Notice of Privacy Practices
How your medical information may be used and disclosed, and how you can get access to it. Please review it carefully.
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.
This notice applies to Bright Water Peptides LLC and the licensed clinicians and medical practice that provide care through Bright Water (together, "we"). We are required by law to keep your protected health information ("PHI") private, to give you this notice of our legal duties and privacy practices, to follow the notice currently in effect, and to notify you if a breach of your unsecured PHI occurs.
How we may use and disclose your PHI
Treatment. We use and share your PHI to provide care, for example to let your clinician review your intake, meet you by video and send a prescription to your pharmacy.
Payment. We use and share PHI to charge you for your medication, pay the pharmacy that dispenses it, and issue refunds.
Health care operations. We use PHI to run our practice, for example for quality review, clinician training, audits, and legal and compliance services.
Business associates. We share PHI with companies that perform services for us, such as hosting, secure messaging and payment processing. They must sign agreements to protect your PHI.
Reminders and care messages. We may contact you about visits, prescriptions, refills and treatment options.
Other uses and disclosures allowed or required by law
- When required by federal, state or local law.
- For public health activities, such as reporting adverse drug reactions to the FDA.
- To report abuse, neglect or domestic violence to government authorities as the law allows.
- For health oversight activities, such as audits and licensure.
- In response to a court order, subpoena or other lawful process.
- For law enforcement purposes under limited circumstances.
- To coroners, medical examiners and funeral directors.
- To avert a serious threat to health or safety.
- For specialized government functions and workers' compensation, as the law allows.
- For research approved under privacy safeguards.
Uses that need your written authorization
We will not use or share your PHI for marketing, sell your PHI, or share psychotherapy notes without your written authorization. Other uses not described in this notice also need your authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.
Your rights
- Get a copy of your record. You can ask for an electronic or paper copy of your medical and billing records. We will usually respond within 30 days and may charge a reasonable, cost-based fee.
- Ask us to correct your record. If you think information is incorrect or incomplete, you can ask us to amend it. We may say no, but we will tell you why in writing within 60 days.
- Request confidential communications. You can ask us to contact you in a specific way or at a different address. We will say yes to all reasonable requests.
- Ask us to limit what we use or share. We are not required to agree, except that if you pay for a service in full out of pocket, you can ask us not to share it with your health plan and we will agree unless the law requires sharing.
- Get a list of those with whom we've shared information. You can ask for an accounting of certain disclosures made in the six years before your request.
- Get a copy of this notice. You can ask for a paper copy at any time.
- Choose someone to act for you. A person with medical power of attorney or who is your legal guardian can exercise your rights.
Complaints
If you believe your privacy rights have been violated, contact us at support@brightwaterpeptides.com. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr/complaints or by calling 1-877-696-6775. We will not retaliate against you for filing a complaint.
Changes to this notice
We can change this notice, and the changes will apply to all information we have about you. The new notice will be posted on this page and available on request.
Privacy contact
Privacy Officer, Bright Water Peptides LLC: support@brightwaterpeptides.com.