This Notice Describes How Medical Information About You May Be Used and Disclosed
Please review it carefully.
Our Commitment to Your Privacy
Biotech Lifestyle and its affiliated healthcare providers are committed to protecting the privacy of your health information. This Notice explains how we may use and disclose your Protected Health Information ("PHI") and your rights regarding that information.
We are required by law to maintain the privacy of your PHI, provide you with this Notice, and notify you if a breach of your unsecured PHI occurs.
What is Protected Health Information?
PHI is information that identifies you and relates to your health condition, healthcare, or payment for services. This includes:
- Your name, address, phone number, email, and date of birth
- Medical history, symptoms, and diagnoses
- Treatment plans and medications prescribed
- Lab results and other clinical data
- Communications with healthcare providers
- Billing and payment information related to your care
How We Use and Disclose Your PHI
For Treatment
We may use and disclose your PHI to provide, coordinate, or manage your health care, including sharing with physicians, nurse practitioners, and pharmacists involved in your care.
For Payment
We may use and disclose your PHI to bill and collect payment for services, including sharing with your health plan or credit card processor.
For Healthcare Operations
We may use your PHI for quality assessment, training, accreditation, licensing, and other administrative activities.
With Your Authorization
Other uses require your written authorization, which you may revoke at any time.
Without Your Authorization
We may use or disclose PHI without authorization for:
- Requirements of law
- Public health activities
- Reporting abuse, neglect, or domestic violence
- Health oversight activities
- Judicial and administrative proceedings
- Law enforcement purposes
- Preventing serious threats to health or safety
- Workers' compensation claims
Your Rights
Right to Access
You may inspect and obtain a copy of your PHI. Submit a written request to our Privacy Officer. We may charge a reasonable fee for copies.
Right to Amend
You may request amendments to your PHI if you believe it is incorrect. Submit your request in writing with reasons for the amendment.
Right to Accounting of Disclosures
You may receive a list of certain disclosures we have made of your PHI.
Right to Request Restrictions
You may request restrictions on how we use or disclose your PHI. We must agree to restrict disclosure to a health plan if you pay out-of-pocket in full.
Right to Confidential Communications
You may request that we communicate with you at a specific location or in a specific way.
Right to Paper Copy
You may receive a paper copy of this Notice upon request.
Right to Breach Notification
You have the right to be notified if a breach compromises your unsecured PHI.
Our Responsibilities
We are required to:
- Maintain the privacy of your PHI as required by law
- Provide you with this Notice
- Notify you of breaches of unsecured PHI
- Follow the terms of this Notice
- Not use your PHI for marketing without authorization
- Not sell your PHI without authorization
Complaints
If you believe your privacy rights have been violated, file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Contact Information
For questions or to exercise your rights:
Privacy Officer
Biotech Lifestyle
Email:
Phone:
HHS Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775