PRIVACY POLICY
OUR LEGAL RESPONSIBILITIES
Inspire Telehealth is committed to protecting your health information and complying with the law. This privacy notice explains our legal obligations and your rights regarding how we may use or disclose your protected health information (PHI). We take your privacy seriously and are required by law to provide this notice, which outlines our legal responsibilities and privacy practices.
We may update this policy as necessary, and any changes will apply to all current and past health information in our possession. Should we make any updates, you will be notified promptly. This policy remains in effect unless otherwise stated. You may request a copy of this notice at any time by contacting Inspire Telehealth.
HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION
Treatment: We may share your PHI with healthcare providers, therapists, and support staff involved in your care, such as when a provider consults with another to coordinate your treatment or when pharmacy staff need information for a prescription.
Payment: To obtain payment for services, we may provide your PHI to your insurance company or other entities as required, including for authorization for medications or services.
Healthcare Operations: Your PHI may be used in activities that help run Inspire Telehealth, like training staff, reviewing cases, improving care quality, and sending appointment reminders by phone, text, or email. If a third-party business associate assists us with tasks like billing, we ensure they are contractually obligated to protect your PHI.
Marketing Activities: We may occasionally use your PHI to send you information on services or products that may interest you. If you prefer not to receive these communications, you can opt-out at any time.
Other Authorized Uses: Your PHI will only be used for the purposes outlined in this policy unless you provide specific written authorization for other uses. You can withdraw your authorization at any time, but it will not affect information disclosed before the revocation.
Appointment Reminders: We may contact you to remind you of upcoming appointments or follow-up visits.
Other Individuals Involved in Your Healthcare: With your verbal agreement or if present at your visit, we may share your PHI with family or friends involved in your care. If necessary, we may disclose information based on our professional judgment in cases of urgent or emergent need.
Research, Organ Donation, and Public Health Risks: We will not use your information for research without your consent. If you are an organ donor, necessary PHI may be shared with organizations facilitating transplants. We may disclose PHI for public health purposes, such as preventing disease or reporting adverse reactions to medications.
Legal Requirements: In certain situations, we are legally required to disclose your PHI, including for health oversight activities, law enforcement, and court orders.
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION
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Access to Records: You can request access to your medical records, and we will provide them within the legal timeframe. Please submit a written request for access, and note that a fee may apply for copying and processing.
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Amendments: If you feel your records are incorrect or incomplete, you may submit a written request for amendments. If denied, we will explain our reasoning in writing.
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Disclosure Accounting: You can request a list of instances in which we disclosed your PHI (excluding disclosures for treatment, payment, or operations). Written requests should be directed to the individual listed below.
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Restriction Requests: You may request a restriction on the use or disclosure of your PHI, and we will attempt to honor reasonable requests not required by law.
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Confidential Communication: You may request that we communicate with you at a specific location or in a specific manner, provided it does not interfere with billing and payments.
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Paper Copy of This Notice: A printed copy of this notice is available upon request.
Complaints: If you believe your privacy rights have been violated, you may file a complaint with our office. You also file a complaint with the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.
JACQUELINE CHARBONNEAU, APRN
INSPIRE TELEHEALTH, LLC
DATE: SEPTEMBER 25, 2024