HIPAA Notice of Privacy Practices
1. Introduction
iCancierge is not a HIPAA-covered entity. However, we recognize the sensitivity of protected health information (“PHI”) and voluntarily adopt HIPAA-quality safeguards and standards.
2. Purpose of This Notice
This Notice describes how medical information about you (“PHI”) may be used and disclosed and how you can get access to this information. Please review it carefully.
3. Our Privacy Commitments
We collect, store, and use PHI to provide HBOT and wellness services, schedule appointments, and communicate with you regarding your care and billing.
We ensure that PHI is protected through administrative, technical, and physical safeguards—comparable to HIPAA requirements.
4. Types of Protected Health Information We Collect
- Demographic information (name, DOB, address, contact info).
- Medical history, diagnoses, test results, medications, treatment plans.
- Appointment and billing records.
- Communications (phone calls, emails, messages) relating to your care.
5. How We May Use & Disclose Your PHI
Treatment:
Share necessary information with our staff or contracted clinicians to deliver HBOT and related services.
Coordinate with other healthcare providers at your request.
Payment:
Provide PHI to billing and insurance entities (e.g., http://Authorize.net) to process payment or insurance claims.
Contact you regarding outstanding balances and payment options.
Healthcare Operations:
Perform quality improvement, case management, training, and audit functions.
Manage and improve our services.
Legal & Regulatory:
Disclose PHI when required by law (e.g., subpoena, court order, public health authority).
Report abuse, neglect, or domestic violence as required by applicable law.
Business Associates:
Provide PHI to third-party service providers (e.g., Google Forms, Calendly, http://Authorize.net) under Business Associate Agreements ensuring PHI confidentiality.
6. Your Rights Regarding PHI
Right to Inspect & Copy:You may request access to your PHI in electronic or paper form. We may impose a reasonable fee for copying.
Right to Amend:If you believe PHI is incorrect or incomplete, you may request an amendment. We will review and respond within 60 days.
Right to an Accounting of Disclosures:You can request a list of disclosures of your PHI made for purposes other than treatment, payment, or healthcare operations.
Right to Restrict Uses & Disclosures:You may request restrictions on how your PHI is used or disclosed. We are not required to agree, but if we do, we will comply.
Right to Confidential Communications:You may request that we communicate PHI by alternative means or locations (e.g., only by email).
Right to Receive a Paper Copy of This Notice:You can request a paper copy even if you have agreed to receive it electronically.
7. How to Exercise Your Rights
Submit a written request to:
Email: MobileWellnessGroup@gmail.com
Mail: 2605 Camino Del Rio South San Diego, CA 92108
Describe your request, preferred format, and any relevant details. We will respond within 30–60 days.
8. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
iCancierge Privacy Officer:MobileWellnessGroup@gmail.com
Office for Civil Rights (OCR):U.S. Department of Health and Human Services.
Filing a complaint will not affect your ability to receive Services.
9. Changes to This Notice
We reserve the right to change our privacy practices and this Notice at any time.
Updated notices will be posted on http://HBOTT.com with a revised “Effective Date.”