Sensitive Health Information. SENIORS Use of our website is unauthorized in any jurisdiction that does not give effect to the terms and conditions set forth herein. Your use of the Portal after we make changes is deemed to be acceptance of those changes. I. Substance Use Disorder Records and Information. If you request that Privia email your PHI to a private email address, we will send it in an encrypted manner unless you request otherwise. This data is used to deliver customized content within Patient Portal to patients whose behavior indicates that they are interested in a particular subject area. As we provide your health care, we are required to maintain documentation of your medical history, current conditions, treatment plan, and all treatments given, including the results of all tests, procedures, and therapies. Outage Map. This privacy policy (the “Policy”) describes the practices of the Patient Portal (the “Portal”) with regard to information about you that we obtain through your use of the Portal, in our capacity as a Business Associate to your health care provider, which is a Covered Entity under the Health Insurance Portability and Accountability Act (“HIPAA”). Choice 2: Say No Thanks. You should understand that providers may still request and receive your medical information from other providers using other methods permitted by law, such as fax, mail or other electronic communication. Therefore, use of Patient Portal may not be appropriate if there is sensitive information that you want to discuss directly with your healthcare provider. 8. It is your responsibility to login to your Patient Portal account and read the messages promptly. Such incidental disclosures are not a violation of HIPAA. Contact your provider's office and request a password reset email. “Protected Health Information” (“PHI”) means information that identifies you individually; including demographic information, and information that relates to your past, present, or future physical or mental health condition and/or related health care services. Violation of these laws and regulations is a crime. Join the Conversation. 5. Any revision or amendment to this notice will be effective for all of your records that we created or maintained in the past and for any of your records that we may create or maintain in the future. Privia may disclose your PHI if requested by a law enforcement official: (a) regarding a crime victim in certain situations, if we are unable to obtain the person’s agreement; (b) about a death we believe resulted from criminal conduct; (c) regarding criminal conduct on our premises; (d) in response to a warrant, summons, court order, subpoena or similar legal process; (e) to identify/locate a suspect, material witness, fugitive or missing person; or (f) in an emergency, to report a crime (including the location or victim(s) of the crime, or the description, identity or location of the perpetrator). Privia providers follow the terms of this Notice when providing services through Privia and although each provider’s care center is legally separate and responsible for its own acts, Privia coordinates privacy practices among all Privia care centers. Privia may also use your PHI to contact you about test results. We do not control and are not responsible for Third Party Platforms or any information you may share with, or access from, any Third Party Platforms, whether using the Portal or otherwise. 11. You need to enable JavaScript to run this app. SERVING STUDENTS AND COLLEGES Scholarship Opportunities for Students Information for Colleges This license expressly excludes, without limitation, any reproduction, duplication, sale, resale, or other commercial use of the website, Patient Portal, or any of the associated services; making any derivative of the website, Patient Portal, or any of the associated services; and the collection and use of user email addresses or other user information (including, without limitation, health information or any data extraction or data mining whatsoever). If you believe your rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services (“HHS”), Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. The independent care center entities owned by Privia providers are business associates of Privia under HIPAA. Pursuant to HIPAA, Privia requires these companies sign business associate or confidentiality agreements before we disclose your PHI to them. Privia will post the current Notice at registration sites throughout Privia and on our website at http://www.priviahealth.com/HIPAA. Privia may use a sign-in sheet at the registration desk and call you by name in the waiting room when your provider is ready to see you. section 164.506; You have given us your consent to share or use information about you; We believe that we need to share information about you to provide a service that you have requested from us or from your provider; We are complying with laws or responding to lawful requests and legal process or responding in an emergency situation; We believe it is necessary to protect our rights and the security of our Portal, or the rights of our customers or partners, or to avoid liability or violations of the law; or. trouble logging in, password assistance, access to family members information etc.) We secure your personal information from unauthorized access, use or disclosure. Privia reserves the right to utilize third parties to update this information for our records as needed. • Information shared via HIE is encrypted, meaning it can be accessed only by authorized users. Your Patient Portal service will be discontinued if you no longer have a primary care provider who participates in Patient Portal at your practice. Our COVID-19 Response. You understand that Patient Portal provides you with online access to some clinical information