3rd Party Disclaimer & Acknowledgement
This website and all its content is not intended for the purpose of providing medical advice. All information, content, and material of this website is for informational purposes only and are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. In the event of a MEDICAL EMERGENCY, call your doctor or 911 immediately.
TriVita makes no warranties, expressed or implied in connection with the inflammation assessment. TriVita shall not be held responsible or liable for any costs or damages related to use of the inflammation assessment or any information provided therefrom.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires us to ask each of our patients to acknowledge receipt of our Notice of Privacy Practices. The Notice is published on this page. You acknowledge receipt of this notice by accepting terms and conditions.
TriVita, its affiliates, sites, locations and care providers will follow the terms of this joint notice. In addition, the entities, sites, locations and care providers may share medical information with each other for treatment, payment, demographics, or health care operations related to this assessment. This designation may be amended from time to time to add new covered entities that are under common control with TrVita.
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), TRIVITA must take steps to protect the privacy of your “Protected Health Information” (PHI). PHI includes information that we have created or received regarding your health or payment for your health care. It includes both your medical records and personal information such as your name, social security number, address, and phone number.
Under federal law, we are required to:
- Protect the privacy of your PHI. All of our employees and physicians are required to maintain the confidentiality of PHI and receive appropriate privacy training
- Provide you with this Notice of Privacy Practices explaining our duties and practices regarding your PHI
- Follow the practices and procedures set forth in the Notice
- Uses and Disclosures of Your Protected Health Information That Do Not Require Your Authorization
uses and discloses PHI in a number of ways connected to your treatment, payment for your care, and our health care operations. Some examples of how we may use or disclose your PHI without your authorization are listed below.
- To our physicians, nurses, affiliates and others involved in your health care or preventive health care.
- To our different departments to coordinate such activities as prescriptions, lab work, and X-rays.
- To other health care providers treating you who are not on our staff such as dentists, emergency room staff, and specialists. For example, if you are being treated for an injured knee we may share your PHI among your primary physician, the knee specialist, and your physical therapist so they can provide proper care.
- To administer your health benefits policy or contract.
- To bill you for health care we provide.
- To pay others who provided care to you.
- To other organizations, affiliates and providers for payment activities unless disclosure is prohibited by law.
Health Care Operations
- To administer and support our business activities or those of other health care organizations (as allowed by law) including providers and plans. For example, we may use your PHI to review and improve the care you receive and to provide training.
- To other individuals (such as consultants and attorneys) and organizations that help us with our business activities.
(Note: If we share your PHI with other organizations for this purpose, they must agree to protect your privacy.)
We may use or disclose your Protected Health Information without your authorization for legal and/or governmental purposes in the following circumstances:
- Required by law – When we are required to do so by state and federal law, including workers’ compensation laws.
- Public health and safety – To an authorized public health authority or individual to:
- Protect public health and safety.
- Prevent or control disease, injury, or disability.
- Report vital statistics such as births or deaths.
- Investigate or track problems with prescription drugs and medical devices. (Food and Drug Administration.)
- Abuse or neglect – To government entities authorized to receive reports regarding abuse, neglect, or domestic violence.
- Oversight agencies – To health oversight agencies for certain activities such as audits, examinations, investigations, inspections, and licensures.
- Legal proceedings – In the course of any legal proceeding in response to an order of a court or administrative agency and, in certain cases, in response to a subpoena, discovery request, or other lawful process.
- Law enforcement – To law enforcement officials in limited circumstances for law enforcement purposes. For example, disclosures may be made to identify or locate a suspect, witness, or missing person; to report a crime; or to provide information concerning victims of crimes.
- Military activity and national security – To the military and to authorized federal officials for national security and intelligence purposes or in connection with providing protective services to the President of the United States.
- We may also use or disclose your Protected Health Information without your authorization in the following miscellaneous circumstances:
- Family and friends—To a member of your family, a relative, a close friend—or any other person you identify who is directly involved in your health care—when you are either not present or unable to make a health care decision for yourself and we determine that disclosure is in your best interest. For example, we may disclose PHI to a friend who brings you into an emergency room.
