Your Rights
You have the right to:
- Get an electronic or paper copy of your record – You can ask to see or get a copy of your medical record and other health information.
- Ask us to correct your record – If you think something is wrong or missing, you can ask us to correct it.
- Request confidential communication – You can ask us to contact you in a specific way (phone, text, email) or at a different address.
- Ask us to limit what we use or share – You may request restrictions on certain uses or disclosures of your information.
- Get a list of disclosures – You can ask for a list of times we’ve shared your information for six years prior to your request.
- Get a copy of this Notice – You can ask for a paper copy at any time, even if you agreed to receive it electronically.
- 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.
- File a complaint – If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services (HHS).
Your Choices
You may choose how we share your information in these cases:
- Marketing or promotional communication (with your written permission).
- Use of photos/videos for social media or advertising (only if you give explicit consent).
- Appointment reminders or follow-up messages (text, phone, or email, if you consent).
Our Uses and Disclosures
We typically use or share your health information in the following ways:
Treatment:
- We can use your information to provide and coordinate care.
- Example: We record your treatment history so your provider knows what you received last time.
Payment:
- As a self-pay practice, we use your information only to process payment directly with you.
- Example: We maintain your records to verify services provided for your billing statement.
Practice Operations:
- We use information to run our practice, improve services, and contact you when necessary.
- Example: Reviewing treatment results to improve safety and quality.
Other Situations (as required by law):
- Public health and safety issues (reporting adverse events, product recalls).
- Compliance with state or federal law.
- Law enforcement or legal requests.
- Responding to organ/tissue donation requests, medical examiner inquiries.
- Preventing or responding to serious threats to health or safety.
Our Responsibilities
- We are required by law to maintain the privacy and security of your health information.
- We will let you know if a breach occurs that may have compromised your information.
- We must follow the duties and privacy practices described in this Notice.
- We will not use or share your information other than as described here unless you tell us we can in writing.
Contact Information
If you have any questions about this Privacy Policy, please contact us at:
Email: info@revitalhealthcare.com
Address: 1876 Eider Ct, Suite A, Tallahassee, FL 32308