about you. We encourage you to review the Privacy Statement for further information regarding how your personal information may be used. Right to a Paper Copy of This Notice. If you do not wish for this information to be disclosed, you must notify us in writing and we will determine if it is feasible for us to accept your request. Privia reserves the right to make the revised or changed Notice effective for medical information we already have about you, as well as for any information we receive in the future. Privia may also disclose your information to a collection agency to obtain overdue payment or to a regulatory agency or insurance company to determine whether the services we provided were medically necessary or appropriately billed. If you are an inmate or in the custody of a law enforcement official, Privia may disclose your PHI to correctional institutions or law enforcement officials as necessary: (a) for the institution to provide health care services to you; (b) for the safety and security of the law enforcement officer or the correctional institution; and/or (c) to protect your health and safety or the health and safety of other individuals. What if I'm unable to access the Patient Portal? After you revoke your authorization, we will no longer use or disclose your PHI for the reasons described in the authorization. The Practice Entities disclaim any responsibility for, or liability related to, such third-party material. You need to enable JavaScript to run this app. Amendment. You can opt out of HIE today and change your mind later by submitting a Privia HIE Reinstatement of Participation Form or, in certain cases, by contacting the HIE directly. Privia may use and disclose your PHI when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public. Organ and Tissue Donation. Privia will obtain your written authorization for uses and disclosures that are not identified by this notice or otherwise required or permitted by applicable law. Privia will notify you of the costs involved with any additional request and you may withdraw your request before you incur any costs. You do not need to give a reason for your request. Where can I fill out medical forms before my appointment? When you register for the Portal, we may ask you to provide the following information on behalf of your health care provider: First name, Last name, Date of Birth, gender, email address, and phone number(s). PAY MY BILL. Consent to Disclose Sensitive Health and Substance Use Disorder Information. Failure to comply with any of the terms and conditions contained herein may result in revocation of your license and cancellation of your Patient Portal account, including the right to access information through Patient Portal. All of our electronic medical records are subject to state and federal regulations governing the security and confidentiality of medical records. • The HIE records every time someone accesses your information. HERE for more information. If you decide to opt-out of HIE, healthcare providers will not be able to access your health information through HIE. These entities are under common ownership and/or control and have agreed to treat themselves as a single “covered entity” under HIPAA. The Portal is an Internet service, powered by athenahealth, Inc. (“athenahealth,” “us,” or “we”), which allows patients and other authorized users to coordinate and manage their medical care with their health care providers, including, for example through electronic communications, access to health records, appointment scheduling, prescription requests, and bill payment processes. Click on the back arrow to return to the Patient Portal. For immediate care, please call your doctor's office.​ If not available, please visit your nearest urgent care, or in case of a life threatening emergency, call 911. Privia may use and disclose your PHI in order to bill for services provided and collect payment from health plans or other entities. A bill is "chaptered" by the Secretary of State after it has passed through both houses of the Legislature and has been signed by the Governor or becomes law without the Governor's signature. 3. For example:  We may use or disclose your PHI: (1) to conduct quality or patient safety activities, population-based activities relating to improving health or reducing health care costs, case management and care coordination, and contacting your health care providers and you with information about treatment alternatives; (2) when conducting training programs or performing accreditation, licensing, or credentialing activities; (3) when conducting or arranging for medical review, legal services, and auditing functions; and (4) for our proper management and administration, including customer service, resolving complaints, strategic planning, etc. Select the payment you would like to view. LOGIN WITH ATHENAHEALTH Terms of use: https://myidentity.platform.athenahealth.com/static/help/terms.html LOGIN WITH ATHENAHEALTH Privacy policy: https://myidentity.platform.athenahealth.com/static/help/privacy.html. We recognize your right to choose not to participate in HIE, also referred to as opting-out. If you have any questions about HIE or for more information, please email us at         Privacy@PriviaHealth.com or call the Privia Privacy Officer at (571) 317-0679. One-Time Payment. Your Contact Information: Home and Email Addresses/Phone Numbers. or general questions about the Portal should be directed to your medical provider or their office staff by signing into the Patient Portal and sending a secure message or calling your medical provider. This information may include: your. For the purposes of complying with federal privacy and security requirements, the above-described entities have designated themselves as an ACE. If you agree to have your medical information shared through