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Qualiphy.me Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

M. As Required by Law

We may use or disclose your PHI when required to do so by federal, state, or local law.

L. Workers’ Compensation

We may disclose your PHI as authorized by and to the extent necessary to comply with laws relating to workers’ compensation or similar programs.

K. Specialized Government Functions

We may disclose your PHI for specialized government functions, such as military, national security, or protective services activities, when authorized by law.

J. Serious Threat to Health or Safety

We may use or disclose your PHI when necessary to prevent or lessen a serious and imminent threat to your health or safety or the health or safety of another person or the public.

I. Who We Are

Qualiphy.me is a medical practice and/or healthcare provider organization that offers healthcare services, including virtual and telemedicine services, through licensed physicians, healthcare practitioners, and support personnel.
This Notice of Privacy Practices (“Notice”) describes the privacy practices of Qualiphy.me and its physicians, healthcare practitioners, contractors, staff, and other workforce members involved in providing your care (collectively, “we,” “us,” or “our”).

II. Our Privacy Obligations

We are required by law to maintain the privacy of your health information, referred to as Protected Health Information (“PHI”), and to provide you with this Notice describing our legal duties and privacy practices regarding your PHI.
We are also required to notify you in the event of a breach involving unsecured PHI, as required by applicable law. When we use or disclose your PHI, we must comply with the terms of this Notice, or any updated notice in effect at the time of the use or disclosure.

III. Permitted Uses and Disclosures Without Your Written Authorization

In certain situations described in Section IV, we must obtain your written authorization before using or disclosing your PHI. In many other situations, however, we may use or disclose your PHI without your written authorization as described below.

A. Uses and Disclosures for Treatment, Payment, and Healthcare Operations

We may use and disclose your PHI, but not your Highly Confidential Information as described in Section IV.B, for the following purposes:

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may use your PHI to diagnose, evaluate, and treat you, and we may disclose your PHI to other healthcare providers involved in your care, including telemedicine or remote care providers

Payment

We may use and disclose your PHI as necessary to obtain payment for healthcare services provided to you. This may include billing, claims management, eligibility determinations, utilization review, and other payment-related activities.

Healthcare Operations

We may use and disclose your PHI for our healthcare operations. These activities may include quality assessment, staff evaluation, training, licensing, accreditation, auditing, compliance, customer service, business planning, and complaint resolution.
We may also disclose your PHI to another healthcare provider or covered entity when permitted by law and when the information is needed for that party’s treatment, payment, or certain healthcare operations.

B. Disclosures to Family Members, Friends, and Others Involved in Your Care

We may disclose your PHI to a family member, close personal friend, caregiver, or another person identified by you if:

  1. you agree to the disclosure;

  2. you are given an opportunity to object and do not object; or

  3. we reasonably infer from the circumstances that you do not object.

If you are not available, incapacitated, or facing an emergency, we may use professional judgment to determine whether a disclosure is in your best interest. In those situations, we will disclose only the PHI that is directly relevant to the person’s involvement in your care or payment for your care.
We may also disclose PHI to notify or assist in notifying someone of your location, general condition, or death.

C. Public Health Activities

We may disclose your PHI for public health purposes when required or permitted by law, including to:

  • report disease, injury, or disability;

  • report child abuse or neglect;

  • report reactions to medications or problems with products;

  • notify individuals who may have been exposed to a communicable disease; and

  • report information as required for workplace illness or injury monitoring.

D. Victims of Abuse, Neglect, or Domestic Violence

If we reasonably believe that you are a victim of abuse, neglect, or domestic violence, we may disclose your PHI to a government authority authorized to receive such reports, when required or permitted by law.

E. Health Oversight Activities

We may disclose your PHI to health oversight agencies authorized by law to oversee the healthcare system, government healthcare programs, licensing, regulatory compliance, and civil rights enforcement.

