This privacy statement explains the nature, scope and purpose of the processing of personal data (hereinafter referred to as "data") within our online offer and its associated websites, features, and content, as well as our external online presence, such as our social media profile (hereafter collectively referred to as "online offer"). With regard to the terms used, such as "processing" or "data controller", we refer to the definitions in Article 4 of the General Data Protection Regulation (GDPR).
COOKIES AND RIGHT OF OBJECTION AGAINST DIRECT ADVERTISING
"Cookies" are small files that are stored on users' computers. Different information can be stored within these cookies. A cookie is primarily used to store information about a user (or the device on which the cookie is stored) during or after their visit to an online offer. Temporary cookies, or "session cookies" or "transient cookies", are cookies that are deleted after a user leaves an online service and closes their browser. Such cookie are used, for example, to save the content of a shopping cart in an online shop or a login status. The term "permanent" or "persistent" refers to cookies that remain stored even after the browser has been closed. For example, the login status can be saved if users visit it after several days. Likewise, such cookies can be used to store information on the interests of users, which is in turn used for range measurement or marketing purposes. "Third-party Cookies" refers to cookies that are offered by providers other than the controller managing the online offer ("first-party cookies", on the other hand, are cookies used exclusively by the controller).
If users do not want cookies stored on their computer, they will be asked to disable the corresponding option in their browser's system settings. Saved cookies can be deleted in the system settings of the browser. The exclusion of cookies may lead to functional restrictions of this online offer.
Google is certified under the Privacy Shield Agreement, thereby guaranteeing compliance with European privacy legislation (https://www.privacyshield.gov/participant?id=a2zt000000001L5AAI&status=Active ).
Google will use this information on our behalf to evaluate users’ use of our online services, to compile reports on the activities within this online offer and to provide us with further services associated with the use of these online services and the Internet. In this case, pseudonymous usage profiles of users can be created from the processed data.
We only use Google Analytics with IP anonymization enabled. This means that users’ IP addresses will be shortened by Google.
The IP address submitted by the user's browser will not be merged with other data provided by Google. Users can prevent the storage of cookies by setting their browser software accordingly; Users may also prevent the collection by Google of the data generated by the cookie and related to its use of the online offer and the processing of such data by Google by downloading and installing the browser plug-in available at the following link: http: // tools .google.com / dlpage / gaoptout? hl = DE .
The personal data of users will be deleted or anonymized after 14 months.
GOOGLE UNIVERSAL ANALYTICS
We use Google Analytics as "Universal Analytics". "Universal Analytics" means a Google Analytics process where the user analysis is based on a pseudonymous user ID and thus a pseudonymous profile of the user is created with information from different devices (referred to as "cross-device tracking").
TARGETING WITH GOOGLE ANALYTICS
We use Google Analytics to show advertisements displayed within Google and its affiliate advertising services only to those users who have shown an interest in our online services or who meet certain characteristics (e.g. being interested in specific topics or products visited by them) Web pages) that we submit to Google (referred to as "remarketing" or "Google Analytics audiences"). By using remarketing audiences, we also want to make sure that our ads meet the potential interest of users.
FACEBOOK PIXELS, CUSTOM AUDIENCES AND FACEBOOK CONVERSION
Based on our economic interests in analyzing, optimizing and operating our online services profitably, and for these purposes, we use the so-called "Facebook pixel" provided by social network Facebook, which is operated by Facebook Inc.
Facebook is certified under the Privacy Shield Agreement, thereby guaranteeing compliance with European privacy legislation https://www.privacyshield.gov/participant?id=a2zt0000000GnywAAC&status=Active).
With the help of the Facebook pixel, it is on the one hand possible for Facebook to determine the visitors to our online offer as a target group for the display of advertisements (referred to as "Facebook ads"). Accordingly, we use the Facebook Pixel to display the Facebook Ads we have been sent only to those Facebook users who have shown an interest in our online offer or who meet certain criteria (e.g. interest in certain topics or products determined on the basis of the websites visited), which we transmit to Facebook (referred to as "Custom Audiences"). With the help of the Facebook pixel, we also want to ensure that our Facebook ads are in line with the potential interests of users and to ensure that they do not cause any nuisance. With the help of the Facebook pixel we can also understand the effectiveness of the Facebook ads for statistical and market research purposes as it allows us to see whether users were redirected to our website after clicking on a Facebook ad (so-called "conversion").
The processing of the data by Facebook is performed within the scope of Facebook's data usage policy. General information on the presentation of Facebook Ads is contained in Facebook’s data usage policy: https://www.facebook.com/policy. For specific information and details about the Facebook pixel and how it works, visit the Facebook help section: https://www.facebook.com/business/help/651294705016616 .
You may opt out of Facebook pixel collection and the use of your information to display Facebook ads. To configure what types of ads you see within Facebook, you can go to the page set up by Facebook and follow the instructions about the settings for usage-based ads: https://www.facebook.com/settings?tab=ads. The settings are platform-independent, meaning that they are adopted for all devices, such as desktop computers or mobile devices.