- All of this information except religious affiliation will be disclosed to people who ask for you by name. Members of the clergy will be told your religious affiliation if they ask. This is to help your family, friends, and clergy visit you in the facility and generally know how you are doing.
- Treatment alternatives and plan description—To communicate with you about treatment services, options, or alternatives, as well as health-related benefits or services that may be of interest to you, or to describe our health plan and providers to you.
- De-identify information—If information is removed from your PHI so that you can’t be identified, as authorized by law.
- Coroners, funeral directors, and organ donation—To coroners, funeral directors, and organ donation organizations as authorized by law.
- Disaster relief—To an authorized public or private entity for disaster relief purposes. For example, we might disclose your PHI to help notify family members of your location or general condition.
- Threat to health or safety—To avoid a serious threat to the health or safety of yourself and others.
- Correctional facilities—If you are an inmate in a correctional facility we may disclose your PHI to the correctional facility for certain purposes, such as providing health care to you or protecting your health and safety or that of others.
As a result of accepting the terms of this acknowledgement, Trivita obtains your Authorization to disclose your PHI for the purposes of improving your overall health. This means we may use and share Protected Health Information with TriVita affiliates for marketing purposes.
Your Rights Regarding Your Protected Health Information
You have the right to:
- Request restrictions by asking that we limit the way we use or disclose your PHI for treatment, payment, or health care operations. You may also ask that we limit the information we give to someone who is involved in your care, such as a family member or friend. Please note that we are not required to agree to your request except when a restriction has been requested regarding a disclosure to a health plan in situations where the patient has paid for services in full and where the purpose of the disclosure is for payment or health care operations. If we do agree, we will honor your limits unless it is an emergency situation.
- Ask that we communicate with you by another means. For example, if you want us to communicate with you at a different address we can usually accommodate that request. We may ask that you make your request to us in writing. We will agree to reasonable requests.
- Request an electronic or paper copy of your PHI. We may ask you to make this request in writing and we may charge a reasonable fee for the cost of producing and mailing the copies, which you will receive usually within 30 days. In certain situations we may deny your request and will tell you why we are denying it. In some cases you may have the right to ask for a review of our denial.
- Ask usually to amend PHI about you that we use to make decisions about you. Your request for an amendment must be in writing and provide the reason for your request. In certain cases we may deny your request, in writing. You may respond by filing a written statement of disagreement with us and ask that the statement be included with your PHI.
- Seek an accounting of certain disclosures by asking us for a list of the times we have disclosed your PHI. Your request must be in writing and give us the specific information we need in order to respond to your request. You may request disclosures made up to six years before your request. You may receive one list per year at no charge. If you request another list during the same year, we may charge you a reasonable fee. These lists will not include disclosures to other organizations that might pay for your care provided by Rosette Wellness.
- Request a paper copy of this Notice.
- Receive written notification of any breach of your unsecured PHI.
- File a complaint if you believe your privacy rights have been violated. You can file a written complaint with us at the address below, or with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visitinghhs.gov/ocr/privacy/hipaa/complaints.
By utilizing our services or replying to our emails, you acknowledge that you are aware that email is not a secure method of communication, and that you agree to the risks.
Changes to Privacy Practices
TriVita may change the terms of this Notice at any time. The revised Notice would apply to all PHI that we maintain. We will make any such changes to our website.
Questions and Complaints
If you have any questions about this Notice or would like an additional copy, please contact the Privacy Officer at email@example.com.
If you think that we may have violated your privacy rights or you disagree with a decision we made about access to your PHI, you may send a written complaint to the Privacy Officer
This practice website is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of this practice website constitutes your agreement to all such terms, conditions, and notices.
Collection of your Personal Information
We are committed to protecting your privacy and developing technology that gives you safe online experience. This Statement of Privacy applies to our practice’s website and governs data collection and usage. By using this website, you consent to the data practices described in this statement.
