Notice Of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
Provectus Diagnostics is firmly committed to protecting your information. Please contact our office at (918) 949-4526 if you have any questions or concerns about your protected health information. We will act immediately to resolve the issue and will carefully guard your privacy.
Effective date: April 14, 2021
Revision Date: July 1, 2022
IF YOU HAVE ANY QUESTIONS ABOUT THIS NOTICE OR IF YOU NEED MORE INFORMATION, PLEASE CONTACT OUR PRIVACY OFFICER.
Mailing address: 4150 S 100th E Ave. Ste 105, Tulsa, OK 74146
ABOUT THIS NOTICE
We are required by law to maintain the privacy of protected Health Information and to give you this notice explaining our privacy practices with regard to that information. You have certain rights-and we have certain legal obligations-regarding the privacy of your Protected Health Information, and this notice also explains your rights and our obligations. We are required to abide by the terms of the current version of this notice.
What is Protected Health Information?
“Protected Health Information” is any information in a medical record that can be used to identify an individual, and that was created, used, or disclosed in the course of providing healthcare services, such as a diagnosis or treatment.
You have the following rights regarding Health Information we have about you:
Right To Inspect and Copy. You have the right to inspect and copy Health Information that may be used to make decisions about your care or payment for your care. This includes medical and billing records, other than psychotherapy notes. To inspect and copy this Health Information, you must make your request, in writing, to Privacy Officer Provectus Diagnostics 4150 S. 100th E. Ave., Suite 105, Tulsa, OK 74146. We have up to 30 days to make your Protected Health Information available to you and we may charge you a reasonable fee for the costs of copying, mailing or other supplies associated with your request. We may not charge you a fee if you need the information for a claim of benefits under the Social Security Act or any other state or federal needs- based benefit program. We may deny your request in certain limited circumstances. If we do deny your request, you have the right to the denial reviewed by a licensed healthcare professional who was not directly involved in the denial of your request, and we will comply with the outcome of the review.
Right to an Electronic Copy of Electronic Medical Records. If your Protected Health Information is maintained in an electronic format (known as an electronic medical record or an electronic health record), you have the right to request that an electronic copy of your record be given to you or transmitted to another individual or entity. We will make every effort to provide access to your Protected Health Information in the form or format you request if it is readily producible in such form or format. If the Protected Health Information is not readily producible in the form or format you request your record will be provided in either our standard electronic format or if you do not want this form or format, a readable hard copy form. We may charge you a reasonable, cost-based fee for the labor associated with transmitting the electronic medical record.
Right to Get Notice of a Breach. You have the right to be notified upon a breach of any of your unsecured Protected Health Information.
Right to Amend. If you feel that Health Information we have is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office. To request an amendment, you must make your request in writing to Provectus Diagnostics 4150
S. 100th E. Ave., Suite 105, Tulsa, OK 74146.
Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of health Information purposes other than treatment, p payment and health care operations or for which you provide written authorization. To request an accounting of disclosures, you must make your request. In writing, to , Provectus Diagnostics 4150 S. 100th E. Ave., Suite 105, Tulsa, OK 74146.
Right to Request Restrictions. You have the right to request restriction or limitation on the Protected Health Information we use to disclose for treatment, payment, or health care operations. You also have the right to request a limit on the Health Information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not share information about a particular diagnosis or treatment with your spouse. To request a restriction, you must make your request, in writing, to, Provectus Diagnostics 4150 S. 100th E. Ave., Suite 105, Tulsa, OK 74146. We are not required to agree to your request unless you are asking us to restrict the use and disclosure of your Protected Health Information to a health plan for payment or health care operation purposes and such information you wish to restrict pertains solely to a health care item or service for which you have paid us “out-of- pocket” in full. If we agree to the requested restriction, we may not use or disclose your Protected Health Information in violation of that restriction unless it is needed to provide emergency treatment.
Out-of-Pocket-Payments. If you pad out-of- pocket (or in other words, you have requested that we will not bill your health plan) in full for a specific item or service, you have the right to ask that your Protected Health Information with respect to that item or service not be disclosed to a health plan for you purposes of payment or health care operations, and we will honor that request.
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 request that we contact you by mail at a specific address or call you only at your work. To request confidential communications, you must make your request, in writing, to, Provectus Diagnostics 4150 S. 100th E. Ave., Suite 105, Tulsa, OK 74146. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You might request 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. You may obtain a copy of this notice at our website, www.provectuslab.com To obtain a paper copy if this notice, please visit our office located at 4150 S. 100th E. Ave., Suite 105, Tulsa, OK 74146.
CHANGES TO THIS NOTICE
We reserve the right to change this notice and make the new notice apply to Health Information we already have as well as any information we receive in the future. We will post a copy of of our current notice at our office. The notice will contain the effective date on the first page. We reserve the right to make the changed Notice effective for Protected Health Information we already have as well as for any Protected Health Information we create or receive in the future. A copy of our current Notice is posted in our office and on our website.
Complaints. If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the United States Department of Health and Human Services . To file a complaint with us, contact our office at Provectus Diagnostics 4150 S. 100th E. Ave., Suite 105, Tulsa, OK 74146. There will be no retaliation against you for filing a complaint.
For more information on HIPAA privacy requirement, HIPAA electronic transactions and code sets regulations and the proposed HIPAA security rules, please visit the the website of the office for civil rights, www.hhs.gov/ocr/hipaa or call toll free (877) 696-6775.
How We May Use and Disclose Your Protected Health Information
We may use and disclose your Health Information in the following circumstances.
For Treatment. We may use or disclose your Health Information for your treatment and to provide you with treatment-related health care services. For example, we may disclose Health information to doctors, nurses, technicians, or other personnel, including people outside our office, who are involved in your medical care and need the information to provide you with medical care.
