Privacy Policy for Vellura

1. Introduction

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.

Your Information – Your Rights – Our Responsibilities

2. Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and our responsibilities to help you.

Get an electronic or paper copy of your medical record

• You may ask to see or obtain an electronic or paper copy of your medical record and other health information we maintain about you.
• We will provide a copy or summary within 30 days of your request and may charge a reasonable, cost-based fee.

Ask us to correct your medical record

• You may request a correction if you believe your health information is incorrect or incomplete.
• We may deny the request, but we will explain our reason in writing within 60 days.

Request confidential communications

• You may ask us to contact you in a specific way (e.g., at work or by mail to a different address).
• We will say yes to all reasonable requests.

Ask us to limit what we use or share

• You may request limits on the use or disclosure of certain information for treatment, payment, or operations.
• We are not required to agree, but if you pay in full out of pocket for a service, we will not share that information with your health insurer unless the law requires it.

Get a list of those with whom we’ve shared information

• You may request an accounting of disclosures made in the six years prior to your request, excluding those for treatment, payment, or operations. The first list each year is free; additional ones may incur a fee.

Get a copy of this notice

• You may ask for a paper copy at any time, even if you received it electronically. We will provide one promptly.

Choose someone to act for you

• If you have given another person medical power of attorney or have a legal guardian, that person can exercise your rights and make choices about your information.

File a complaint if you feel your rights are violated

• Contact our Privacy Official (using the information below).
• Or contact the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue SW, Washington DC 20201, call 1-877-696-6775, or visit hhs.gov/ocr/privacy/hipaa/complaints.
• We will not retaliate against you for filing a complaint.

3. Your Choices

For certain health information, you can tell us your preferences about what we share.

In these cases, you have both the right and choice to tell us to:

• Share information with family, friends, or others involved in your care.
• Share information in a disaster-relief situation.
• Include your information in a facility directory.

If you cannot communicate your preference (e.g., unconscious), we may share information if we believe it is in your best interest or to reduce a serious and imminent threat to health or safety.

In these cases we never share your information unless you give written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

Fundraising: We may contact you for fundraising efforts, but you can request not to be contacted again.

4. Our Uses and Disclosures

We typically use or share your health information in the following ways:

• Treat you – We use your information to provide or coordinate your care. Example: A doctor consults another provider about your treatment.
• Run our organization – We use and share information to manage operations, improve care, and contact you when needed.
• Bill for your services – We use and share information to bill and collect payment from health plans or others.

We may also use or disclose your information as permitted or required by law, including for:

• Public health and safety (e.g., disease prevention, product recalls, abuse reporting).
• Research purposes under applicable regulations.
• Compliance with laws and health oversight activities.
• Organ and tissue donation requests.
• Work with medical examiners or funeral directors.
• Workers’ compensation claims and law enforcement requests.
• National security and other government functions.
• Court orders and legal actions.

For details, see hhs.gov/ocr/privacy/hipaa/understanding/consumers.

5. Our Responsibilities

• We are required by law to maintain the privacy and security of your Protected Health Information (PHI).
• We will notify you promptly if a breach occurs that may have compromised your information.
• We must follow the duties and privacy practices described in this notice and provide you a copy upon request.
• We will not use or share your information other than as described here unless you give written permission; you may revoke that permission at any time in writing.
• We may change the terms of this notice and the new notice will apply to all information we have. Updated copies will be available on our website and upon request.

For more information, visit hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

6. Contact Information and Privacy Official

7. Applicability

This Notice of Privacy Practices applies to Vellura and all workforce members, clinicians, and business associates providing services under the Vellura brand.