Privacy Practices
Privacy Practices
NOTICE OF HIPAA PRIVACY PRACTICES
This Notice describes how protected health information (PHI) about you (or your child) may be used and disclosed at Modyfi. This includes all our staff and contractors at all our sites. This Notice describes how you can access your information and your other privacy rights. We are required by law to l) make sure your medical information is kept private, 2) give you this Notice about our legal duties and privacy practices about your health information and 3) do what we say in the Notice. If you have questions or concerns about privacy of information, you may contact Modyfi at 833-366-3934 or clinic@modyfi.com
Use & Disclosure of Protected Health Information (PHI):
We may use or disclose information about your treatment for the following reasons:
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Written Authorization: We have a form you can complete that allows us to share PHI with someone or an organization.
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Treatment: We use and disclose your PHI to you in order to provide treatment and other services. We may contact you to provide appointment reminders. We may talk to you about alternatives or other benefits and services that may be of interest to you. We may share information between Modyfi mental health providers, clinicians, and support staff in order to coordinate care. We may disclose information for supervision or case consultation within Modyfi.
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Payment: If ever applicable, we may use and disclose your PHI to obtain payment for services that we provide to you from your insurance plan or payer.
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Health Care Operations: We may use and disclose your PHI for our health care operations. This includes our internal administration and planning. This also includes various activities that improve the quality and cost effectiveness of the care that we deliver to you. For example, we may use PHI to evaluate the quality and competence of our providers or therapists. We may also disclose information within Modyfi in order to resolve complaints.
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Disclosure to Relatives Close Friends and Other Caregivers: We will use or disclose your PHI to a relative, friend, or caregiver only if you are present and we can reasonably infer you do not object to the disclosure. For example, if you bring a friend or relative to a session, we may decide to use or disclose Information for treatment purposes.
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Public Health Activities: We may disclose PHI for the following public health activities: (1) to report health information to public health authorities for preventing or controlling disease, injury or disability; (2) to report information about products and services under the jurisdiction of the U.S. Food and Drug Administration; (3) to alert a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; and (4) to report information to your employer as required under laws addressing work-related illnesses and injuries or workplace medical surveillance.
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Abuse or Neglect: If we reasonably believe you are a victim of abuse, neglect or domestic violence, we may disclose your PHI to the appropriate government authority. This includes children, persons who have a mental health diagnosis, and the elderly. We may also disclose PHI if we come in contact with someone who has abused or neglected someone as defined by state laws.
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Health Oversight Activities: There are organizations that are responsible for overseeing compliance with government rules for delivering healthcare. We may disclose your PHI to such organizations to ensure compliance.
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Judicial and Administrative Proceedings: We may disclose your PHI in response to a court or administrative order.
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Law Enforcement Officials: We may disclose your PHI to the police or other law enforcement officials as required or permitted by law or in compliance with a court order or a grand jury or administrative subpoena. This includes, but is not limited to, identifying or locating missing persons, fugitives, or suspects, or reporting crimes committed on our property.
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Decedents: We may disclose your PHI to a coroner or medical examiner as authorized by law. We may also disclose PHI as required for any investigation related to a death as allowed by law.
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Health or Safety: We may use or disclose your PHI to prevent a serious and imminent threat to someone’s health or safety.
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Special Government Functions: We may use and disclose your PHI to units of the government with special functions, such as the U.S. military or the U.S. Department of State when the law requires it.
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Workers Compensation: We may disclose your PHI as authorized by and to the extent necessary to comply with state law relating to workers’ compensation or other similar programs.
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As required by law: We may use or disclose PHI when required to do so by any other law not listed here.
Uses and Disclosures of Your Highly Confidential Information
In addition, federal and state law imposes special privacy protections for “Highly Confidential Information”. This includes alcohol and drug abuse treatment program services, HIV/AIDS testing, and genetic testing. To disclose this information (unless allowed or required by law), we will obtain your authorization.
