OUR LEGAL RESPONSIBILITIES
We are required by law to give you this notice. It provides you on how we may use and disclose protected health information about you and describes your rights and our obligations regarding the use and disclosure of that information. We shall maintain the privacy of protected health information and provide you with notice of our legal duties and privacy practices with respect to your protected health information.
We have the right to change these policies at any time. If we change our privacy policies, we will notify you of these changes immediately. This current policy is in effect unless stated otherwise. If the policy is changed, it will apply to all your current and past health information.
You may request a copy of our notice any time. You may contact DOHO Wellness Clinic LLC at info@dohowellnessclinic.com or at 888-811-8801 at any time to request a copy of this privacy policy.
HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION
The following examples describe ways that we may use your protected health information for your treatment, payments, healthcare operations etc. but please be advised that not every use or disclosure in a particular category will be listed.
Treatment: We may use and disclose your protected health information to provide you treatment. This includes disclosing your protected health information to other medical providers, trainees, therapists, medical staff, and office staff that are involved in your health care.
For example, your medical provider might need to consult with another provider to coordinate your care. Also, the office staff may need to use and disclose your protected health information to other individuals outside of our office such as the pharmacy when a prescription is called in.
Payment: Your protected health information may also be used to obtain payment from an insurance company or another third part. This may include providing an insurance company your protected health information for a pre-authorization for a medication we prescribed.
Health Care Operations: We may use or disclose your protected health information in order to operate this medical practice. These activities include training students, reviewing cases with employees, utilizing your information to improve the quality of care, and contacting you be telephone, email, or text to remind you of your appointments.
If we have to share your protected health information to third party “business associates” such as a billing service, if so, we will have a written contract that contains terms that will protect the privacy of your protected health information.
We may also use and disclose your protected health information for marketing activities. For example, we might send you a thank you card in the mail with a coupon for specialized services or products. We may also send you information about products or services that might be of interest to you. You can contact us at any point to stop receiving this information.
We will not use or disclose your protected health information for any purpose other than those identified in this policy without your specific, written Authorization. You may give us written authorization to use your protected health information or to disclose it to anyone for any purpose. You can revoke this authorization at any time but will not affect the protected health information that was shared while the authorization was in effect.
Appointment reminders: We may contact you as a reminder that you have an appointment for your initial visit, follow up visit, or lab work via text, phone or email.
Others Involved in Your Health Care: We may disclose protected health information about you to your family members or friends if we obtain your verbal agreement to do so, or if we give you an opportunity to object to such a disclosure and you do not raise an objection. For example, we may assume that if your spouse or friend is present during your evaluation, that we can disclose protected professional information to this person. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment if there is an urgent or emergent need.
Research; We will not use or disclose your health information for research purposes unless you give us authorization to do so.
Organ Donation: If you are an organ donor, we may release protected health information to organizations that handle organ procurement or organ, eye or tissue transplantation if it is necessary to facilitate this process.
Public Health Risks: We may disclose your protected health information, if necessary, in order to prevent or control disease, report adverse events from medications or products, prevent injury, disability or death. This information may be disclosed to healthcare systems, government agencies, or public health authorities. We may have to disclose your protected health information to the Food and Drug Administration to report adverse events, defects, problems, enable recalls etc. if required by FDA regulation.
Health Oversight Activities: We may disclose protected health information to health oversight agencies for audits, investigations, inspections or licensing purposes. These disclosures might be necessary for state and federal agencies to monitor healthcare systems and compliance with civil law.
Required by Law: We will disclose protected health information about you when required to do so by federal, state and/or local law.
Workman’s compensation: We may disclose your protected health information to workman’s comp or similar programs.
Lawsuits: We may disclose your protected health information in response to a court action, administrative action or a subpoena.
Law Enforcement: We may release protected health information to a law enforcement official in response to a court order, subpoena, warrant, subject to all applicable legal requirements.
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION
Access to medical records: You have the right to access and receive copies of your protected health information that we use to make decisions about your care. You must submit a written request to obtain your protected health information to the individual listed at the end of this privacy policy. We reserve the right to charge you a fee for the time it takes to obtain and copy the protected health information and provide it to you.
Amendment: If you believe the protected health information, we have about you is incorrect or incomplete, you may ask us to amend the information You will need to submit a written request on why you feel the health information should be amended. We may deny your request to amend if you did not send a written request or give a reason on why it should be amended. If we deny your request, we will provide you a written explanation. We may deny your request if we believe the protected health information is accurate and complete.