F. Judicial and Administrative Proceedings

We may disclose your PHI in response to a court order, subpoena, discovery request, or other lawful process when permitted or required by law.

G. Law Enforcement

We may disclose your PHI to law enforcement officials when required or permitted by law, including in response to a court order, warrant, subpoena, summons, or similar legal process.

H. Decedents

We may disclose PHI to coroners, medical examiners, and funeral directors as authorized by law.

I. Research

We may use or disclose your PHI for research purposes when permitted by law, including when an Institutional Review Board or Privacy Board has approved a waiver of authorization.

A. Right to Request Additional Restrictions

You have the right to request restrictions on certain uses and disclosures of your PHI for treatment, payment, and healthcare operations, and disclosures to persons involved in your care.
You also have the right to request that we not disclose PHI to a health plan for payment or healthcare operations purposes if:

  • the disclosure is not otherwise required by law; and

  • the PHI relates solely to a healthcare item or service for which you, or someone on your behalf, paid out of pocket in full.

We are not required to agree to all requested restrictions, except where required by law.

IV. Uses and Disclosures Requiring Your Written Authorization

A. Uses or Disclosures Requiring Authorization

We must obtain your written authorization for:

  • most uses and disclosures of psychotherapy notes, where applicable;

  • uses and disclosures of PHI for marketing purposes, except as otherwise permitted by law;

  • disclosures that constitute a sale of PHI; and

  • other uses and disclosures not described in this Notice.

For example, we would need your written authorization before sending your PHI to a life insurance company or to an attorney for a purpose not otherwise permitted by law.

B. Uses and Disclosures of Highly Confidential Information

Certain categories of information may receive additional protection under federal or state law. This Highly Confidential Information may include information relating to:

  • mental health treatment or developmental disability services;

  • substance use disorder diagnosis, treatment, or referral;

  • HIV/AIDS testing, diagnosis, or treatment;

  • sexually transmitted infections or diseases;

  • genetic testing;

  • child abuse or neglect;

  • domestic violence;

  • sexual assault; or

  • other specially protected health information under applicable law.

Unless otherwise permitted or required by law, we will obtain your written authorization before using or disclosing Highly Confidential Information.

V. Revocation of Authorization

You may revoke a written authorization at any time by submitting a written revocation to the Privacy Officer or by contacting us at the email listed below.
A revocation will apply only going forward and will not affect actions already taken in reliance on your prior authorization.

VI. Your Rights Regarding Your Protected Health Information

​B. Right to Receive Confidential Communications

You may request that we communicate with you about your PHI by alternative means or at alternative locations. We will accommodate reasonable requests.

C. Right to Inspect and Copy Your PHI

You have the right to inspect and obtain a copy of PHI maintained in a designated record set, including medical and billing records, subject to limited exceptions permitted by law.
We may charge a reasonable, cost-based fee where permitted by law.

D. Right to Request an Amendment

If you believe information in your records is incorrect or incomplete, you may request that we amend your PHI. We may deny your request in certain circumstances permitted by law, but we will provide a written explanation if we do so.

E. Right to an Accounting of Disclosures

You may request an accounting of certain disclosures of your PHI made by us during the six years prior to your request, excluding disclosures not required to be included by law.

F. Right to Receive a Copy of This Notice

You have the right to receive a paper or electronic copy of this Notice upon request, even if you previously agreed to receive it electronically.

G. Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us by contacting us at the email listed below.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
We will not retaliate against you for filing a complaint.

VII. Changes to This Notice

We reserve the right to change the terms of this Notice at any time. Any revised Notice may apply to all PHI we maintain, including information created or received before the effective date of the revision.
When changes are made, we will update the “Last Updated” date at the top of this Notice and post the revised Notice as required.

VIII. Privacy Contact

If you have questions about this Notice, would like to exercise your privacy rights, or wish to submit a complaint, please contact:
Qualiphy.me
Email: admin@guppymeds.com

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