Patient Privacy Policy

Ehormones MD operates under a strict set of privacy principles, taking care to respect the privacy of its online “VISITORS” (visitors and/or members). To better protect your privacy, we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used. The following discloses our information gathering and dissemination practices for this web site. This site may contain links to other sites. Ehormones MD is not responsible for the privacy practices and/or the content of such websites.

The Information We Collect

Information that can identify any online visitor is collected only when voluntarily offered by the visitor. In cases where Ehormones MD may need personal information to provide visitors with products and/or services tailored specifically for them, or to inform them about new features, products and/or services, visitors are asked explicitly for that information. The Ehormones MD website and Ehormones Management LLC uses several information request forms for members and visitors to request information, products, and services by which personal contact information (such as first and last name, e-mail addresses, phone numbers, etc.) is collected. We will not disclose any of your personal information unless you authorize us to do so, the law requires it, or to protect the rights or property of Ehormones MD.

The Ehormones MD website and Ehormones Management LLC may also collect non-personal information from online visitors in order to track the total number of visitors to the site in aggregate form, identify the type of Internet browser (e.g., Firefox®, Internet Explorer®, Google Chrome®, etc.) and operating system (e.g., Windows®, Macintosh®, etc.) used by the visitor and/or to continuously improve the design of our website. For example, we may tell a third party advertiser that X number of individuals visited a certain area on our web site, or that Y number of men and Z number of women filled out our registration form, but we would not disclose anything that could be used to identify those individuals.

How We Use Information

Ehormones MD may use your personal information to send you periodic communications, solicit your feedback, provide you with special offers, or for other purposes and to customize the products and/or services we provide to you. Members and visitors may opt-out of receiving future mailings at any time; see the opt-out/choice section, below.

Any non-personal information, communications or material you send to Ehormones MD by internet electronic mail (e-mail) are on a non-confidential basis. Ehormones MD is free to use and reproduce any such information freely, and for any purpose whatsoever. The company reserves the right to use such information as part of our promotions and marketing. Specifically, we will be free to use any ideas, concepts, know-how or techniques contained in such information for any purpose, including developing, manufacturing or marketing products. Any information you send to Ehormones MD must be truthful, legal, and not violate the rights or intellectual property of others.

Ehormones MD reserves the right to change this privacy policy at any time. Any changes in this privacy policy will be promptly disclosed on this page.

Ehormones MD uses the information you provide about yourself only to complete the visitor’s intended transaction. We do not share this information with outside parties except to the extent necessary to complete that transaction. Ehormones MD uses return e-mail addresses to answer incoming e-mails we receive. Such addresses are not used for any other purpose and are not shared with outside parties.

Opt-Out/Choice

Ehormones MD website offers members and visitors the following options for the removal of information from our system database for the cease and discontinuation of future electronic communication and/or receipt of our services:

• Send removal/opt-out request email to [email protected]
• Contact us by phone at (800) 658-8858 to request opt-out/removal from our services/communication
• Send a facsimile to (561) 444-2663 clearly stating opt-out/removal request

Cookies

Ehormones MD may track your visit to our website by giving you a “cookie” when you enter. Cookies are pieces of information that websites transfer to your computer’s hard drive for record-keeping purposes. Ehormones MD uses cookies to make visiting our website easier. Specifically, cookies are used to deliver content specific to the member or visitors’ interests, to save billing and shipping information for when a member or visitor returns to the website in order to provide an efficient and personalized experience and to help us track user trends and patterns. The use of cookies is now an industry standard and you will find them used on almost every major website.

Your Information. Your Rights. Our Responsibilities

When it comes to your health information, our Providers take your privacy and security seriously. This policy explains your rights and some of our responsibilities to you.

Get an electronic or paper copy of your medical record

You can ask to see or obtain an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee when appropriate. We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

You can ask for a list (accounting) of the times we’ve shared your health and why. We will include all the disclosures except for those about treatment, payment and health care operations, as well as certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney (not a durable power of attorney or a general power of attorney) or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

File a complaint

You can complain if you feel we have violated your rights by contacting us as follows: Squire Patton Boggs, LLP 1900 Phillips Point West 777 South Flagler Drive West Palm Beach, FL 33401 ATTN: Jason Joffe. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us to: (i) Share information with your family, close friends, or others involved in your care, (ii) Share information in a disaster relief situation, (iii) Share information through communication instructions that you provide to us (text, email, etc.) If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

When We Need Your Permission

We never sell your information, however when you give us written permission, we may use your information for marketing purposes.

How do we typically use or share your health information?

We can use your health information and share it with other professionals who are treating you. We can use and share your health information to run our practice, improve your care, and contact you when necessary. We can use and share your health information to bill you for services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We must meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html. We can also share health information about you for certain situations such as: (i) Preventing disease, (ii) Helping with product recalls, (iii) Reporting adverse reactions to medications (iv) Reporting suspected abuse, neglect, or domestic violence, (v) preventing or reducing a serious threat to anyone’s health or safety, or (vi) doing research. We may use your personal information to contact you or remind you of appointments when you have requested that we do so.

Required Disclosures

We will also share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law. We may share your information to respond to requests from a medical examiner, coroner, or funeral director. We may share your information in response to a proper request. For instance, we can use or share health information about you: (i) For workers’ compensation claims, (ii) For law enforcement purposes or with a law enforcement official, (iii) With health oversight agencies for activities authorized by law, (iv) For special government functions such as military, national security, and presidential protective services, (v) To respond to lawsuits and legal actions, (v) In response to a subpoena, or a court or administrative order.

Other Important Information

We will provide you with copies of your medical records at your request within fifteen days of your request, subject to the conditions and charges allowed by your state’s laws. identified protected health information without your permission. test positive for HIV, we will not release or cause to become known the positive result of such test deidentified statistical or numerical data for purposes of medical research (deidentified means that your identifying information has been removed). We will not use non-deidentified data for research without your permission and consent.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html. You may obtain forms for submitting written requests, or obtain additional information by addressing such requests to:

Privacy Officer
c/o Casey York
1919 N Flagler Dr., Ste 301
West Palm Beach, Florida 33407
Fax: 561-408-0647
Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site. This Practices applies to the following organizations: Ehormones Management LLC, its subsidiaries and affiliates, it’s affiliated providers and their business associates.

How to Contact Us

Should you have other questions or concerns about these privacy policies and/or the practices of this website, please contact us at:

Ehormones Management LLC, DBA Ehormones MD 
1919 N.Flagler Dr., Suite 301
West Palm Beach, FL 33407
Phone: (800) 658-8858
Fax: (561) 444-2663
Email: [email protected]