For Payment. We may use and disclose your Health information so that we or others may bill and receive payment from you, an insurance company or a third party for the treatment and services you received. For example, we may give your health plan information about you so that they will pay for your treatment.
For Health Care Operations. We may use and disclose Health Information for our health care purposes. These uses and disclosures are necessary to make sure that all our patients receive quality care and to operate and manage our office. For example, we may use and disclose information to disclose information to make sure the care you receive is of the highest quality. We also may share information with other entities that have a relationship with you (for example, your health plan) for their health care operation activities.
Appointment Reminders/Treatment Alternatives/Health-Related Benefits and Services. We may use and disclose Health Information to contact you to remind you that you have an appointment with us. We also may use and disclose Health information to tell you about treatment alternatives or health related benefits and services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care. When appropriate, we may share Health Information with a person who is involved in your medical care or payment for your care, such as your family or close friend. We may also notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort.
Research. Under certain circumstances, we may use and disclose your Health Information for research purposes. For example, a research project may involve comparing the health of patients who received one treatment to those who received another, for the same condition. Before we use or disclose Health Information for research, the project will go through a special approval process. Even without special approval, we may permit researchers to look at records to help them identify patients who may be included in their research project or for other similar purposes, as long as they do not remove or take a copy of any Health Information.
As Required By Law. We will disclose Health Information about you when required to do so by international, federal, state or local law.
To Avert a Serious Threat to Health and Safety. We may use and disclose Health Information when necessary, to prevent a serious threat to your health or safety or to the health or safety of another person. Disclosures, however, will be made only to someone who may be able to prevent the threat.
Business Associates. We may disclose Health Information to our business associates who perform functions on our behalf or provide us with services if the Protected Health Information is necessary for those functions or services. For example, we may use another company to do our billing, or to provide transcription or consulting services for us. All of our business associates are obligated, under contract with us, to protect the privacy and ensure the security of your Protected Health Information.
Organ and Tissue Donation. If you are an organ or tissue donor, we may use or disclose your Health Information to organizations that handle organ procurement or other entities engaged in procurement, banking or transportation of organs, eyes, or tissues to facilitate organ, eye or tissue donation and transplantation.
Military and Veterans. If you are a member of the armed forces, we may release Health Information as required by military command authorities. We also may disclose Protected Health Information to the appropriate foreign military authority if you are a member of a foreign military.
Workers Compensation. We may release Health Information for workers’ compensation or similar programs that provide benefits for work- related injuries or illness.
Public Health Risks. We may disclose Health Information for public health activities. These activities generally include disclosures to prevent or control disease, injury, or disability: report births and deaths; report child abuse or neglect; report reactions to medications or problems with products; notify people of recalls of products they may be using; a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and the appropriate government authority if we believe a patient has been with the victim of abuse, neglect, or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
Abuse, Neglect, or Domestic Violence. We may disclose Protected Health Information to the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence and the patient agrees or we are required or authorized by law to make that disclosure.
Health Oversight Activities. We may disclose Health Information to a health oversight agency for activities authorized by law. These oversight activities include, for an example, audits, investigations, inspections, licensure, and similar activities that are necessary for the government to monitor the health care system, government programs, and compliance with the civil rights laws.
Data Breach Notification Purposes. We may use or disclose your Health information to provide legally required notices of unauthorized access to or disclosure of your health information.
Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose Health Information in response to a court of administrative order. We also may disclose Health Information in response to a subpoena, discovery request, or other legal process from someone else involved in the dispute, but only in efforts have been made to tell you about the request or to get an order protecting the information requested. We may also use or disclose your Health Information to defend ourselves in the event of a lawsuit.
Law Enforcement. We may disclose Health Information if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons or similar process: (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, we are unable to obtain the person’s agreement; (4) about a death we believe we may be the result of criminal conduct: (5) about criminal conduct on our premises: and (6) in an 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.
Coroners, Medical Examiners, and Funeral Directors. We may release Health Information to a coroner, medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We also may release Health Information to funeral directors as necessary for their duties.
National Security and Intelligence Activities. We may release Health Information to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
Protective Services for the President and Others. We may disclose Health Information to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state or to conduct special investigations.
Inmates or Individuals in Custody. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose Protected Health Information to the correctional institution or law enforcement official if the disclosure is necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) the safety and security of the correctional institution.
Uses and Disclosures That Require US to Give You an Opportunity to Object and Opt Out.
Individuals Involved in Your Care or Payment for Your Care. Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your Protected Health Information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.
Disaster Relief. We may disclose your Protected Health Information to disaster relief organizations that seek your Protected Health Information to coordinate your care or notify family and friends of your location or condition in a disaster. We will provide you with the opportunity to agree or object to such a disclosure whenever we practicably can do so.
Your Written Authorization is Required for Other Uses and Disclosures.
The following uses and disclosures of your Protected Health Information will be made only with your written authorization.
1. Uses and disclosures of Protected Health Information for marketing purposes: and
2. Disclosures that constitute a sale of your Protected Health Information.
Other uses and disclosures of Protected Health Information not covered by this Notice of the laws that apply to us will be made only with your written authorization. If you do give us authorization, you may revoke it at any time by submitting a written revocation to our Privacy Officer and we will no longer disclose Protected Health Information under the authorization. But disclosure that we made in reliance on your authorization before you revoked it will not be affected by the revocation.
Our goal at Provectus Diagnostics is to promote the appropriate use of Antimicrobials through the Antibiotic Stewardship Program, which can have a broad impact on improving clinical outcomes while reducing overall Healthcare costs.