Notice of Privacy Practices
Dr. Andrew E. Nullman MD, LLC
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Last updated: June 1, 2020
Dr. Andrew E. Nullman M.D.P.A, LLC d/b/a Andrew E. Nullman M.D. ("Dr. Andrew Nullman", "Dr. Nullman", "us", "we", or "our") operates http://www.drnullman.com (the "Site"). This page informs you of our policies regarding the collection, use and disclosure of Personal Information we receive from users of the Site. We are the controller for personal information submitted to us under this Policy. Dr. Andrew E. Nullman M.D takes its customers’ and consumers’ data privacy rights very seriously and has enacted this Policy to ensure those rights are maintained and protected. This Policy is reviewed on a quarterly basis for accuracy and compliance.
We use your Personal Information only for providing and improving the Site. By using the Site, you agree to the collection and use of information in accordance with this policy.
Information Collection And Use
While using our Site, we may ask you to provide us with certain personally identifiable information that can be used to contact or identify you. Personally identifiable information may include, but is not limited to your name "Personal Information".
Like many site operators, we collect information that your browser sends whenever you visit our Site ("Log Data"). This Log Data may include information such as your computer's Internet Protocol ("IP") address, browser type, browser version, the pages of our Site that you visit, the time and date of your visit, the time spent on those pages and other statistics. In addition, we may use third party services such as Google Analytics that collect, monitor and analyze this site.
We may use your Personal Information to contact you with newsletters, marketing or promotional materials and other information that you provide to us.
Cookies are files with small amount of data, which may include an anonymous unique identifier. Cookies are sent to your browser from a web site and stored on your computer's hard drive. Like many sites, we use "cookies" to collect information. You can instruct your browser to refuse all cookies or to indicate when a cookie is being sent. However, if you do not accept cookies, you may not be able to use some portions of our Site.
The security of your Personal Information is important to us, but remember that no method of transmission over the Internet, or method of electronic storage, is 100% secure. While we strive to use commercially acceptable means to protect your Personal Information, we cannot guarantee its absolute security.
California Privacy Rights
FOR RESIDENTS OF CALIFORNIA ONLY.
Section 1798.83 of the California Civil Code requires select businesses to disclose policies relating to the sharing of certain categories of your Personal Information with third parties. If you reside in California and have provided your Personal Information to us, you may request information about our disclosures of certain categories of Personal Information to third parties for direct marketing purposes. Such requests must be submitted to us at: firstname.lastname@example.org.
Within thirty (30) days of receiving such a request, we will provide a list of the categories of Personal Information disclosed to third parties for third-party direct marketing purposes during the immediately preceding calendar year, along with the names and addresses of those third parties. This request may be made no more than once per calendar year. We reserve our right not to respond to requests submitted other than to the address specified in this section, if not labeled or sent properly, or does not have complete information.
The Site is directed to users who are at least 18 years old or older, and we do not knowingly collect any information from users under 13. If you believe your child has provided Personal Information to the Site, please contact us.
Access to Your Personal Information
You may access, correct or edit your Personal Information that is stored by us, consistent with the functionality of our Site, by sending an email to: email@example.com
The following categories describe different ways that Dr. Andrew E. Nullman MD may use and disclose medical information without your specific consent or authorization. Examples are provided for each category of uses or disclosures. Not all possible uses or disclosures are listed.
For Treatment: We may use and disclose medical information about you to provide you with medical treatment or services. Example: In treating you for specific condition, we may need to know if you are allergic to specific drugs that could influence which medications we prescribe for the treatment purpose.
For Payment: We may use and disclose medical information about you so that treatment and services you receive from us may be billed and payment may be collected from your insurance, third party or you. Example: We may need to send your protected health information, such as your name, address, office visit date and codes identifying your diagnosis and treatment to your insurance company for payment.
Health Care Operations: We may use and disclose medical information about you for health care operations to assure that you receive quality care. Example: We may use medical information to review our treatment and services and evaluate the performance of our staff in caring for you.
OTHER USES OR DISCLOSURES THAT CAN BE MADE WITHOUT CONSENT OR AUTHORIZATION
As required during an investigation by Law enforcement agencies.
To avert a serious threat to public health safety.
As required by military command authorities for their medical records.
To workers compensation or similar programs for processing of claims.
In response to legal proceeding.
To a coroner or medical examiner for identification of body.
If an inmate, to the correctional institution or law enforcement official.
As required by the US Food and Drug Administration (FDA).
Other healthcare providers treatment activities.
Other covered entities healthcare operations activities (to the extent permitted under HIPPA).
Uses and disclosures required by law.
Uses and disclosures in domestic violence or neglect situations.
Health oversight activities.
Other public activities.
We May Contact You
We may contact you to provide appointment reminders, information about treatment alternatives, or other health related benefits and services that may be of interest to you.
Protected Health Information (PHI)
I understand that, under The Health Insurance Portability Accountability Act of 1996, I have certain rights to privacy in regards to my protected health information (PHI). I have received, read and understood The Notice of Privacy Practices.
I understand that I am formally giving consent
to the practice to receive pharmacy and medication information that will be received from any and all outside pharmacies, hospitals or other healthcare institutions. This information may be received electronically via electronic medical record or in writing.
I give permission to the physician and their staff to leave a message on my automated answering device or to family member regarding results of any test or appointments that were done in this office and/ or referred by this office.