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HIPAA NOTICE OF PRIVACY PRACTICES
This HIPAA Notice of Privacy Practices (hereinafter referred to as “Notice”) describes how Looped (also referred to as the “Company”) may use and disclose your personal health information (also referred to as “PHI”) and how you can access your PHI. Please read it carefully. Your health information is personal and private and Looped is committed to protecting your PHI. Looped may use or disclose medical information about you in delivering the platform and services for which you have previously authorized, or for other purposes as permitted or required by law. This Notice describes your rights to access and control medical information about you, including information that may identify you and relates to your past, present, or future physical, medical, or mental condition and medical care and related health care services.
To comply with certain state and federal legal requirements, Looped maintains a record of your use of our platform and services, and does not provide medical treatment and care. This Notice applies to all of the records we may receive from your authorized medical provider. This Notice explains the ways in which Looped may use and disclose your PHI. Furthermore, this Notice describes your rights and our obligations regarding the use and disclosure of PHI.
Looped is lawfully required to: (1) Ensure your PHI is kept private; (2) Provide you notice of our legal duties and privacy practices concerning your PHI; (3) Follow the terms of this Notice currently in effect, and (4) Notify you in the event of an unauthorized use or disclosure of your PHI.
HOW WE MAY USE AND DISCLOSE YOUR MEDICAL INFORMATION
The Company may use or disclose your PHI in the following ways. Not every use or disclosure in a category will be listed, but all of the ways Looped is permitted to use and disclose information will fall within one of these categories.
For Research. The Company may disclose medical information about you to researchers so long as the information disclosed does not directly identify you as the source of the information or when a waiver has been issued by an institutional review board or a privacy board that has reviewed the research proposal and protocols for compliance with standards to ensure the privacy of your health information.
For Use with Our Platform and Services. The Company may use and disclose medical information about you that you have authorized from your medical provider which are necessary for the successful use of the platform. These uses or disclosures are made for the optimal use of the platform and services.
As Required By Law. The Company will disclose your health information when required to do so by federal, state or local law.
For Health Oversight Activities. The Company may disclose medical information about you to a health oversight agency for activities authorized by law.
For Lawsuits and Disputes. The Company may disclose medical information about you in response to a court or administrative order, subpoena, discovery request, or other lawful process.
Disclosure to Law Enforcement. If asked to do so by law enforcement and as authorized or required by law, the Company may release medical information: (1) To identify or locate a suspect, fugitive, material witness, or missing person; (2) About a suspected victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement; (3) About a death suspected to be the result of criminal conduct; (4) About criminal conduct at the Company; and (5) In case of a medical emergency, to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
Disclosure For Threats to Health and Safety. In certain circumstances, the Company may be required to disclose medical information to avert a serious threat to your health and safety or the health and safety of another person as required by law enforcement. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law.
Marketing and Sale. The Company will NOT release your PHI for marketing purposes or sell your PHI unless you provide authorization.
YOUR RIGHTS
You have the following rights regarding your PHI. You must contact our designated HIPAA Privacy Officer to exercise these rights and you may be asked to submit a written request. You may contact our HIPAA Privacy Officer using the following information:
Looped
Attn: HIPAA Privacy Officer
SKE Innovations, Inc.
PO Box #51
Crystal Lake, IL, 60039
Right to Inspect and Copy. With certain exceptions, you have the right to inspect and receive copies of your medical information.
Amendment. If you feel that medical information about you is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures. You have the right to receive a list of certain disclosures that we may have made of your PHI.
Right to Request Restrictions. You have the right to request a restriction or limitation on medical information that the Company uses or discloses about you for treatment, payment or health care operations, and to request a limit on the medical information that Looped may disclose to family members or friends involved in your care.
Receive a Copy. You have the right to obtain a copy of this notice.
CHANGES TO THIS NOTICE
Looped reserves the right to change the terms of this Notice at any time. The Company reserves the right to make the revised or changed notice effective for medical information the Company already has about you as well as any information the Company receives in the future. We will post a copy of the current Notice with an effective date.
QUESTIONS AND COMPLAINTS
If you have any questions or believe that your privacy rights have been violated, you may contact our HIPAA Privacy Officer in person or by mailing a written summary of your concern to the address listed above.
You may also file a written complaint with the Department of Health and Human Services Office at:
Department of Health and Human Services
Office for Civil Rights
90 7th Street, Suite 1-100
San Francisco, CA 94103
Phone: (415) 437-8310
TDD (415) 437-8311
Email: OCRComplaint@hhs.gov
You will not be penalized or retaliated against for filing a complaint.
OTHER USES OF MEDICAL INFORMATION
Other uses and disclosures of medical information not covered by this Notice or applicable laws will be made only with your written permission. If you provide Looped permission to use or disclose medical information about you, you may revoke that permission in writing at any time. If you revoke your permission, we will stop any further use or disclosure of your medical information for the purposes covered by your written authorization, except if we have already acted in reliance on your permission. You understand that Looped is unable to take back any disclosure previously made with your permission and that Looped is required to retain its records of the care provided to you.