Accounting of Disclosures: You have the right to receive a list of instances in which we disclosed your personal health information unless the disclosure was used for treatment, payment, healthcare operations, was pursuant to a valid authorization and as otherwise provided in applicable federal and state laws and regulations. You must submit a written request to obtain this “accounting of disclosures” to the individual listed at the bottom of this policy. After your request has been approved, we will provide you the dates of the disclosure, the name of the individual or entity we disclosed the information to, a description of the information that was disclosed, the reason why it was disclosed, and any additional pertinent information. This information may not be longer than (STATUTE OF LIMITATIONS) years ago prior to the date the accounting is requested. We reserve the right to charge a reasonable fee for this process.
Restriction Requests: You have the right to request a restriction or limitation on the protected health information we use or disclose about you for treatment, payment, or healthcare operations. We shall accommodate your request except where the disclosure is required by law. We require this be a written request submitted to the individual at the end of this policy.
Confidential Communication: You have the right to request that we communicate with you about healthcare matters in a certain way and at a certain location. We must accommodate your request if it is reasonable and allows us to continue to collect payments and bill you.
Paper copy of this notice: You may request a hard copy of this practice policy if you reviewed and signed it via electronic means. To obtain this copy, contact the individual at the end of this privacy policy.
Complaints: If you believe your privacy rights have been violated, you may file a complaint with our office. You also file a complaint with the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.
Name of Contact Person:
Lucienne Doho
888-811-8801
Doho Wellness Clinic LLC is committed to protecting your privacy and maintaining the confidentiality of your health information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Texas Medical Records Privacy Act, and all applicable Texas Board of Nursing (BON) and professional nursing regulations.
By providing your health information to Doho Wellness Clinic LLC, you consent to its use and protection as outlined in this Notice.
You may acknowledge receipt of this Notice by clicking “I Acknowledge Receipt of the Notice of Privacy Practices” on our website or through our patient intake forms.
This Notice applies to Doho Wellness Clinic LLC, a virtual and mobile wellness provider operating throughout Texas, including the Rio Grande Valley (RGV).
Our team consists of licensed Family Nurse Practitioners (FNPs), Registered Nurses (RNs), and collaborating Physicians, who follow Texas BON rules, HIPAA regulations, and established standards of professional practice.
For questions regarding this Notice or our privacy practices, please contact us at info@dohowellnessclinic.com.
You have specific rights regarding your protected health information (PHI):
You may request an electronic or paper copy of your medical record and other health information we maintain.
Requests can be submitted through our Medical Records Request Form or by contacting info@dohowellnessclinic.com.
As a virtual and mobile clinic, we do not maintain in-person clinical offices. Records are provided electronically or by mail.
We will provide your records within 30 days of your request and may charge a reasonable, cost-based fee for copies or postage.
If you believe your medical information is inaccurate or incomplete, you may request a correction by contacting us at info@dohowellnessclinic.com.
We may deny your request if we believe the information is already accurate or complete but will provide a written explanation within 60 days.
You may request that we contact you in a specific way (e.g., by email instead of phone) or send information to a different address.
We will accommodate all reasonable and lawful requests.
Contact us at info@dohowellnessclinic.com or 956-338-2875 to make such a request.
You may request that we not use or share certain health information for treatment, payment, or healthcare operations.
If you pay for a service out-of-pocket in full, you may request that this information not be shared with your insurer. We will honor these requests unless disclosure is required by law.
We will follow your instructions for:
If you are unable to communicate (e.g., unconscious), we may share information if it is in your best interest or required for safety.
We will never share your information for:
We may use or share your health information in the following ways:
To provide, coordinate, or manage your care. This may include sharing information with other healthcare professionals involved in your treatment.
To improve the quality, safety, and effectiveness of our clinical and administrative operations.
To process payment for services rendered. (Note: Doho Wellness Clinic is a self-pay provider and does not bill insurance.)
To comply with legal obligations such as reporting communicable diseases, medication reactions, or suspected abuse or neglect.
To comply with federal or Texas laws, including BON reporting requirements for professional conduct or public safety.
To respond to a valid subpoena, court order, or authorized legal request as required by law.
Doho Wellness Clinic LLC is legally required to:
Our nurses and nurse practitioners adhere to all Texas Board of Nursing (BON) regulations governing nursing scope of practice, documentation, telehealth standards, and patient safety.
All nursing professionals providing care through Doho Wellness Clinic are required to:
We reserve the right to revise or update this Notice at any time.
Updates will be posted on our website with the new effective date clearly indicated.
Continued use of our services after updates are posted constitutes your acceptance of the revised Notice.
For questions, concerns, or requests regarding your privacy or medical information:
Email: info@dohowellnessclinic.com
Phone: 956-338-2875
Doho Wellness Clinic LLC – Virtual & Mobile Services Across Texas
All services provided by Doho Wellness Clinic LLC comply with the Texas Board of Nursing (BON) standards for professional nursing practice, confidentiality, and patient advocacy.
Our nurses and nurse practitioners: