Who we are
FamWellMD
Our website address is: https://famwellmd.com.
What personal data we collect and why we collect it
Comments
We currently have comments disabled
Media
We do not currently allow the posting of media from visitors to our website.
Contact forms
Cookies
We do not allow visitors to create user accounts and do not use cookies for this website. Thus, any cookies found may be from other websites and various APIs (e.g. google maps and facebook) – please see “Embedded content from other websites” for more information.
Embedded content from other websites
Articles on this site may include embedded content (e.g. reCAPTHCA spam filtering, videos, images, articles, etc.). Embedded content from other websites behaves in the exact same way as if the visitor has visited the other website.
These websites may collect data about you, use cookies, embed additional third-party tracking, and monitor your interaction with that embedded content, including tracking your interaction with the embedded content if you have an account and are logged in to that website.
Analytics
We use Google Analytics to track activity of visitors to our website (e.g. visitor IP address, pages visited, duration spent on each page, links clicked or visited, screen resolution, browser and basic system information, etc).
More information about Google Analytics can be found here: https://developers.google.com/analytics/resources/concepts/gaConceptsTrackingOverview
Who we share your data with
Contact form data goes directly to our staff email accounts, who are bound by HIPAA confidentiality agreements – We do not share this information with anyone outside of our staff.
Otherwise, any information we obtain is from analytics (e.g. visitor IP address, pages visited, duration spent on each page, links clicked or visited, etc). This information is typically not able to easily identify an end user.
How long we retain your data
If you contact us, the information provided is retained indefinitely (not on the website, but in secure email). This is so we can recognize and approve any follow-up communication.
Otherwise, we do not store any personal data.
What rights you have over your data
You can request that we erase any personal data we hold about you. This does not include any data we are obliged to keep for administrative, legal, or security purposes.
Where we send your data
Visitor comments / contact form submissions may be checked through an automated spam detection service.
Your contact information
Contact form data goes directly to our staff email accounts, who are bound by HIPAA confidentiality agreements – We do not share this information with anyone outside of our staff.
NOTICE OF HIPAA PRIVACY PRACTICES
FamWellMD
www.famwellmd.com
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
MAG Ventures, LLC dba FamWellMD, we are committed to treating and using protected health information (“PHI”) about you responsibly. This Notice of Privacy Practices (Notice) describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your PHI. This Notice has been updated in accordance with the HIPAA Omnibus Rules effective March 26, 2013. It applies wot all PHI as defined by federal regulation.
Understanding Your Health Record/Information
Each time you visit FamWell MD a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment.
This information may be used or disclosed to:
- Plan your care and treatment.
- Communicate with other providers who contribute to your care.
- Serve as a legal document.
- Receive payment from you or your health insurance.
- Assess and continually work to improve the care we render and the outcome we achieve.
- Comply with state and federal laws that require us to disclose your PHI.
Understanding what is in your record and how your PHI is used helps you to ensure its accuracy, better understand who, what, when where, and why others may access your PHI, and make more informed decisions when authorizing disclosure to others.
Our Responsibilities
FamWell MD is required to:
- Maintain the privacy of your PHI.
- Provide you with this Notice as to our legal duties and privacy practices with respect to information we collect and maintain about you.
- Abide by the terms of the Notice currently in effect.
- Notify in writing if we are unable to agree to a requested restriction.
- Accommodate reasonable requests you may have to communicate PHI by alternative means or at alternative locations.
- Notify you in writing of a breach where your unsecured PHI has been accessed, acquired, used or disclosed to unauthorized person. “Unsecured PHI” refers to PHI that is not secured through the use of technologies or methodologies that render the PHI unusable, unreadable, or indecipherable to unauthorized individuals.
We reserve the right to change our practices and to make the new provision effective for all PHI we maintain. Should our information practices change, such revised Notices will be made available to you. We will not use or disclose your PHI without your written authorization, except as described in this Notice.
We will not use or disclose your PHI without your written authorization, except as described in this Notice.
Treatment: Information obtained by a nurse, physician, or other member of your health care team will be recorded in your medical record and used to determine the course of treatment that should work best for you. FamWell MD may also provide a subsequent healthcare provider with PHI about you (e.g. copies of various reports) that should assist them in treating you in the future. FamWell MD may also disclose PHI about you to, and obtain PHI from, electronic health information networks in which community healthcare providers may participate to facilitate the provision of care to patients such as yourself.
FamWell MD may use a prescription hub which provides electronic access to your medication history. This will assist FamWell MD providers in understanding what other medications may have been prescribed for you by other providers, to avoid conflicts and contraindications.
Payments: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, diagnosis, procedures and supplies used.
Health Care Operations: We may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve quality and effectiveness of the health care and service we provide.
Business Associates: We may contract with third parties to perform functions or activities on behalf of, or certain service for, FamWell MD that involve the use of disclosure of PHI and disclose your PHI to your to our business associate to that they can perform the job we have asked them to do. We require the business associate to appropriately safeguard your information.
Notification: We may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition.
Commodification from Offices: We may call your home or other designated location and leave a message on voice mail, or by mail, or by email or mail, in reference to any items that assist FamWell MD in carrying out Treatment, Payment, and Health Care Operations, such as appointment reminders, insurance items and any call pertaining to your clinical care. We may mail to your home or other designated location any items that assist FamWell MD in carrying out Treatment, Payment and Health Care Operations, such as appointments reminders, patient satisfaction surveys and patient statements.
Communications with Family/Personal Friends: Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other personal you identify, PHI relevant to that person’s involvement in your care or payment related to your care. When a family member(s) or a friend(s) accompany you into the exam room, it is considered implied consent that a disclosure of your PHI is acceptable.
