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.
TeleMed2U provides medical services through online synchronous communication with patients, meaning that patients and distant physicians interact in real time in a patient-physician relationship. This Notice applies to information and records regarding your health care maintained at TeleMed2U.
Our pledge regarding your medical information
TeleMed2U is committed to protecting medical information about you. We create a record of the care and services you receive at Telemed2U for use in your care and treatment.
This Notice tells you about the ways in which we may use and disclose medical information about you. It also describes your rights and certain obligations we have regarding the use and disclosure of your medical information.
We are required by law to:
- Make sure that your medical information is protected;
- Give you this Notice describing our legal duties and privacy practices with respect to medical information about you; and
- Follow the terms of the Notice that is currently in effect.
How we may use and disclose medical information about you
This Notice of Privacy Practices provides the way in which TeleMed2U will use and disclose patient information. Certain information regarding certain drugs and alcohol, HIV, and mental health are subject to special restrictions. Not every use or disclosure is addressed in this Notice, but all uses and disclosure of medical information will be in accordance with applicable laws and regulations.
For Treatment. We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, or other health professionals who are involved in providing medical care or treatment. We may also share medical information about you with other TeleMed2U personnel or non-TeleMed2U providers, agencies or facilities in order to provide or coordinate medical care, such as prescriptions, lab work and x-rays. We also may disclose medical information about you to people outside TeleMed2U who may be involved in your continuing medical care.
For Payment. We may use and disclose medical information about you so that the treatment and services you receive from TeleMed2U may be billed to and payment may be collected from you, an insurance company or a third party. For example, we may need to give information to your health plan about services you received from TeleMed2U so your health plan will pay us or reimburse you. We may also tell your health plan about a proposed treatment to determine whether your plan will cover the treatment.
For Health Care Operations. We may use and disclose medical information about you for TeleMed2U operations. These uses and disclosures are made for quality of care and medical staff activities. Your medical information may also be used or disclosed to comply with law and regulation, for contractual obligations, patients' claims, grievances or lawsuits, health care contracting, legal services, business planning and development, business management and administration, the sale of all or part of TeleMed2U to another entity, underwriting and other insurance activities and to operate TeleMed2U. For example, we may review medical information to find ways to improve treatment and services to our patients. We may also disclose information to doctors, nurses, technicians, and other health professionals for performance improvement and educational purposes.
Appointment Reminders. We may contact you to remind you that you have an appointment with TeleMed2U.
Treatment Alternatives. We may tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Health-Related Benefits and Services. We may contact you about benefits or services that we provide.
Fundraising Activities. We may contact you to provide information about TeleMed2U sponsored activities, including fundraising programs and events. We would only use contact information, such as your name, address and phone number and the dates you received treatment or services at TeleMed2U.
News Gathering Activities. TeleMed2U may contact you or one of your family members to discuss whether or not you want to participate in a media or news story. TeleMed2U provides telehealth services that may be newsworthy. News reporters may seek interviews with TeleMed2U regarding their experience with telehealth services.
Individuals Involved in Your Care or Payment for Your Care. We may release medical information to anyone involved in your medical care, e.g., a friend, family member, personal representative, or any individual you identify. We may also give information to someone who helps pay for your care. We may also tell your family or friends about your general condition and that you are receiving care from TeleMed2U.
Research. TeleMed2U may be involved in research from time to time. All research projects conducted by TeleMed2U will be approved through a special review process to protect patient safety, welfare and confidentiality. Your medical information may be important to further research efforts and the development of new knowledge. We may use and disclose medical information about our patients for research purposes, subject to the confidentiality provisions of state and federal law.
On occasion, researchers contact patients regarding their interest in participating in certain research studies. Enrollment in those studies can only occur after you have been informed about the study, had an opportunity to ask questions, and indicated your willingness to participate by signing a consent form. When approved through a special review process, other studies may be performed using your medical information without requiring your consent. These studies will not affect your treatment or welfare, and your medical information will continue to be protected. For example, a research study may involve a chart review to compare the outcomes of patients who received different types of treatment.
As Required By Law. We will disclose medical information about you when required to do so by federal or state law.
To Avert a Serious Threat to Health or Safety. We may use and disclose medical information about you when necessary to prevent or lessen a serious and imminent threat to your health and safety or the health and safety of the public or another person. Any disclosure would be to someone able to help stop or reduce the threat.
Military and Veterans. If you are or were a member of the armed forces, we may release medical information about you to military command authorities as authorized or required by law. We may also release medical information about foreign military personnel to the appropriate military authority as authorized or required by law.
Workers' Compensation. We may use or disclose medical information about you for Workers' Compensation or similar programs as authorized or required by law. These programs provide benefits for work-related injuries or illness.
Public Health Disclosures. We may disclose medical information about you for public health purposes. These purposes generally include the following:
- preventing or controlling disease (such as cancer and tuberculosis), injury or disability;
- reporting vital events such as births and deaths;
- reporting child abuse or neglect;
- reporting adverse events or surveillance related to food, medications or defects or problems with products;
- notifying persons of recalls, repairs or replacements of products they may be using;
- notifying a person who may have been exposed to a disease or may be at risk of contracting or spreading a disease or condition;
- notifying the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence and make this disclosure as authorized or required by law.
