Servicing New York & Florida
PRIVACY POLICY
THIS NOTICE OF PRIVACY PRACTICES AND WEBSITE PRIVACY POLICY (THIS “NOTICE”)
DESCRIBES HOW HEALTH AND OTHER PERSONAL INFORMATION ABOUT YOU MAY BE
COLLECTED, USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO YOUR
INFORMATION. PLEASE REVIEW IT CAREFULLY. POLICY EFFECTIVE DATE IS JUNE 20th,
2022. Clinvee, understands the necessity of maintaining the privacy of your protected
health information (or “PHI”). PHI is information that could be used to identify you in
relation to: (i) your past, present or future physical or mental health or condition; (ii) the
provision of health care to you; or (iii) the past, present or future payment for the
provision of health care to you. Clinvee is required by law to maintain the privacy of PHI
and to provide you with this Notice of our legal duties and privacy practices. Clinvee
requires all contractors and/or anyone accessing your information or entering
information into your record to abide by the practices and uses as provided in this
Notice. Clinvee is required by law to abide by the terms of this Notice that is currently in
effect. This Notice will remain in effect until such time as a replacement Notice is
provided by Clinvee. Clinvee reserves the right to make changes to this Notice and to
make the revised or changed Notice effective for all PHI Clinvee maintains. Any changes
to this Notice will be posted on our website at: www.clinvee.com (“Website”). You may view a copy of this Notice at any time at our Website or you may receive a paper copy
of the Notice or receive further information about this Notice by calling our customer
service department at (866) 889-9095.
INFORMATION CLINVEE MAY COLLECT
To access and use our services, Clinvee must collect certain information about you. This
information may be collected directly from you orally or on Website applications or
other forms. The following information will be required in order to utilize Clinvee’s
services: (i) name; (ii) address; (iii) telephone number; (iv) gender; (v) date of birth; (vi)
email address; (vii) payment information; and (viii) any other pertinent information
required to complete your electronic medical record. You will also be required to select
a password to access and protect your Clinvee account information. Clinvee will create
and maintain a record of the care and services you receive. This may include electronic
medical records, audio and/or video files associated with consultations, e-mails
referencing services and test results, if applicable. In addition, this information may
include your transactions with Clinvee, its affiliates and others.
COOKIES
Through our Website, information is collected through an Internet “cookie,” an
information-collecting device from a web server. “Cookies” are text information files that
your web browser places on your computer when you visit a website. Cookies assist in
providing non-personal information from you as an online visitor. It can be used in the
customization of your preferences when visiting our Website. Most browsers accept
cookies automatically but can be configured not to accept them or to indicate when a
cookie is being sent.
CLINVEE MAY USE AND DISCLOSE PHI
Clinvee may use and disclose information about you in providing the telehealth services.
While we cannot describe every type of information that we use or disclose, all of the
ways we are permitted to use and disclose information will fall within one of these
categories: Treatment: Your health care provider may ask us to use or disclose PHI in
connection with consultations, treatment or in connection with the provision of follow-
up treatment. Payment: We may use and disclose your PHI to your health insurer or
health plan in connection with the billing, processing and payment of claims or other
charges. NOTE: Clinvee does not currently accept payments from health insurance
providers. Health Care Operations: We may use and disclose PHI as part of our services.
For example, we may use and disclose information to provide customer service or to
conduct quality review assessment. Clinvee will engage third parties to provide various
services for Clinvee, including the physicians/providers who respond to inquiries and
provide consultations. If any such third party must have access to your PHI in order to
perform its services, Clinvee will require that third party to enter into an agreement that
binds the third party to the use and disclosure restrictions outlined in this Notice.
