THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Uses and Disclosures of Protected Health Information
Treatment: Your health information may be used by Cranial Technologies, Inc. staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.
Payment: Your health information may be used to seek payment from your health plan or from credit card companies you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.
Health Care Operation: Your health information may be used as necessary to support day-to-day activities and management of Cranial Technologies, Inc. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.
Health Oversight Activities: We may disclose your health information to a health oversight agency that ensures that Cranial Technologies is complying with the rules of government programs such as Medicaid.
Individuals Involved in Care or Payment for Care: We may use and disclose your health information in some situations where you have the opportunity to agree or object to certain uses and disclosures. For example, we may disclose your health information to a family member, friend or other person to the extent necessary to help with your health care.
Judicial and Administrative Proceedings: We may disclose your health information in the course of a judicial or administrative proceeding if we receive a legal order or other lawful process requiring us to disclose your health information.
Law Enforcement: Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government-mandated reporting.
Health and Safety: We may disclose your health information if we reasonably believe that disclosure would prevent or lessen a serious or imminent threat to a person’s or the public’s health or safety. This applies to suspected victims of abuse, neglect or exploitation.
Public Health Reporting: Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the State’s public health department.
Other Uses and Disclosures Require Your Authorization: Disclosure of your health information or its use for any purpose other than those listed above requires your written authorization. If you change your mind after authorizing a use or disclosure of your information you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.
Additional Uses of Information: We may contact you to remind you of appointments and to provide you with information about treatment alternatives that you may find interesting or other health-related benefits and services that may be of interest to you.
Duties of Cranial Technologies, Inc.: We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. We are required to abide by the privacy policies and practices outlined in this notice. We are required to notify you, and the Department of Health and Human Services, if there is a breach of unsecured Protected Health Information.
Rights to Revise Privacy Practices: As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These revisions in our policies and practices may be required by changes in federal or state laws and regulations. Upon request, we will provide you with the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain.
Individual Rights You have certain rights under the federal privacy standards. These include:
Requests to Inspect Protected Health Information: You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting the Cranial Technologies’ Patient Coordinator. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request.
Complaints: If you would like to submit a comment or complaint about our privacy practices, you may do so by sending a letter outlining your concerns to:
HIPAA Privacy Official Cranial Technologies, Inc. 1405 West Auto Drive, Floor 2 Tempe, AZ 85284-1026
If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address, or contact us on our toll-free hotline 866-403-6361. This information may be left anonymously if you chose. You may also file written complaints with the Secretary of the U.S. Department of Health and Human Services. Upon request, we will provide you with the address for the Secretary. You will not be penalized or otherwise retaliated against for filing a complaint.
Contact Person: The name and address of the person you may contact for further information concerning our privacy practices is:
HIPAA Privacy Official Cranial Technologies, Inc. 1405 West Auto Drive, Floor 2 Tempe, AZ 85284-1026 866-403-6361 firstname.lastname@example.org
Effective Date: This notice is effective on or after 04-26-22
CCPA Privacy Notice for California Consumers Last Updated: August 14, 2020
Personal Information Practices We collect information that identifies, relates to, describes, references, is capable of being associated with, or could reasonably be linked, directly or indirectly with a consumer or device (“personal information”).
Depending on how you interact with us, we may collect your identifiers (such as your name, Internet Protocol address, email address, and contact information), demographic information, and transactional information (such as your insurance information and payment information).
We may use your personal information to present our website and its contents to you, to monitor and analyze website traffic, to provide you with information you requested, to fulfill any other purpose for which you provide it, and to comply with legal obligations.
We may share your personal information with business partners when needed for a business purpose. When we disclose personal information for a business purpose, we enter an agreement that describes the purpose and requires the recipient to both keep that personal information confidential and not use it for any purpose except for purposes agreed to per the agreement. We do not sell your information.
CCPA Privacy Rights
I064 Rev01 ECO20-148 Effective Date: 08/14/2020
Under the CCPA, you have the right to:
If you are a California resident and would like to exercise your rights, please contact us by calling 866-403-6361 or emailing email@example.com. In compliance with CCPA, we will require certain identifying information from you to verify your request.
The CCPA prohibits us from discriminating against you for exercising your privacy rights. Such discrimination may include denying a good or service, providing a different level or quality of service, or charging different prices.
Your Protected Health Information
Please note that certain categories of personal information, such as Protected Health Information, are not covered by these CCPA privacy rights, but may be protected by HIPAA and other laws that provide similar protections.
Changes to this Notice
We reserve the right to amend this notice at our discretion and at any time. When we make changes to this notice, we will post the updated notice on the Website and change the “last updated” date. Your continued use of our Website following the posting of changes constitutes your acceptance of such changes.