Effective Date: 01 Jan 2025

This Notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.

Your Rights

When it comes to your health information, you have certain rights. These include:

• Get an electronic or paper copy of your medical record
  You can request to see or receive a copy of your health information. We will provide it within 30 days and may charge a reasonable fee.

• Ask us to correct your record
  If you believe information is incorrect or incomplete, you may request a correction. We may deny requests but will explain why in writing.

• Request confidential communications
  You may ask us to contact you at a different address, phone number, or method. We will accommodate reasonable requests.

• Limit what we use or share
  You can request limits on use or disclosure of your information. We are not required to agree, but will comply when possible.

• Get a list of disclosures
  You may request an accounting of disclosures of your information (excluding treatment, payment, and healthcare operations) for the past six years.

• Receive a copy of this notice
  You can request a paper copy at any time, even if you agreed to electronic delivery.

• Choose someone to act for you
  A medical power of attorney or legal guardian may exercise your rights.

• File a complaint
  If you believe your privacy rights have been violated, you may contact us at info@mydocusa.com or call (949) 303-7947. You may also file with the U.S. Department of Health & Human Services, Office for Civil Rights. We will not retaliate against you.

Your Choices

For certain situations, you can decide how we share your information:

• Share information with family, friends, or others involved in your care.

• Share information during disaster relief.

• Include information in a patient directory.

We never share your information without written permission for:

• Marketing purposes

• Sale of your information

• Most psychotherapy notes

Our Uses and Disclosures

We typically use or share your health information in the following ways:

• Treat you – Share with other providers involved in your care.

• Run our organization – Improve care and contact you as needed.

• Bill for services – Provide information to insurers for payment.

Other disclosures may include:

• Public health and safety issues (disease prevention, recalls, reporting abuse).

• Health research.

• Compliance with law and government requests.

• Organ and tissue donation.

• Medical examiner or funeral director needs.

• Workers’ compensation, law enforcement, and government functions.

• Court orders, subpoenas, or other legal actions.

Our Responsibilities

• We are required by law to protect your health information.

• We will notify you if a breach occurs that may have compromised your data.

• We must follow the practices described in this Notice.

• We will not use or share your information unless you provide written consent, except as described here.

We may update this Notice. Changes will apply to all information we maintain and will be posted on our website.

Geographic Scope of Services

MyDocUSA provides telehealth services to patients located in all 50 states within the United States. We do not offer services or ship any medications, prescriptions, or health-related products outside of the United States.

Contact Information

If you have questions or need to exercise your rights, contact:

MyDocUSA
Email: info@mydocusa.com
Phone: (949) 303-7947
Website: www.mydocusa.com