ONLINE PRESENCE IN SOCIAL MEDIA
We maintain online presences within social networks and platforms in order to communicate with customers, prospects and users active there and to inform them about our services.
User data is usually processed for market research and advertising purposes. For example, user behavior and information about user interests derived from users’ behavior can be used to create user profiles. These can in turn be used, for example, to place advertisements inside and outside the platforms which are presumed to correspond to the interests of the users. For these purposes, cookies in which the user's usage behavior and interests are stored will usually be stored on the user's computer. Furthermore, data can be stored in the user profiles irrelevant of the device type used by the users (especially if the users are members of the respective platforms and are logged in to them).
The processing of users' personal data is carried out on the basis of our legitimate interests in effective information for users and communication with users.]
For a detailed description of the respective processing and the possibilities of objection (opt-out), we refer to the information by the providers at the links below
Also in the case of requests for information and the assertion of user rights, we would like to point out that these can be claimed most effectively from the providers. Only the providers have access to the data of the users and can directly take appropriate measures and provide information. If you still need help, please do not hesitate to contact us.
INTEGRATION OF THIRD-PARTY SERVICES AND CONTENT
Based on our legitimate interests we use third-party content and/or services in order to integrate these providers’ content and services, such as videos or fonts (collectively referred to as "content").
This always presupposes that the third-party providers of this content perceive the IP address of the users, since they could not send the content to their browser without the IP address. The IP address is therefore required for the presentation of this content. We endeavor to use only content whose respective providers use the IP address solely for the delivery of the content. Third parties may also use so-called pixel tags (invisible graphics, also referred to as "web beacons") for statistical or marketing purposes. The "pixel tags" can be used to evaluate information such as visitor traffic on the pages of this website. The pseudonymous information may also be stored in cookies on users’ devices and may include technical information about the browser and operating system, referring web pages, time of access, and other information regarding the use of our online offer.
USE OF FACEBOOK SOCIAL PLUGINS
Based on our legitimate interests, we use social plugins ("plugins") of the social network facebook.com, ("Facebook").
This may include, for example, content such as images, videos or text and buttons, which users can use to share content from this online offer within Facebook. A visual and written list of the Facebook Social Plugins can be viewed here: https://developers.facebook.com/docs/plugins/.
Facebook is certified under the Privacy Shield Agreement, thereby guaranteeing to comply with US privacy legislation (https://www.privacyshield.gov/participant?id=a2zt0000000GnywAAC&status=Active).
When a user uses a feature of this online offer that includes such a plugin, their device will establish a direct connection to the Facebook servers. Facebook will directly transmit the content of the plugin to the user’s device and incorporate it into the online offer. Data processed as part of this process can be used to create user profiles. We therefore have no influence on the amount of data that Facebook collects with the help of this plugin and therefore inform the users based on our level of knowledge.
Through the integrated plugins, Facebook is informed that a user has accessed the corresponding page of the online offer. If the user is logged in to Facebook, Facebook is able attribute the visit to the user’s Facebook account. If users interact with the plugins, for example by pressing the Like button or leaving a comment, this information is transmitted from your device directly to Facebook and stored there. If a user is not a member of Facebook, it is still possible for Facebook to find out and store their IP address.
Users who are Facebook members and do not want Facebook to collect data about them via this online offer and attribute this information to their Facebook member data, must log out of Facebook and delete their cookies before using our online offer. Other settings and objection options regarding the use of data for advertising purposes can be accessed in the Facebook profile settings: https://www.facebook.com/settings?tab=ads or via http://www.aboutads.info / choices /. The settings are platform-independent, i.e. they will be adopted for all devices, such as desktop computers or mobile devices.
Liability for content.
The contents of our pages were created with great care. However, we can not guarantee the correctness, completeness and actuality of the content.
Liability for links.
Our website contains links to external websites of third parties on whose contents we have no influence. Therefore, we can not assume any liability for these third-party content. The respective provider or operator of the pages is always responsible for the contents of the linked pages. The linked pages were checked for possible legal violations at the time of linking. Illegal contents were not recognizable at the time of linking. A permanent control of the content of the linked pages is, however, without concrete evidence of an infringement is unreasonable. We will remove such links immediately if we become aware of any legal infringements.
The content and works created and / or used by the site operators on these pages are subject to US copyright law. The copying, processing, distribution and any kind of exploitation outside the limits of copyright require the consent of the respective author or creator. If the content on this site is not created by the operator, the copyrights of third parties are respected. In particular contents of third parties are marked as such. Should you nevertheless be aware of a copyright infringement, we ask for a corresponding note. If we become aware of legal violations, we will immediately remove such content.
This notice describes how medical information about you may be used and disclosed, and how you can get ac- cess to this information. Please review it carefully.
If you have any questions about this Notice please contact our Privacy Officer or any staff member in our office.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out your treatment, collect payment for your care and manage the operations of this clinic. It also de-scribes our policies concerning the use and disclosure of this information for other purposes that are permitted or required by law. It describes your rights to access and control your protected health information. "Protected Health Information" (PHI) is information about you, including demographic information that may identify you, that relates to your past, present, or future physical or mental health or condition and related health care services.
