Privacy policy.
OUR LEGAL RESPONSIBILITIES
We are required by law to give all patients this notice. It provides you on how we may use and disclose protected health information about you and describes your rights and our obligations regarding the use and disclosure of that information. We shall maintain the privacy of protected health information and provide you with notice of our legal duties and privacy practices with respect to your protected health information.
We have the right to change these policies at any time. If we change our privacy policies, we will notify you of these changes immediately. This current policy is in effect unless stated otherwise. If the policy is changed, it will apply to all your current and past health information. You may request a copy of our notice any time. You may contact Ember Medical Services, LLC.
HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION
The following examples describe ways that we may use patient protected health information for treatment, payments, healthcare operations etc. but please be advised that not every use or disclosure in a particular category will be listed.
Treatment: We may use and disclose protected health information to provide patient treatment. This includes disclosing protected health information to other medical providers, trainees, therapists, medical staff, and office staff that are involved in our patients health care.
For example, our medical provider might need to consult with another provider to coordinate care. Also, the office staff may need to use and disclose patient protected health information to other individuals outside of our office such as the pharmacy when a prescription is called in.
Health Care Operations: We may use or disclose protected health information in order to operate this medical practice. These activities include training students, reviewing cases with employees, utilizing your information to improve the quality of care, and contacting you be telephone, email, or text to remind patients of their appointments.
If we have to share protected health information to third party “business associates” such as a billing service, we will have a written contract that contains terms that will protect the privacy of our patients protected health information.
We may also use and disclose patients protected health information for marketing activities. For example, we might send a thank you cards in the mail with a coupon for specialized services or products. We may also send information about products or services that might be of interest to a particular patient or patient population. Patients can contact us at any point to stop receiving this information.
We will not use or disclose protected health information for any purpose other than those identified in this policy without our patients specific, written Authorization. You may give us written authorization to use your protected health information or to disclose it to anyone for any purpose. You can revoke this authorization at any time but will not affect the protected health information that was shared while the authorization was in effect.
Appointment reminders: We may contact patients as a reminder that they have an appointment for their initial visit, follow up visit, or lab work via text, phone or email.
Public Health Risks: We may disclose your protected health information, if necessary, in order to prevent or control disease, report adverse events from medications or products, prevent injury, disability or death. This information may be disclosed to healthcare systems, government agencies, or public health authorities. We may have to disclose your protected health information to the Food and Drug Administration to report adverse events, defects, problems, enable recalls etc. if required by FDA regulation.
Health Oversight Activities: We may disclose protected health information to health oversight agencies for audits, investigations, inspections or licensing purposes. These disclosures might be necessary for state and federal agencies to monitor healthcare systems and compliance with civil law.
Required by Law: We will disclose protected health information about you when required to do so by federal, state and/or local law.
Workman’s Compensation: We may disclose your protected health information to workman’s comp or similar programs.
Lawsuits: We may disclose your protected health information in response to a court action, administrative action or a subpoena.
Law Enforcement: We may release protected health information to a law enforcement official in response to a court order, subpoena, warrant, subject to all applicable legal requirements.
Indemnification Clause.
Ember patients agree to indemnify, defend, protect, and hold harmless the medical providers employed by Ember Medical Services, LLC and their respective officers, directors, employees, stockholders, assigns, successors and affiliates (Indemnified Parties) from, against and in respect of all liabilities, losses, claims, damages, judgements, settlement payments, deficiencies, penalties, fines, interest and costs, expenses suffered, sustained, incurred or paid by the indemnified parties, in connection with, results from or arising out of, directly or indirectly, the medical providers employed by Ember Medical Services, LLC; rendering medical care, services, advice, and/or treatment, my failure to disclose all relevant information regarding my medical and physical condition, acts or omissions, the medical providers employed by Ember Medical Services, LLC; harm or injury resulting from medical care or pharmaceuticals provided directly or indirectly by the medical providers employed by Ember Medical Services, LLC. Ember patients are also aware of the potential side effects associated with weight loss therapy, testosterone replacement therapy, IV hydration, microneedling with or without PRP, neurotoxin and dermal filler injections and any and all medications prescribed by Ember Medical Services, LLC providers and accept all the risks involved in taking the medication and will not seek indemnification or damages from the indemnified parties.
In the event one or more provisions of this Agreement are held to be invalid or unenforceable, the balance of the agreement shall remain in full force or effect.