This practice reserves the right to change the terms, conditions, and notices under which this practice website is offered, including but not limited to the charges associated with the use of this practice website.
Links to Third Party Sites
This practice website may contain links to other websites (“Linked Sites”). The Linked Sites are not under the control of this practice and this practice is not responsible for the contents of any Linked Site, including without limitation any link contained in a Linked Site, or any changes or updates to a Linked Site. This practice is not responsible for webcasting or any other form of transmission received from any Linked Site. This practice is providing these links to you only as a convenience, and the inclusion of any link does not imply endorsement by this practice of the site or any association with its operators.
No Unlawful or Prohibited Use
As a condition of your use of this practice website, you warrant to this practice that you will not use this practice website for any purpose that is unlawful or prohibited by these terms, conditions, and notices. You may not use this practice website in any manner which could damage, disable, overburden, or impair this practice website or interfere with any other party’s use and enjoyment of this practice website. You may not obtain or attempt to obtain any materials or information through any means not intentionally made available or provided for through this practice website.
Use of Communication Services
This practice website may contain bulletin board services, chat areas, news groups, forums, texts/SMS, instant messaging, ChatBot, communities, personal web pages, calendars, and/or other message or communication facilities designed to enable you to communicate with the public at large or with a group (collectively, “Communication Services”), you agree to use the Communication Services only to post, send and receive messages and material that are proper and related to the particular Communication Service. By way of example, and not as a limitation, you agree that when using a Communication Service, you will not:
– Defame, abuse, harass, stalk, threaten or otherwise violate the legal rights (such as rights of privacy and publicity) of others.
– Publish, post, upload, distribute or disseminate any inappropriate, profane, defamatory, infringing, obscene, indecent or unlawful topic, name, material or information.
– Upload files that contain software or other material protected by intellectual property laws (or by rights of privacy of publicity) unless you own or control the rights thereto or have received all necessary consents.
– Upload files that contain viruses, corrupted files, or any other similar software or programs that may damage the operation of another’s computer.
– Advertise or offer to sell or buy any goods or services for any business purpose, unless such Communication Service specifically allows such messages.
– Conduct or forward surveys, contests, pyramid schemes or chain letters.
– Download any file posted by another user of a Communication Service that you know, or reasonably should know, cannot be legally distributed in such manner.
– Falsify or delete any author attributions, legal or other proper notices or proprietary designations or labels of the origin or source of software or other material contained in a file that is uploaded.
– Restrict or inhibit any other user from using and enjoying the Communication Services.
– Violate any code of conduct or other guidelines which may be applicable for any particular Communication Service.
– Harvest or otherwise collect information about others, including e-mail addresses, without their consent.
– Violate any applicable laws or regulations.
This practice has no obligation to monitor the Communication Services. However, this practice reserves the right to review materials posted to a Communication Service and to remove any materials in its sole discretion. This practice reserves the right to terminate your access to any or all of the Communication Services at any time without notice for any reason whatsoever. Materials uploaded to a Communication Service may be subject to posted limitations on usage, reproduction and/or dissemination. You are responsible for adhering to such limitations if you download the materials.
All contents or any work-product of this website are owned by respective owners and any 3rd party is not authorized to copy the content or any work-product.
The names of actual companies and products mentioned herein may be the trademarks of their respective owners. The example companies, organizations, products, people and events depicted herein are fictitious. No association with any real company, organization, product, person, or event is intended or should be inferred. Any rights not expressly granted herein are reserved.
Should you have any questions or concerns regarding our terms & conditions, please contact us:
by phone (480) 337-4148 or by registered mail at 16100 North, Greenway Hayden Loop, Suite G-100, Scottsdale, AZ 85260.
*For any medical procedure, patients respond to treatment differently, hence each patient’s results may vary.
**In case of a life threatening emergency, immediately call 911.
***Information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content contained on or available through this site is for general information purposes only.
****By using this website and sending us your information, you are giving us permission to contact you by electronic and non-electronic means. We also track the conversions and collect user data to improve marketing.
*****If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us.