Coordination with Health Care Providers
We believe in treating the whole person. So, it is important for us to coordinate care with your other health providers, especially your PCP, and we may ask you to complete a release of information. Both federal and state privacy laws encourage this coordination between health care providers. We only share basic information such as diagnostic information, plans for care, and medications (if they are prescribed). If we need to share other information, it will be only the minimum necessary to coordinate care. You may “restrict” this disclosure if you do not want us to share information with your provider.
Your Rights Regarding Your Protected Health Information:
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Complaints: If you want more information about privacy or you have a concern about your privacy at Modyfi, you may contact Modyfi at 833-366-3934 or clinic@modyfi.com. You may also file written complaints with the Office for Civil Rights of the U.S. Department of Health and Human Services. We will not retaliate against you if you file a complaint against us.
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Right to Request Additional Restrictions: You may request restrictions on our use and disclosure of your PHI. This is for treatment, payment and health care operations. We are not required to agree to the request. To request a restriction, contact our Privacy Officer for the form. We will send you a written response to a completed form. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer. We will say “yes” unless a law requires us to share that information.
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Right to Request Confidential Communications: You may request, and we will accommodate, any reasonable written request for you to receive your PHI by alternative means of communication or at alternative locations.
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Right to Revoke Your Authorization: You may request to revoke an Authorization by contacting Modyfi at info@modyfi.com or 833-366-3934. If we have already used or disclosed information, we cannot take the information back.
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Right to Inspect and Copy Your Health Information: You may request access to your health information with Modyfi. To access your records, complete a Record request form by contacting us at 833-366-3934 or clinic@modyfi.com. There are limited circumstances where we may deny you access to portions of your record. We are only able to send documents electronically or by fax, no documents will be sent through the mail. If you request a summary of your PHI, we will charge you $150 per hour for completing the summary.
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Right to Amend Your Records: You may request that we amend PHI at Modyfi. To amend your records, obtain and complete an Amendment Request Form by contacting Modyfi at 833-366-3934 or clinic@modyfi.com. We will comply with your request unless we believe that the information that would be amended is accurate and complete or other special circumstances apply.
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Right to Receive an Accounting of Disclosures: You may request a listing of some types of disclosures of your PHI. This applies to disclosures within the last six years. If you request an accounting more than once during a twelve (12) month period, we will charge you $10.00 for each page of the accounting statement.
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Right to Be Notified of a Breach: We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
Website Privacy Policy
Privacy Statement
We are committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to our Practice’s Web site and governs data collection and usage. By using this website, you consent to the data practices described in this statement.
Collection Of Your Personal Information
This practice collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. This Practice also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.
Use Of Your Personal Information
This Practice collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. This Practice also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.There is also information about your computer hardware and software that is automatically collected by this website. This information can include: your IP address, browser type, domain names, access times and referring Web site addresses. This information is used for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of this Web site.
Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through public message boards, this information may be collected and used by others.This Practice encourages you to review the privacy statements of Web sites you choose to link to from the website so that you can understand how those Web sites collect, use and share your information. This Practice is not responsible for the privacy statements or other content on any other Web sites.
Use Of Cookies
The Web site uses “cookies” to help this Practice personalize your online experience. A cookie is a text file that is placed on your hard disk by a Web page server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.
Security Of Your Personal Information
This Practice secures your personal information from unauthorized access, use or disclosure. This Practice secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other Web sites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.
Changes To This Statement
This Practice will occasionally update this Statement of Privacy to reflect company and customer feedback. We encourage you to periodically review this Statement to be informed of how this Practice is protecting your information.
Contact Information
If you have questions or concerns about the information in this Privacy Policy, our handling of your personal information, or your choices and rights regarding such use, please do not hesitate to contact us at:
Modyfi Health Inc
300 Delaware Ave Ste 210 Wilmington DE US 19801-6601
SMS Privacy Policy
Effective: March 12, 2025
About Us
“We”, “us” or “our” means Modyfi Health Inc, with its principal place of business located at 300 Delaware Ave Ste 210 Wilmington DE US 19801-6601.
