Notice of Privacy Practices

This Notice Describes How Health Information About You May Be Used And Disclosed And How You Can Get Access to This Information. Please Review It Carefully.

At Boutiq Medical Clinic, LLC, we are committed to protecting the privacy rights of our patients. You have a variety of rights under the federal law known as HIPAA, the Health Insurance Portability and Accountability Act of 1996, and the related Privacy Rule published by the U.S. Department of Health and Human Services. Those rights are described in this notice. Under the HIPAA and the Privacy Rule, we have certain obligations: We are required by law to maintain the privacy of protected health information; We must provide you with this notice of our legal duties and privacy practices with respect to your protected health information; We are required to abide by the terms of the privacy notice currently in effect.

We reserve the right, when we change a privacy practice, to change the terms of our notice and to make the new notice provisions effective for all protected health information that we maintain. If we do update our policy, we will provide you with a new notice by posting a notice within our website/patient portal.

What is Protected Health Information?

Health information includes more than just information about medical procedures. The term includes all information that relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; the past, present, or future payment for the provision of health care to an individual.

Health information that identifies an individual or which can probably be used to identify the individual is protected by law. This protected health information is known as PHI.

Obviously, when treating you, we need to use all available relevant medical information. However, in other circumstances, we will use the minimum PHI necessary for the transaction.

When We Can Use Health Information Without Written Authorization From You

In the following circumstances, we are permitted to use or disclose health information without obtaining written consent (called ‘authorization'), or without giving you a chance to object or agree to the use of disclosure.

For Treatment. Treatment means the provision, coordination, or management of health care and related services by one or more health care providers, including the coordination or management of health care by a health care provider with a third party; consultation between health care providers relating to a patient; or the referral of a patient for health care from one health care provider to another. For instance, if we refer you to a specialist, we will provide your relevant files to that specialist.

For Payment. Payment means both the activities undertaken by a healthcare provider or health plan to obtain or provide reimbursement for the provision of health care; and by a health plan to obtain premiums or to determine or fulfill its responsibility for coverage and provision of benefits under the health plan.

For Health Care Operations. Health care operations include conducting quality assessment and improvement activities, including outcomes evaluation and development of clinical guidelines; reviewing the competence or qualifications of healthcare professionals and plans evaluating practitioner and provider performance; or certain underwriting, premium rating, and other activities relating to the creation, renewal or replacement of a contract of health insurance or health benefits. For instance, we may occasionally share your information with the collaborating doctor in this clinic when we are reviewing the work of our staff.

Uses Requiring Consent

We may make certain other uses and disclosures of your health information that require your consent. We will only make these uses or disclosures with your written authorization. You may revoke this authorization in writing at any time. However, the revocation does not affect actions taken before we receive it.

Other Privacy Rights You Can Exercise

You have a variety of rights under HIPAA and the Privacy Rule that you may choose to exercise: the right to request restrictions on certain uses and disclosures of protected health information; the right to receive confidential communications of protected health information; you can inspect and copy the protected health information we have in our files; you can request amendment of any inaccurate protected health information; on request you can receive an accounting of the disclosures of protected health information that we have made; even if you have agreed to receive privacy notices electronically, you can have, on request, a paper copy of any notice.

Personal Information Sharing And Disclosure

Your personal information is never shared outside Boutiq Medical Clinic, LLC without your permission, except under conditions explained below. Boutiq Medical Clinic, LLC may send your personal information to other companies or people under any of the following circumstances: when we have your consent to share the information; when we need to share your information to provide the product or service you have requested; when we need to send the information to companies who work on behalf of Boutiq Medical Clinic, LLC to provide a product or service to you (we will only provide those companies the information they need to deliver the service, and they are prohibited from using that information for any other purpose); when we want to keep you up to date on the latest product announcements, software updates, special offers, or other information we think you would like to hear about.

We will also disclose your personal information if required to do so by law, to enforce our Terms of Use, or in urgent circumstances, to protect personal safety, the public, or our websites.

Privacy Complaints

If you have a complaint about privacy matters, please let us know. You can share your concerns by writing or emailing our Privacy Officer.

You may also contact the Office for Civil Rights of the Federal Department of Health and Human Services. You will find information about the HIPAA complaint procedure on their website. You may also call for assistance at 1-800-368-1019. We will not retaliate against you in any way for making a privacy complaint.

Contact Information

If you have any questions or wish to voice a privacy concern, please contact us at info@btqclinic.com.

Privacy Officer: Karen Buckalew
817 Virginia Dr
Orlando, FL 32803
407-777-2449

Effective date: 01/01/2020 to present

See also our Website Privacy Policy.