Baby Photos: FamWell MD may post within its office photographs submitted by patients. Open Treatment Areas: Sometimes patient care is provided in an open treatment area. While special care is taken to maintain patient privacy, others may overhear some patient information while receiving treatment. Should you be uncomfortable with this, please bring this to the attention of the Privacy Officer.
To Avert a Serious Threat to Health or Safety: We may use your PHI or share it with others when necessary to prevent a serious threat to your health or safety, or the health or safety of another or the public. Coroners, Medical Examiners, and Funeral Directors: In the unfortunate event of your death, we may disclose your PHI to a coroner or medical examiner. This may be necessary, for example, to determine the cause of death. We may also release this information to a funeral director as necessary to carry out their duties.
Deceased Individuals: In the unfortunate event of your death, we are permitted to disclose your PHI to your personal representative and your family members and other who were involved in your care or payment for your care prior to your death, unless inconsistent with any prior expressed preference that you provided to us. PHI excludes any information regarding a person who has been decease for more than 50 years.
Organ Procurement Organization: Consistent with applicable laws, we may disclose PHI to organ procurement organization, federally funded registries, or other entities engaged in the procurement, banking, or transplantation or organs for the purpose of tissue donation and transplant.
Marketing: We may contact you by mail, e-mail or text to provide information about treatment alternatives or other health related benefits and services that may be of interest to you. However, we must obtain your prior written authorization for any marketing of products and services that are funded by third parties. You have the right to opt-out by notifying us in writing.
Sale of PHI: FamWell MD may not “sell” you PHI (i.e., disclose such PHI in exchange for remuneration) to a third party with your written authorization that acknowledges the remuneration unless such an exchange meets a regulatory exception.
Health Oversight Activities: We may release your PHI to government agencies authorized to conduct audits, investigations, and inspections of our facility. These government agencies monitor the operation of the health care system, government benefit programs, such as Medicare and Medicaid, and compliance with government regulatory programs and civil rights laws. Food and
Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food supplements, products and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
Public Health: As required by law, we may disclose your PHI to public health or legal authorities charged with preventing or controlling disease, injury, or disability. Workers Compensation: We may disclose PHI to the extent authorized by and to the extent necessary to comply with laws related to workers compensation or other similar programs established by law.
Law Enforcement: We may disclose PHI for law enforcement purposes as required by law. Inmates and Correctional Institutions: If you are an inmate or you are detained by a law enforcement officer, we may disclose your PHI to the prison officer of law enforcement officers if necessary to provide you with health care, or to maintain safety at the place where you are confined.
Lawsuits and Disputes: We may disclose your PHI if we are ordered to do so by a court that is handling a lawsuit or other dispute. We may also disclose your information in response fo a subpoena, discovery request by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain a court order protecting the information from further disclosure.
As Required by Law: We may use or disclose your PHI if we are required by law to do so.
Your Health Information Rights
Although your health record is the physical property of FamWell MD, the information belongs to you. Your records may be in electronic medical record (EMR) format or in paper medical record or a combination of both methods.
You have the right to request to:
- Access, inspect, and copy your health record. You have the right to inspect and/or request a copy of your medical record, which may be on paper or DVD depending of the current format of your medical record. FamWell MD may charge you a reasonable, cost-based fee for the labor and supplies associated with copying or transmitting the electronic PHI.
- Request an amendment to your health record which you believe to be incorrect or inaccurate. FamWell MD is not required to agree to the amendment if your record is the in the providers opinion to be: (i) accurate and complete; (ii) not part of the PHI kept by FamWell MD; (iii) not part of the PHI which you are permitted to inspect and copy; (iv) not created by FamWell MD, unless the individual or entity that created the information is not available to amend the information. If we deny your request, you may submit a written statement of disagreement of reasonable length. Your statement of disagreement will be included in your medical record, but we may also include a rebuttal statement.
- Obtain a written accounting of certain non-routine disclosures of PHI. We are not required to list certain disclosures, including (i) disclosures made for treatment, payment, and health care operation purposes, (ii) disclosures made with your authorizations (iii) disclosures made to create a limited data set, and (iv) disclosures made directly to you. All request for an “accounting of disclosures” must state a time period, which may not be longer than six (6) years prior to the date of your request. If we maintain your medical records in an EMR system, you may request that the accounting include disclosures for treatment, payment, and health care operations for the three (3) years prior to the date of such request. You must submit your request in writing to the Practice Administrator at the telephone number listed below. The first list you request in a 12-month period is free charge, but FamWell MD may assess a charge for additional request within the same 12-month period.
- Communications of your PHI by alternative means (e.g. email) or at alternative locations (e.g. post office box).
- Place a restriction to certain uses and disclosures of your information. In most cases, FamWell MD is not required to agree to these additional restrictions, but it FamWell MD does, FamWell MD will abide by the agreement (except in certain circumstances where disclosures is required or permitted, such as an emergency, for public health activities, or when disclosure is required by law). FamWell MD must comply with a request to restrict the disclosure of PHI to a health plan for purposes of carrying out payment of health care operations if the PHI pertain solely to a health care item or service for which we have been paid out of pocket in full.
- Revoke your authorization to use or disclose PHI except to the extent that action has already been taken.
For More Information or to Report a Problem
If you have a question and would like additional information, you may contact:
Privacy Officer
FamWell MD
836 Prudential Drive, Suite 1103
Jacksonville, FL 32207
(904) 525-8114
If you believe you privacy right have been violated, you can file a written complaint with FamWell MD Privacy Officer, or the Office of Civil Rights, U.S. Department of Health and Human Services. Upon request, the Privacy Office will provide you with the address. There will be no retaliation for filing a complaint with either the Privacy Office or the Office for Civil Rights.
For more information about HIPAA and health information privacy, you can visit https://www.hhs.gov/hipaa/index.html or go to hhs.gov and search for “HIPAA.”