Health Oversight Activities: We may disclose medical information to governmental, licensing, auditing, and accrediting agencies as authorized or required by law.
Legal Proceedings: We may disclose medical information to courts, attorneys and court employees in the course of conservatorship and certain other judicial or administrative proceedings.
Lawsuits and Other Legal Actions: In connection with lawsuits or other legal proceedings, we may disclose medical information about you in response to a court or administrative order, or in response to a subpoena, discovery request, warrant, summons or other lawful process.
Law Enforcement: If asked to do so by law enforcement, and as authorized or required by law, we may release medical information:
- to identify or locate a suspect, fugitive, material witness, or missing person;
- about a suspected victim of a crime if, under certain limited circumstances, we are unable to obtain the person's agreement;
- about a death suspected to be the result of criminal conduct;
- about alleged criminal conduct at TeleMed2U; and
- in case of a medical emergency, to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
National Security and Intelligence Activities: As authorized or required by law, we may disclose medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities.
Inmates: If you are an inmate of a correctional institution or under the custody of law enforcement officials, we may release medical information about you to the correctional institution as authorized or required by law.
Your rights regarding medical information about you
Your medical information is the property of TeleMed2U. You have the following rights, however, regarding medical information we maintain about you:
Right to Inspect and Copy: With certain exceptions, you have the right to inspect and/or receive a copy of your medical information.
To inspect and/or to receive a copy of your medical information, you must submit your request to TeleMed2U. Our contact information is provided at the end of this policy.
If you request a copy of the information, there is a fee for these services.
We may deny your request to inspect and/or to receive a copy in certain limited circumstances. If you are denied access to medical information, in most cases, you may have the denial reviewed. Another licensed health care professional chosen by TeleMed2U will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
Right to Request an Amendment or Addendum. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information or add an addendum (addition to the record). You have the right to request an amendment or addendum for as long as the information is kept by or for TeleMed2U.
To request an amendment, your request must be made in writing to TeleMed2U. Our contact information is provided at the end of this policy
In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
- Was not created by TeleMed2U
- Is not part of the medical information kept by or for TeleMed2U;
- Is not part of the information which you would be permitted to inspect and copy; or
- Is accurate and complete in the record.
To submit an addendum, the addendum must be made in writing and submitted toTeleMed2U. Our contact information is provided at the end of this policy.
An addendum must not be longer than 250 words per alleged incomplete or incorrect item in your record.
Right to an Accounting of Disclosures. You have the right to receive a list of certain disclosures we have made of your medical information. To request this accounting of disclosures, you must submit your request in writing to TeleMed2U. Our contact information is provided at the end of this policy
Your request must state a time period that may not be longer than the six previous years and may not include dates before April 14, 2003. You are entitled to one accounting within any 12-month period at no cost. If you request a second accounting within that 12-month period, there will be a charge for the cost of compiling the accounting. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
Right to Request Restrictions. You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, such as a family member or friend. For example, you could ask that we not use or disclose information to a family member about a surgery you had. To request a restriction, you must make your request in writing to TeleMed2U. Our contact information is provided at the end of this policy
In your request, you must tell us
- What information you want to limit;
- Whether you want to limit our use, disclosure or both; and
- To whom you want the limits to apply, for example, only to you and your spouse.
We are not required to agree to your request. If we do agree, our agreement must be in writing, and we will comply with your request unless the information is needed to provide you emergency treatment.
Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you may ask that we contact you only at home or only by mail. To request confidential communications, you must make your request in writing to TeleMed2U. Our contact information is provided at the end of this policy
We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy of this Notice. Please print this web page as needed.
Changes to TeleMed2U’s privacy practices and this notice
We reserve the right to change Telemed2U's privacy practices and this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on the Telemed2U website at www.telemed2u.com/privacynotice. The Notice will contain the effective date on the first page in the top right-hand corner. In addition, at any time you may request a copy of the current Notice in effect.
Questions, submit formal requests or complaints
If you have any questions, need to submit any documents in writing as referenced above, or believe your privacy rights have been violated, you may submit in writing your concerns or file a complaint with Telemed2U or with the Secretary of the Department of Health and Human Services.fm
Contact TeleMed2U at:
2510 Douglas Blvd. #300
Roseville, CA 95661
Privacy, Compliance and Patient Grievance Hotline: (916) 746-2350
To file a written complaint with the Secretary of the Department of Health and Human Services, contact the:
Department of Health and Human Services
Office of Civil Rights
90 7th Street, Suite 4-100
San Francisco, CA 94103
(PHONE) (800) 368-1019
(FAX) (202) 619-3818
(TDD) (800) 537-7697
You will not be penalized for filing a complaint.
Other uses of medical information
Other uses and disclosures of medical information not covered by this Notice will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written permission. You understand that we are unable to take back any disclosures we have already made with your permission and that we will retain our records of the care provided to you as required by law.