Effective Date: December 20, 2024
This notice explains how your medical information may be used and disclosed and how you can access it. Please review it carefully.
Doho Weight Loss Clinic LLC complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). By providing your health information, you consent to its protection under HIPAA. Acknowledgment of this notice is required by clicking “I Acknowledge Receipt of the Notice of HIPAA Privacy Practices” on our website.
Applicability
This Notice applies to Doho Weight Loss Clinic LLC, a virtual healthcare provider operating in Ohio and Texas. For questions regarding this Notice or our privacy practices, please contact us at info@dohoweightlossclinic.com.
Your Rights
You have specific rights regarding your health information:
Access to Medical Records
You may request an electronic or paper copy of your medical record and other health information we have about you. Submit your request through our Medical Records Request Form or contact info@dohoweightlossclinic.com.
As a virtual clinic, we do not maintain physical clinical locations, so in-person access to records is unavailable.
We will provide a copy or summary of your health information, usually within 30 days of your request, and may charge a reasonable, cost-based fee.
Request Corrections
If you believe your health information is inaccurate or incomplete, you may request a correction by contacting us at info@dohoweightlossclinic.com or calling 888-811-8801.
We may deny your request but will provide a written explanation within 60 days.
Confidential Communications
You may request that we contact you in a specific way (e.g., email instead of phone) or send mail to a different address. Contact info@dohoweightlossclinic.com or call 888-811-8801.
We will accommodate all reasonable requests.
Limitations on Use and Sharing
You may request that we not use or share certain health information for treatment, payment, or operations. Contact info@dohoweightlossclinic.com or call 888-811-8801.
If you pay for a service or healthcare item out-of-pocket in full, you may request that we not share that information with your health insurer. We will honor this request unless required by law.
We will follow your instructions for:
Sharing health information with your family, close friends, or others involved in your care.
Sharing health information in disaster relief situations.
In situations where you cannot express your preferences (e.g., unconsciousness), we may share your health information if it is in your best interest or to reduce serious health risks.
We will never share your information for:
Marketing purposes.
Selling your information.
Sharing most psychotherapy notes, without your written permission.
Our Uses and Disclosures
We may use or share your health information in the following ways:
Treatment
To provide and coordinate your care. For example, sharing information with other professionals involved in your treatment.
Healthcare Operations
To manage and improve our services. For example, analyzing your data to enhance our offerings.
Billing and Payment
To bill and receive payment from your health insurer or other entities.
Other Permitted Uses
We are allowed or required to share your information for purposes such as:
Public Health and Safety: Preventing disease, reporting adverse medication reactions, or addressing abuse or neglect.
Legal Compliance: Sharing data as required by federal or state law.
Legal Actions: Sharing data in response to subpoenas or court orders.
Our Responsibilities
We are legally required to:
Protect the privacy and security of your health information.
Inform you promptly if a breach occurs that may compromise your data.
Follow the terms described in this Notice unless you give written permission otherwise.
Changes to This Notice
We may revise this Notice at any time. Updated versions will be available on our website, and the effective date will be listed above. Continued use of our services constitutes acceptance of the revised terms.
Access to Medical Records
You may request an electronic or paper copy of your medical record and other health information we have about you. Submit your request through our Medical Records Request Form or contact info@dohoweightlossclinic.com.
As a virtual clinic, we do not maintain physical clinical locations, so in-person access to records is unavailable.
We will provide a copy or summary of your health information, usually within 30 days of your request, and may charge a reasonable, cost-based fee.
Request Corrections
If you believe your health information is inaccurate or incomplete, you may request a correction by contacting us at info@dohoweightlossclinic.com or calling 888-811-8801.
We may deny your request but will provide a written explanation within 60 days.
Confidential Communications
You may request that we contact you in a specific way (e.g., email instead of phone) or send mail to a different address. Contact info@dohoweightlossclinic.com or call 888-811-8801.
We will accommodate all reasonable requests.
Limitations on Use and Sharing
You may request that we not use or share certain health information for treatment, payment, or operations. Contact info@dohoweightlossclinic.com or call 888-811-8801.
If you pay for a service or healthcare item out-of-pocket in full, you may request that we not share that information with your health insurer. We will honor this request unless required by law.
We will follow your instructions for:
Sharing health information with your family, close friends, or others involved in your care.
Sharing health information in disaster relief situations.
In situations where you cannot express your preferences (e.g., unconsciousness), we may share your health information if it is in your best interest or to reduce serious health risks.
We will never share your information for:
Marketing purposes.
Selling your information.
Sharing most psychotherapy notes, without your written permission.
Our Uses and Disclosures
We may use or share your health information in the following ways:
Treatment
To provide and coordinate your care. For example, sharing information with other professionals involved in your treatment.
Healthcare Operations
To manage and improve our services. For example, analyzing your data to enhance our offerings.
Billing and Payment
To bill and receive payment from your health insurer or other entities.
Other Permitted Uses
We are allowed or required to share your information for purposes such as:
Public Health and Safety: Preventing disease, reporting adverse medication reactions, or addressing abuse or neglect.
Legal Compliance: Sharing data as required by federal or state law.
Legal Actions: Sharing data in response to subpoenas or court orders.
Our Responsibilities
We are legally required to:
Protect the privacy and security of your health information.
Inform you promptly if a breach occurs that may compromise your data.
Follow the terms described in this Notice unless you give written permission otherwise.
Changes to This Notice
We may revise this Notice at any time. Updated versions will be available on our website, and the effective date will be listed above. Continued use of our services constitutes acceptance of the revised terms.