We are required by Federal law to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice at any time. The new notice will be effective for all protected health information that we maintain at that time. You may obtain revisions to our Notice of Privacy Practices by accessing our website, call-ing the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.
A. Uses and Disclosures of Protected Health Information
By applying to be treated in our office, you are implying consent to the use and disclosure of your protected health information by your doctor, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to bill for your health care and to support the operation of the practice.
Uses and Disclosures of Protected Health Information Based Upon Your Implied Consent
Following are examples of the types of uses and disclosures of your protected health care information we will make, based on this implied consent. These examples are not meant to be exhaustive but to describe the types of uses and disclosures that may be made by our office.
Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party that has already obtained your permission to have access to your protected health information. For example, we would disclose your protected health information, as necessary, to another physician who may be treating you. Your protected 1health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.
In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your doctor, becomes involved in your care by providing assistance with your health care diagnosis or treatment.
Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization re- view activities. For example, obtaining approval for procedures may require that your relevant protected health information be disclosed to the health plan to obtain approval for those services.
Healthcare Operations: We may use or disclose, as needed, your protected health information in order to sup- port the business activities of this office. These activities may include, but are not limited to, quality assessment activities, employee review activities and staff training.
For example, we may disclose your protected health information to interns or precepts that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your doctor. Communications between you and the doctor or his assistants may be recorded to assist us in accurately capturing your responses. We may also call you by name in the reception area when your doctor is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.
We will share your protected health information with third party "Business Associates" that perform various activities (e.g., billing, transcription services for the practice). Whenever an arrangement between our office and a Business Associate involves the use or disclosure of your protected health information, we will have a writ- ten agreement with that Business Associate that contains terms that will protect the privacy of your protected health information.
We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may also use and disclose your protected health information for other internal marketing activities. For example, your name and address may be used to send you a newsletter about our practice and the services we offer, we will ask for your authorization. We may also send you information about products or services that we believe may be beneficial to you. You may request that these materials not be sent to you.
Uses and Disclosures of Protected Health Information That May Be Made With Your Written Authorization
Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below.
For example, with your written, signed authorization, we may use your demographic information and the dates that you received treatment from our office, as necessary, in order to contact you for fundraising activities sup- ported by our office.
You may revoke any of these authorizations, at any time, in writing, except to the extent that your doctor or the practice has taken an action in reliance on the use or disclosure indicated in the authorization.
Other Permitted and Required Uses and Disclosures That May Be Made With Your Authorization or Opportunity to Object
In the following instance where we may use and disclose your protected health information, you have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then your doctor may, using professional judgment, determine whether the disclosure is in your best interest. In this case, only the protected health information that is relevant to your health care will be disclosed.
Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person's involvement in your health care. 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. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location or general condition. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.
Other Permitted and Required Uses and, Disclosures That May Be Made Without Your Consent, Authorization or Opportunity to Object
We may use or disclose your protected health information in the following situations without your consent or authorization. These situations include:
Required By Law: We may use or disclose your protected health information to the extent that the use or dis- closure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.
Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. The disclosure will be made for the purpose of controlling disease, injury or disability. We may also disclose your protected health information, if directed by the public health authority, to a foreign government agency that is collaborating with the public health authority.
Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.
Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health in- formation if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable Federal and state laws.
Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), in certain conditions in response to a subpoena, discovery request or other lawful process.
Law Enforcement: We may also disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (I) legal process and other- wise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of the Practice, and (6) medical emergency (not on the Practice's premises) and it is likely that a crime has occurred.
Workers' Compensation: We may disclose your protected health information, as authorized, to comply with workers' compensation laws and other similar legally-established programs.
Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500 et. seq.
B. Your Rights
Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.
You have the right to inspect and copy your protected health information. This means you may inspect and obtain a copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. A "designated record set" contains medical and billing records and any other records that your doctor and the Practice uses for making decisions about you.
Under Federal law, however, you may not inspect or copy the following records: psychotherapy notes; information complied in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewed. In some circumstances, you may have a right to have this decision reviewed. Please ask your doctor if you have questions about access to your medical record.
You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must be in writing and state the specific restriction requested and to whom you want the restriction to apply.
Your provider is not required to agree to a restriction that you may request. If the doctor believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. If your doctor does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your doctor.
You may request a restriction by presenting your request, in writing to a staff member in our office. The staff member will provide you with "Restriction of Consent" form. Complete the form, sign it, and ask that the staff member provide you with a photocopy of your request initialed by them. This copy will serve as your receipt.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing.
You may have the right to have your doctor amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please ask your doctor if you have questions about amending your medical record.
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy practices. It excludes disclosures we may have made to you, to family members or friends involved in your care, pursuant to a duly executed authorization or for notification purposes. The right to receive this information is subject to certain exceptions, restrictions and limits.
You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice electronically.
You may complain to us, to the Texas Attorney General’s Office, or the Secretary of Health and Human Services, if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our Privacy Officer of your complaint. We will not retaliate against you for filing a complaint.