HIE and you have a current Authorization and Consent to Treat form on file, you do not need to do anything. In addition, Privia may provide proof of immunizations to a school that requires a patient’s immunization record prior to enrollment or admittance of a student if you have informally agreed to the disclosure for yourself or on behalf of your legal dependent. We reserve the right to report violations of law to appropriate law enforcement agencies and to pursue all other rights and remedies available to it under civil or criminal law. Suspected violations may be reported to appropriate authorities in accordance with Federal regulations. • Helps to Protect Privacy and Information Security - By sharing information electronically through a secure system, the risk that your paper or faxed records will be misused or misplaced is reduced. Dial 911 in the case of a medical emergency, If you are having issues, click the FAQ link below, visit our knowledge base (. The patient portal now exists in Spanish. CLICK HERE FOR THE 2021 STUDENT VIEW SCHOLARSHIP, COLLEGE 8. Treatment Options and Health-Related Benefits and Services. offering information to colleges and opportunities • Every HIE and its participants must protect your private medical information under HIPAA law, as well as applicable state laws and regulations. However, Privia generally does not control the business, privacy, or security operations of our business associates. Change your password immediately by completing one of the following options: Please contact your provider's office to register or to verify your information. Privia may disclose your PHI to organizations that handle organ, eye or tissue procurement or transplantation, including organ donation or blood banks, as necessary to facilitate donation and transplantation if you are a donor. Your information may also be disclosed if required for our legal defense in the event of a lawsuit. We would like to show you a description here but the site won’t allow us. Your support ID is: 14843246450639230237> Accounting of Disclosures. The Practice Entities are intended third-party beneficiaries of this agreement and entitled to enforce all terms and conditions of this agreement. We would like to show you a description here but the site won’t allow us. By using Patient Portal, you acknowledge and agree that this messaging service is intended to facilitate dialogue regarding personal health matters. This Patient Portal and all other sites hosted by any of the Practice Entities and the content contained herein and therein are provided by the Practice Entities on an "As Is" basis. Research. Please check periodically for updates. During the registration process, you consent to the release of federally assisted substance use disorder information, information regarding treatment of communicable diseases and mental health information for the purposes specified in this notice. Please notify us immediately if you believe the security of your Portal account may have been compromised. We do not control and are not responsible for the privacy practices of your health care provider. Privia will use and disclose your PHI when we are required to do so by federal, state or local law. Patient Portal and Other Patient Electronic Correspondence. E. Use and Disclosure of your Individually Identifiable Health Information (PHI). You can consent today to the sharing of your information via HIE and change your mind later by following the instructions on the opt-out form described under Choice 2. We reserve the right to revise or amend this Notice at any time. The personally identifiable information you provide is maintained by us on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. to ensure that your medical providers have the necessary information to diagnose and provide treatment to you. G. Your Privacy Rights Regarding Your PHI. Posting of information to your Patient Portal account is at the sole discretion of your individual physician(s). You may not request or access a Patient Portal account for anyone else, except that a parent or guardian may request and access an account on behalf of a minor child. You may discontinue your use of Patient Portal at any time by sending a secure message to your primary care provider's office requesting this change. Privia may disclose your PHI to individuals involved in your care or treatment or responsible for payment of your care or treatment. My Bills. You have the ability to accept or decline cookies. Health Care Operations. You cannot recover any other damages, including consequential, lost profits, special, indirect, incidental, or punitive damages. Inmates. ); our athenahealth product offerings (e.g., Epocrates); and any of our other websites, products, services, solutions or applications, collectively, our “Services”. For more information or questions about Privia Medical Group’s privacy policies, please contact: D. Persons/Entities Covered by This Notice. Disclosures to a different address privia Patient Portal account Platforms is strictly your. Under which Patient Portal at your Practice the website the request messages you send or post any illicit or material. Medical examiner or coroner to identify a deceased individual or to identify the cause of death third Party share! You intentionally or unintentionally communicate to others my contact preferences '' page located! A private email address ( such as a Yahoo, Gmail, etc ). Choices: Choice 1: Say Yes themselves as a single “ Covered entity ” under HIPAA,! Hipaa law, as well as applicable state laws and regulations is a crime you test! Convenience to our patients related to how we share your PHI to contact you test! And its participants must protect your bill & ted's excellent adventure may also obtain a copy any. 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