Our Legal Duty

We are required by law to maintain the privacy and security of your protected health information (PHI) and to provide you with this Notice of our legal duties and privacy practices. We are required to abide by the terms of this Notice currently in effect. We must notify you in the event of a breach of your unsecured PHI.

I. How We May Use and Disclose Your Protected Health Information (PHI)

We may use and disclose your PHI for the purpose of providing your treatment, obtaining payment for your care, and conducting our healthcare operations. We may use your PHI without your authorization for the following purposes:

A. Treatment

We may use or disclose your PHI to provide, manage, and coordinate your medical care and services.

• Example: We may disclose your PHI to a pharmacy to fill your prescription (e.g., Testosterone, Sildenafil), or to a laboratory that processes your blood work for hormone level analysis.

B. Payment

We may use and disclose your PHI to bill and collect payment for the services we provide to you.

• Example: We may send your information to your health insurance plan to obtain pre-authorization, determine eligibility for benefits, or submit a claim for the services rendered by Strive Health.

C. Healthcare Operations

We may use and disclose your PHI for activities necessary to operate our practice and ensure quality care.

• Example: We may use your PHI to review our treatment and services and evaluate the performance of our staff, for business planning, and for complying with legal requirements, such as maintaining our license to practice telemedicine.

D. Other Uses and Disclosures without Authorization

We may use or disclose your PHI without your authorization for the following purposes as permitted by law:

1. Public Health Activities: To prevent or control disease, injury, or disability, or to report births and deaths.

2. Health Oversight Activities: For government oversight activities authorized by law, such as audits, investigations, and inspections.

3. Judicial and Administrative Proceedings: In response to a court order, subpoena, or discovery request.

4. Law Enforcement: To identify or locate a suspect, fugitive, or missing person, or to report crimes that occur on our premises.

5. Disclosures to Family/Friends: We may disclose PHI to a family member, relative, or close personal friend involved in your care or payment for your care, unless you object.

6. Workers’ Compensation: To comply with laws relating to Workers’ Compensation or similar programs.

II. Uses and Disclosures Requiring Your Written Authorization

In any situation not covered above, we will ask for your written authorization before using or disclosing your PHI.

Uses and disclosures requiring specific authorization include:

1. Marketing: We must obtain your authorization for any use or disclosure of your PHI for marketing purposes, except for face-to-face communications or promotional gifts of nominal value.

2. Sale of PHI: We must obtain your authorization prior to any disclosure of your PHI that constitutes a sale of PHI.

3. Most Psychotherapy Notes: If our practice maintains psychotherapy notes (related to the Therapy service), disclosure generally requires your authorization.

You have the right to revoke your authorization at any time, in writing, except to the extent that we have already acted upon it.

III. Your Rights Regarding Your Protected Health Information (PHI)

You have the following rights regarding the PHI we maintain about you:

1. Right to Inspect and Copy: You have the right to inspect and receive a copy of your PHI that is contained in a designated record set, typically for a reasonable, cost-based fee.

2. Right to Amend: If you believe your PHI is incorrect or incomplete, you may ask us to amend the information. We may deny your request, but we will notify you in writing of the reason for the denial and how you may respond.

3. Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations.

4. Right to Request Restrictions: You have the right to request a restriction on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, except for one instance: if you pay for a service or health care item out-of-pocket in full, you have the right to request that we restrict disclosure of your PHI to your health plan for the purpose of payment or healthcare operations.

5. Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location (e.g., only via email, or only calling a certain number).

6. Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice, even if you have agreed to receive this Notice electronically.

IV. Changes to This Notice

We reserve the right to change this Notice at any time. We reserve the right to make the revised Notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on our website with the effective date.

V. Complaints and Contact Information

If you have questions about this Notice, want to exercise your rights, or believe your privacy rights have been violated, you may contact our Privacy Officer. We will not retaliate against you for filing a complaint.

Strive Health Hawaii LLC Privacy Officer:

Detail

Contact Information

Name/Title:

Avril Parker 

Mailing Address:

1429 Makiki Street #2202
Honolulu, HI 96814

Phone Number:

808-470-6220

Email Address:

info@strivehealthhawaii.com