About This Privacy Policy
Your privacy is important to us, so we’ve developed this Privacy Policy, which explains how we collect, use, and disclose your personal information. We collect personal information when you use our website(s), mobile apps, and other online and offline products, services and experiences (collectively, the “Services”). Please take a moment to read through this Policy in its entirety.
If you have any questions, concerns or complaints regarding this Privacy Policy or how we use your personal information please contact us via e-mail at clinic@modyfihealth.com.
What Personal Information We Collect and How We Collect It?
We collect personal information that you provide directly to us:
Contact information. If you sign up to receive our newsletter, emails, or text messages from us, we will collect your name, email address, mailing address, phone number, and any other information needed to contact you about the Services.
Payment information. To order products or services through the Services, you will need to provide us with payment information (like your bank account or credit card information). Please note that your financial information is collected and stored by a third party payment processing company. Use and storage of that information is governed by the third party payment processor’s applicable privacy policy.
Survey information. You may provide us with other personal information when you fill in a form, respond to our surveys or questionnaires, provide us with feedback, participate in promotions, or use other features of the Services.
How We Use Your Personal Information?
We use the personal information we collect for the following reasons:
- To send you our newsletter, or other information or marketing about our Services that you think may be of interest to you.
- To reply to your questions, inquiries, or customer service requests or to send you notices, updates, security alerts, or support and administrative messages.
- To provide you with information about the Services that you request from us or which we feel may interest you.
- To monitor and analyze trends, usage and activities in connection with our Services and to improve the Services.
- To facilitate contests, sweepstakes and promotions, and to process entries and provide prizes and rewards.
- To detect, investigate and prevent fraudulent transactions and other illegal activities on the Services and to protect the rights and property of us and our customers.
- To carry out our obligations arising from any contracts entered into between you and us, including for billing and collection.
How We Share Your Personal Information?
We may share your personal information in the following ways:
With vendors, consultants, and other service providers who process your personal information on our behalf when they provide services to us, for example data analytics, research, marketing and financial services.
In connection with, or during negotiations of, any merger, sale of company assets, financing or acquisition of all or a portion of our business by another company.
We may be legally required to disclose or share your personal information without your consent in some circumstances, for example to comply with a court order or law enforcement. In such circumstances, we will only disclose your personal data if we have a good-faith belief that such sharing is required under applicable legal obligations.
Your Marketing Choices
When you sign up for a promotion like a sweepstakes, or subscribe to our newsletter or marketing/promotional messages, we use your personal information to help us decide which products, services and offers may be of interest to you.
We will send marketing messages to you if you have asked us to send you information, bought goods or services from us, or if you provided us with your details when you entered a competition or registered for a promotion. If you opt out of receiving marketing messages, we may still send you non-promotional emails. We will ask for your consent before we share your personal information with any third party for their direct marketing purposes.
You may unsubscribe from marketing messages through a link we include on messages we send you. You can also ask us to stop sending you marketing messages at any time by contacting us at: patrick.brown@modyfihealth.com.
Retention of Your Data and Deletion
Your personal information will not be kept longer than is necessary for the specific purpose for which it was collected.
When we decide how long we will keep your information we consider the amount, nature, and sensitivity of the personal information, the potential risk of harm from unauthorized use or disclosure, why we need it, and any relevant legal requirements (such as legal retention and destruction periods).
The foregoing will, however, not prevent us from retaining any personal information if it is necessary to comply with our legal obligations, in order to file a legal claim or defend ourselves against a legal claim, or for evidential purposes.
International Transfers
We will ensure that any transfer of personal information to countries outside of the United States will take place pursuant to the appropriate safeguards.
Changes to This Privacy Policy
From time to time, we have the right to modify this Privacy Policy. We’re likely to update this Privacy Policy in the future and when we make changes. Please come back and check this page from time to time for the latest information on our privacy practices.
Contact Us
If you have questions or concerns about the information in this Privacy Policy, our handling of your personal information, or your choices and rights regarding such use, please do not hesitate to contact us at:
Modyfi Health Inc
300 Delaware Ave Ste 210 Wilmington DE US 19801-6601