privacy policy

Vital total health medical group inc privacy policy

Privacy Policy
Effective Date: January 1, 2025

Your Privacy Matters
At Vital Total Health Medical Group Inc, we are committed to protecting the privacy and security of your personal health information. This Privacy Policy outlines how we collect, use, disclose, and safeguard your protected health information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws.

1. Understanding Your Protected Health Information (PHI)

PHI refers to any information about your health, healthcare services, or payment for healthcare that can be linked to you. This includes:

Medical records
Test results
Treatment plans
Insurance information
Billing and payment details

2. How We Use and Disclose Your PHI

We use and disclose your PHI for the following purposes:

Treatment

To provide, coordinate, or manage your healthcare and related services.
To consult with other healthcare providers involved in your care.

Payment

To bill and collect payment from you, your insurance company, or a third party.
To determine eligibility for coverage and obtain pre-authorization for services.

Healthcare Operations

To improve the quality of care we provide.
For training, accreditation, and administrative purposes.

Other Uses and Disclosures

As required by law (e.g., reporting public health risks, responding to court orders).
For research purposes, with your consent or as permitted by law.
To notify family members or others involved in your care, unless you object.
We do not share your personal or mobile with third parties for marketing purposes.
We do not sell or transfer your personal data to third parties without your explicit consent, except as required by law.

3. Your Rights Regarding Your PHI

Under HIPAA, you have the following rights:

Right to Access

You may request to view or obtain a copy of your medical records. We will provide them in the format you request, if feasible.

Right to Amend

If you believe your PHI is incorrect or incomplete, you may request an amendment.

Right to Restrict Use and Disclosure

You may request restrictions on how we use or disclose your PHI, though we are not always required to agree.

Right to Confidential Communications

You may request that we communicate with you about medical matters in a specific way or at a specific location. You have the right to opt in and opt out of receiving SMS communications from us at any time. To opt out, please reply ‘STOP’ to any SMS message you receive from us or contact us directly at 925-388-9800.

Right to an Accounting of Disclosures

You may request a list of disclosures of your PHI made by us, except for those related to treatment, payment, healthcare operations, or authorized by you.

Right to a Paper Copy of This Notice

You may request a paper copy of this Privacy Policy at any time.

4. Safeguarding Your PHI

We implement administrative, technical, and physical safeguards to protect your PHI from unauthorized access, use, or disclosure. These measures include:

Secure electronic health records (EHR) systems.
Restricted access to PHI based on job responsibilities.
Regular staff training on HIPAA compliance.

5. Breach Notification

In the event of a breach of your unsecured PHI, we will notify you as required by law and take steps to mitigate any harm.

6. Changes to This Privacy Policy

We reserve the right to update this Privacy Policy. Any changes will be posted in our clinic and on our website (if applicable), and the effective date will be updated.

7. Contact Us

If you have questions about this Privacy Policy or wish to exercise your rights under HIPAA, please contact:

Vital Total Health Medical Group Inc
180 E Leland Rd, Suite A

Pittsburg, CA 94565
(925) 388-9800
Email: info@vitaltotalhealth.com
www.VitalTotalHealth.com

Privacy Officer: Paul Berezovsky
925-399-2680
paul.berezovsky@vitaltotalhealth.com

This Privacy Policy is intended to comply with HIPAA and other applicable laws. If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights.

Receive a copy

Text & Email patient consent

Vital total health medical group inc patient consent for texting & email terms & conditions

Purpose of Consent - Terms and Conditions

The purpose of this form is to obtain your consent for the use of electronic communication (email and text messaging) regarding your medical care and treatment with Vital Total Health Medical Group Inc which also does business as Vital Pain Management, Vital Ketamine Clinic, Vital Weight Loss MD, Vital Men’s Health, Vital Women’s Health, and other medical services. Vital Total Health Medical Group Inc respects your privacy. By opting into our SMS messaging service, you agree to the following terms regarding how we handle your data, such as name, address, email, and cell phone. Your data will be collected in our intake forms, by telephone, and the website contact forms.

Consent for Communication:

I, the undersigned patient, hereby consent to receive communications from Vital Total Health Medical Group, Inc via the following methods:

Email
Text Message

I understand that while Vital Total Health Medical Group Inc will take reasonable steps to protect the confidentiality of the communications and protect your data with secure storage to prevent unauthorized access, I acknowledge that electronic communication is not completely secure and may be at risk for unauthorized access.

These terms and conditions I can find by visiting https://form.jotform.com/242244827825057

Waiver of HIPAA Protections:

I understand that by agreeing to communicate via email and text message, I am waiving certain protections provided under the Health Insurance Portability and Accountability Act (HIPAA). I understand that this means that my health information may not be as protected during these forms of communication. For more information review our Privacy Policy at https://vitaltotalhealth.com/privacy

Patient Responsibilities:

I agree to inform Vital Total Health Medical Group Inc of any changes to my email address or phone number. I understand that it is my responsibility to keep my personal communication devices secure and to be vigilant about the privacy of my information.

Acknowledgment and Signature:

Patient Name: _________________________________ Date of Birth: _______________________
Email Address: _________________________________Phone Number: _____________________

Do you Agree to receive text messages and emails from Vital Total Health Medical Group Inc sent from 925-388-9800? Message frequency varies and may include up to 5 messages per week. Messages may include medical care information and appointment reminders. Message and data rates may apply. Reply STOP at any time to end or unsubscribe, or email info@vitaltotalhealth.com . For assistance, reply HELP or contact support at 925-388-9800. You will receive a final SMS text message confirming the removal of your permission to communicate by email or text.

_____ Yes, I agree to receive text messages and email from Vital Total Health Medical Group Inc sent from 925-388-9800, or info@vitaltotalhealth.com

_____ No, I do not want to receive text messages or email from Vital Total Health Medical Group Inc.

Patient Signature: _________________________________ Date Signed: _________________

See our Privacy Policy at https://vitaltotalhealth.com/privacy for details on how we handle your information

Sign consent & receive a copy

MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA