WHAT INFORMATION WE COLLECT:

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Information you give us: We respect the right to privacy of all visitors to Body and Brain Integrative Care. We receive and store some information that you enter on our Sites or that you provide to us through the Sites in any other way. The information we collect or that you provide on or through our Sites or by using our services includes:

 

• Personal Data. Data that may personally identify you, including your name, postal address, billing address, shipping address, e-mail address, home, work and mobile telephone numbers, age, date of birth, social security number, insurance policy number, physical characteristics that may personally identify you, sexual orientation, IP address, bank account number, credit or debit card number (for payment purposes only), national origin, ancestry, veteran or military status, medical conditions, race, citizenship, information about any physical or mental disabilities you may have, information related to your religious or philosophical beliefs, political opinions, information regarding your gender at birth and how you currently express your gender identity, information related to your sex life, such as pregnancy, child birth and related medical conditions, any history of criminal convictions, biometric information (such as fingerprints, exercise data, psychological characteristics, face prints, gait patterns, genetics, behavioral characteristics, voice, sleep data, and iris/retina scans), and genetic information (including familial genetic information);

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• Information that you provide by filling in forms on our Sites, such as appointment request forms or product ordering forms. It also includes information you provide when you register to use our Sites, purchase products, or use services available through the Sites or facilities. We may also ask you for information when you report a problem with our Sites. Some forms collect sensitive information, such as health information, necessary for us to provide our services to you;

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• Records and copies of your correspondence (including email addresses), if you contact us; • Your responses to surveys that we might ask you to complete for research, development, and marketing purposes; and

 

• Details of transactions you carry out through our Sites and of the fulfillment of your orders. You may be required to provide financial information before placing an order through our Sites.

 

The information we collect automatically may include Personal Data or we may maintain or associate information we collect with Personal Data we collect in other ways or receive from third parties. It helps us to improve our Sites and to deliver a better and more personalized service by enabling us to:

 

• estimate our audience size and usage patterns;

• improve our product and services offering;

 

The technologies we use for this automatic data collection may include:

 

• Google Analytics. We use Google Analytics, a web analytics service provided by Google, Inc. (“Google”) to collect certain information relating to your use of our Sites. Google Analytics uses cookies, which are text files placed on your computer, to help our Sites analyze how users use the Sites. You can find out more about how Google uses data when you visit our Sites by visiting “How Google uses information from sites or apps that use our services” (located at https://policies.google.com/technologies/partner-sites). We may also use Google Analytics Advertising Features or other advertising networks to provide you with interest-based advertising based on your online activity. For more information regarding Google Analytics please visit Google's website, and pages that describe Google Analytics, such as https://marketingplatform.google.com/about/.

 

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION WE COLLECT:

 

• Optimizing the performance and user experience of our sites;

• Operating, evaluating, and improving our business;

• Providing healthcare services;

• Conducting research and analysis;

• Communicating with you about your account, special events, and surveys; and

• Establishing and managing your accounts with us.

 

The following are additional ways we may use and disclose health information that identifies you (Health information). Except for the following purposes, we will use and disclose Health Information only with your written permission. You may revoke such permission at any time by writing to our practice.

 

• Treatment: We may use and disclose Health Information to treat you and provide you with treatment-related health care services. For example, we may disclose Health Information to doctors, physical therapists, occupational therapists, chiropractors, 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.

 

• Payment: We may use and disclose 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 so that they will pay for your treatment.

 

• Healthcare Operations: We may use and disclose Health Information for healthcare operations purposes. These uses and disclosures are necessary to ensure that all of our patients receive quality care and to operate and manage our office. For example, we may use and disclose information to ensure that the medical care you receive is of the highest quality. We also may share information with other entities that have a relationship with you.

 

• Appointment Reminders, Treatment Alternatives, and Health Related Benefits and Services. We may use and disclose Health Information to contact you and 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 a close friend. We also may 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 Health Information for research. 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.

 

• SPECIAL SITUATIONS: As Required by Law. We will disclose Health Information when required to do so by international, federal, state or local law.

 

• To Avert a Serious Threat to Health or Safety. We may use and disclose Health Information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Disclosures, however, will be made only to someone who may be able to help prevent the threat.

 

• Business Associates. We may disclose Health Information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. For example, we may use another company to perform billing services on our behalf. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our contract.

 

• Data Breach Notification Purposes. We may use your contact information to provide legally required notices of unauthorized acquisition, access, or disclosure of your health information. We may send notice directly to you or provide notice to the sponsor of your plan through which you receive coverage.

 

• 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 release 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. These programs 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 the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.

 

COMMUNICATION:

 

• Email and related services. Email communications that you send to us via the email links on our Site may be shared with a customer service representative, employee, medical expert, or agent that is most able to address your inquiry. We make every effort to respond in a timely fashion once communications are received. Once we have responded to your communication, it is discarded or archived, depending on the nature of the inquiry. Note, that email communications that you send us via the email links on our Site are not automatically encrypted, and it is possible that unencrypted email communications with us may be accessed or viewed by another internet user while in transit to us.

 

• SMS Text. If you sign up to receive text messages from us on any of our Sites, you consent to receive text messages related to your relationship with Body and Brain.

 

SMS Text messaging, including originator opt-in data and consent, will not be shared with any third parties.

 

Please refer to our SMS Terms and Conditions at https://www.bodyandbrain.co/blank-1 for more details on consent and your privacy.

 

YOUR RIGHTS

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You have the following rights regarding Health Information we have about you:

 

• Access to electronic records. The Health Information Technology for Economic and Clinical Health Act. HITECH Act allows people to ask for electronic copies of their PHI contained in electronic health records or to request in writing or electronically that another person receive an electronic copy of these records. The final omnibus rules expand an individual’s right to access electronic records or to direct that they be sent to another person to include not only electronic health records but also any records in one or more designated record sets. If the individual requests an electronic copy, it must be provided in the format requested or in a mutually agreed-upon format. Covered entities may charge individuals for the cost of any electronic media (such as a USB flash drive) used to provide a copy of the electronic PHI. Right to Inspect and Copy.

 

• You have a 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.

 

• Right to Amend. If you feel that the Health Information we have is incorrect or incomplete, please 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.

 

• Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of Health Information for purposes other than treatment, payment and health care operations or for which you provided written authorization. To request an accounting of disclosures, you must make your request, in writing.

 

• Right to Request Restrictions. You have the right to request a restriction or limitation on the Health Information we use or disclose for treatment, payment, or health care operations. You also have the right to request a limit on the Health Information we disclose to someone 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.

 

• We are not required to agree to your request. If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment.

 

• Right to Request Confidential Communication. 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 can ask that we only contact you by mail or at work. To request confidential communication, you must make your request, in writing. 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 may ask us to give you a copy of this notice at any time.

 

CHANGES TO THIS NOTICE

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We reserve the right to change this notice and make the new notice apply to Health Information we already have and any information we receive in the future. We will post a copy of our current notice at our office. The notice will contain the effective date on the first page, in the top lefthand corner.

 

COMPLAINTS

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If you believe your privacy rights have been violated, you may file a complaint with the privacy officer. All complaints must be made in writing. You will not be penalized for filing a complaint.

 

Privacy officer: Christina G. Kurland

125 W Indiantown Rd STE 206, Jupiter, FL 33458

Phone 561-529-4251

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Please check the acknowledgment box and sign the consent form found in the initial intake.