Appointments: Clinvee may contact you to make or to remind you about a telehealth
appointment with a physician/provider. Health-Related Benefits and Services: We may
use your PHI to tell you about other health related benefits, products or services that
may be of interest to you. Individuals Involved in Payment for Your Care: Unless you
request otherwise, Clinvee may give information to someone who helps pay for your
care or provide usage information to your employer to pay bills. You may restrict some
or all of these disclosures by requesting the restriction in writing to: MV Wellness NP in
Family Health P.C, DBA (doing business as) Clinvee, 2747 East 26st, Suite 203, Brooklyn,
New York, 11235. Business Associates: Clinvee may contract with outside businesses or
physicians/providers to provide some services for us. Under these contracts, we may
share your medical information with them in order for them to provide their services
under the contract. Any other business or individual with which we contract shall be
required to protect the medical information or PHI we share with them. Permitted or
Required by Law: Clinvee may release information when requested by law enforcement
officials or when permitted or required by local, state or federal law. More Stringent
Laws: Clinvee offers their services in many states across the United States. In some cases,
we may be required to follow the state law provisions on use and disclosure of your PHI,
which may be more stringent than those outlined in this Notice. Research: Under certain
circumstances, Clinvee may use and share your PHI for research purposes. If you do not
want to participate in research efforts, you must notify a Clinvee customer service
representative at (866) 889-9095 and follow-up in writing to: MV Wellness NP in Family
Health P.C, dba (doing business as) Clinvee, 2747 East 26st, suite 203, Brooklyn, New
York, 11235. To Avert a Serious Threat to Health or Safety: Clinvee may use and disclose
medical information about you when necessary to prevent a serious threat to your
health and safety or the health and safety of the public or another person. Any
disclosures, however, would only be to someone able to help prevent the threat.
HOW CLINVEE MAY USE AND DISCLOSE PHI – SPECIAL CIRCUMSTANCES
Health Oversight Activities and Registries: Clinvee may disclose your PHI to a health
oversight agency for activities authorized by law such as audits, investigations,
inspections, licensing and disciplinary actions relating to the health care system or
government benefit programs. These activities are necessary for the government to
monitor the health care system, government programs and compliance with civil rights
laws. Public Health Risks: Clinvee may share your PHI with public health authorities or
other governmental authorities as required by law for certain purposes including: (i)
preventing or controlling disease, injury or disability; (ii) reporting child or vulnerable
adult abuse or neglect or domestic violence incidents; (iii) reporting to the Food and
Drug Administration regarding the quality, safety and effectiveness of a regulated
product or activity; (iv) notifying people of recalls of products they may be using; and (v)
notifying a person who may have been exposed to a disease or may be at risk for
contracting or spreading a disease or condition. Workers Compensation: Clinvee may
share your PHI for workers’ compensation claims to the extent and as required by law. If
you are involved in a lawsuit or dispute, Clinvee may be required to disclose PHI in
response to a court or administrative order. We may also disclose medical information
about you in response to a subpoena, discovery request or other lawful process by
someone else involved in the dispute, but only if the request indicates that the person
or entity seeking the information has either: (i) made a good faith attempt to notify you
(or your legal representative) of the request and any time provided for objection to the
request has passed without objection or any objection has been resolved in favor of
providing the information; or (ii) a qualified protective order protecting the information
has been agreed upon or requested from the court or administrative tribunal. Law
Enforcement: Under certain circumstances, Clinvee may disclose your PHI to a law
enforcement official, such as in response to a court order, subpoena, warrant, summons
or similar process for purposes of identifying or locating a suspect, fugitive, material
witness or missing person, as relating to the victim of a crime, about a death we believe
may be the result of criminal conduct, in emergency situations to report a crime, the
location of the crime or victims, or the identity, description or location of the person
who committed the crime. Decedents: Under certain circumstances, Clinvee may
disclose PHI to coroners, medical examiners and funeral directors for purposes such as
identifying individuals, determining the cause of death and fulfilling duties relating to
decedents. National Security Concerns: Clinvee may release medical information about
you to authorized federal officials for intelligence, counter-intelligence and other
national security activities authorized by law. Military and Veterans: If you are, or were, a
member of the armed forces, Clinvee may release PHI about you as required by military
command authorities. If you are a member of foreign military service, Clinvee may
disclose, in certain circumstances, your PHI to the foreign military authority.
