HIPAA Privacy Policy

Your Information. Your Rights. Our Responsibilities.

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.

Your Rights

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

This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

• You can ask to see or get 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.

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.

• We may say “no” to your request, but we’ll tell you why in writing within 60 days.

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 information for six years prior to the date you ask, who we shared it with, and why.

• We will include all the disclosures except for those about treatment, payment, and health care operations, and 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 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 if you feel your rights are violated

• You can complain if you feel we have violated your rights by contacting us using the information on the back page.

• You can 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:

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

• Share information in a disaster relief situation

• Include your information in a hospital directory

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.

In these cases we never share your information unless you give us written permission:

• Marketing purposes

• Sale of your information

• Most sharing of psychotherapy notes

In the case of fundraising:

• We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and DisclosuresHow do we typically use or share your health information?

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

Treat you • We can use your health information and share it with other professionals who are

treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health

condition.

Run our organization

• We can use and share your health information to run our practice, improve your care, and contact

you when necessary.

Example: We use health information about you to manage your treatment and services.

Bill for your services

• We can use and share your health information to bill and get payment from health plans or other

entities.

Example: We give information about you to your health

insurance plan so it will pay for your services.

continued on next page

Our Uses and DisclosuresHow 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 have to 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

.

Help with public health and safety issues

• We can share health information about you for certain situations such as:

• Preventing disease

• Helping with product recalls

• Reporting adverse reactions to medications

• Reporting suspected abuse, neglect, or domestic violence

• Preventing or reducing a serious threat to anyone’s health or safety

Do research • We can use or share your information for health research.

Comply with the law

• We will 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.

Respond to organ and tissue donation requests

• We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

• We can share health information with a coroner, medical examiner, or funeral director when an

individual dies.

Address workers’ compensation, law enforcement, and other government request.

• We can use or share health information about you:

• For workers’ compensation claims

• For law enforcement purposes or with a law enforcement official

• With health oversight agencies for activities authorized by law

• For special government functions such as military, national security, and presidential protective

services

Respond to lawsuits and legal actions

• We can share health information about you in response to a court or administrative order, or in

response to a subpoena.

Notice of Privacy PracticesOur 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.

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 Notice of Privacy Practices applies to the following organizations.

REGENESISDOC LLC

2892 Mountain Industrial Blvd

Tucker, GA 30084

Regenesisdoc.com

Privacy Officer: Eric Mabo, M.D.

[email protected]

678-846-6585

7/7/2024

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Privacy Policy

Last updated: April 15, 2024

This Privacy Policy describes Our policies and procedures on the collection, use of your information when you use our website and tells you about your privacy rights and how the law protects you.

We only use Your Personal data to provide the goods and services you purchase from us. By using this website, you agree to the collection and use of information in accordance with this Privacy Policy.

Interpretation

The following definitions shall have the same meaning regardless of whether they appear in singular or in plural.

Definitions

For the purposes of this Privacy Policy:

Company (referred to as either "the Company", "We", "Us" or "Our" in this Agreement) refers to REGENESISDOC LLC, located at 2892 Mountain Industrial Blvd, Tucker, GA 30084, USA.

Country refers to: United States

Device means any device that can access the Service such as a computer, a cellphone or a digital tablet.

Personal details refers to any information that relates to an identified or identifiable individual.

Website refers to Regenesisdoc.com accessible at
https://regenesisdoc.com/ and is owned and maintained by REGENESISDOC LLC

You means the individual accessing or using our website.

Collecting and Using Your Personal Data

Types of Data Collected

Personal Data

While using our website, we may ask you to provide us with certain personally identifiable information that can be used to contact or identify you. Personally identifiable information may include, but is not limited to: Email address, First name and last name, Phone number, Address, State, Province, ZIP/Postal code, City and Country.

Usage Data

Usage Data is collected automatically when using our website.

Usage Data may include information such as Your Device Internet Protocol address (e.g. IP address), browser type, browser version, the pages of our website that You visit, the time and date of Your visit, the time spent on those pages, unique device identifiers and other diagnostic data.

When You access our website by or through a mobile device, We may collect certain information automatically, including, but not limited to, the type of mobile device You use, Your mobile device unique ID, the IP address of Your mobile device, Your mobile operating system, the type of mobile Internet browser You use, unique device identifiers and other diagnostic data.

Use of Your Personal Data

The Company may use Personal Data for the following purposes:

To provide you with more information about our services and offers

We will not share your personal mobile information with any third parties for marketing or promotional purposes.

Security of Your Personal Data

The security of Your Personal Data is important to Us. We strive to use commercially acceptable means to protect Your Personal Data.

Children Privacy

Our website does not address anyone under the age of 18. We do not knowingly collect personally identifiable information from anyone under the age of 18. If You are a parent or guardian and You are aware that Your child has provided Us with Personal Data, please contact Us. If We become aware that We have collected Personal Data from anyone under the age of 18 without verification of parental consent, We take steps to remove that information from Our servers.

If We need to rely on consent as a legal basis for processing Your information and Your country requires consent from a parent, We may require Your parent consent before We collect and use that information.

Changes to this Privacy Policy

We may update Our Privacy Policy from time to time. We will notify You of any changes by posting the new Privacy Policy on this page.

We will let You know via email and/or a prominent notice on our website, prior to the change becoming effective and update the "Last updated" date at the top of this Privacy Policy.

You are advised to review this Privacy Policy periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page.

Contact Us

If you have any questions about this Privacy Policy, You can contact us by mail at 2892 Mountain Industrial Blvd, Tucker, GA 30084

OR

By visiting this page on our website: Regenesisdoc.com