State Rd. Cleveland OH 44134.

   K. Acknowledgment of Receipt of this Notice. We will request you acknowledge you have received a copy of this notice when you first request we provide services to you.

 

The information provided on this site is for informational purposes only and is not intended as a substitute for advice from your physician or other health care professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. You should not stop taking any medication without first consulting your physician.
Affiliate - Cleveland Clinic & University Hospital Network
Copyright 2001,
Wellnet Inc.
5517 State Rd.
Cleveland OH 44134
e-mail:ask@informedcenters.com
Voice: 1-866-478-3417 Fax: (440) 372-0758
          
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