YOUR RIGHTS REGARDING YOUR PHI
You have the following rights regarding PHI Clinvee maintains about you: Right to
Inspect and Receive Copies: You have the right to access, inspect or make copies of your
PHI. Your request must be made in writing to: MV Wellness NP in Family Health P.C, dba
(doing business as) Clinvee, 2747 east 26st suite 203, Brooklyn, New York, 11235. Clinvee
may charge a reasonable fee for the cost of complying with your request. Right to
Amend: If you feel that the information Clinvee has about you is incorrect, you may
request an amendment for as long as the information is kept and created by Clinvee.
This request must be made in writing to: MV Wellness NP in Family Health P.C, dba
(doing business as) Clinvee, 2747 east 26st suite 203, Brooklyn, New York, 11235, and
must include a reason to support your request. Under certain circumstances, Clinvee
may deny your request by sending you a written notice of denial. If your request is
denied, you may submit a statement of disagreement to be included in your records.
Right to an Accounting of Disclosures: You have the right to receive an accounting of all
disclosures of your PHI made by us within the previous six years. The accounting will not
include: (i) disclosures made for purposes of treatment, payment or health care
operations; (ii) disclosures to you or to third parties to whom you or your legally
authorized representative have authorized disclosure; (iii) oral or incidental disclosures;
and (iv) disclosures made for purposes of national security or to correctional institutions
or law enforcement officials as described in this Notice. Your request must be submitted
to Clinvee in writing and must include the specific time period for which you are making
the request. If you submit more than one request within any twelve-month period,
Clinvee may charge you for the cost of fulfilling your request. If such a charge will be
made, Clinvee will notify you prior to the fulfillment of your request and you may
choose to withdraw or modify your request at that time before any costs are incurred.
Right to Request Restricted Use: You have the right to request restrictions or limitations
on the PHI Clinvee uses or discloses about you for treatment, payment or health care
operations. The request for restrictions must be made in writing to: MV Wellness NP in
Family Health P.C, dba (doing business as) Clinvee, 2747 east 26st suite 203, Brooklyn,
New York, 11235, and specify the information you wish to limit, along with the person(s)
to whom you want the limitations to apply. Clinvee is not, however, required to agree to
a requested limitation or restriction and will notify you if we do not agree to a requested
restriction. Right to Confidential Communications: You have the right to receive
confidential communications of your PHI. You may request, in writing, that Clinvee
contact you through an alternate means or at a different location. Clinvee will comply
with all reasonable requests. Complaints: If you believe your privacy rights have been
violated, you may file a complaint with Clinvee and/or with the Secretary of the
Department of Health and Human Services. All complaints directed Clinvee must be in
writing. To file a complaint with us, please mail your written complaint to: MV Wellness
NP in Family Health P.C, dba (doing business as) Clinvee, Attention: Complaint
Department, to 2747 east 26st suite 203, Brooklyn, New York, 11235. You will not be
penalized for filing a complaint.
OUR SECURITY SAFEGUARDS
Clinvee has established safeguards to ensure the security and confidentiality of
information about you. These safeguards include protection against any anticipated
threats or hazards to the security or integrity of the information, as well as protection
against the unauthorized access to or use of this information. When you interact on our
Website, all of your information, including your credit card number and delivery address,
is transmitted through the Internet using Secure Socket Layers (“SSL”) technology. SSL
technology causes your browser to encrypt your information before transmitting it to
our secure server. SSL technology, an industry standard, is designed to prevent someone
other than operators of our Website from capturing and viewing your personal
information. Clinvee restricts access to your information to those employees who need
to know that information to provide products or services to you or on your behalf. While
Clinvee is dedicated to the protection of your personal information from unauthorized
use or disclosure, no data transmission over the Internet can be guaranteed to be 100%
secure. Clinvee cannot ensure or warrant the security of any information you transmit to
us on our Website.
YOUR RIGHT TO A PAPER COPY OF THIS NOTICE
You have the right to receive a paper copy of this Notice at any time, even if you have
agreed to receive this Notice electronically. To obtain a paper copy of this Notice,
contact an Clinvee customer service representative at (866) 889-9095.
