HIPAA & Notice of Privacy Practices
Revitalize Mental Health & Integrative Medicine is committed to maintaining and protecting the confidentiality of the individual’s PHI. Revitalize Mental Health & Integrative Medicine is required by federal and state law, including the Health Insurance Portability and Accountability Act (“HIPAA”), to protect the individual’s PHI and other personal information. Revitalize Mental Health & Integrative Medicine is required to provide the individual with this Notice of Privacy Practices regarding their specific policies, safeguards, and practices. When Revitalize Mental Health & Integrative Medicine uses or discloses an individual’s PHI, Revitalize Mental Health & Integrative Medicine is bound by the terms of this Notice of Privacy Practices, or the revised notice of Privacy Practices, if applicable.
I. My Pledge Regarding Your Personal Health Information:
I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
Make sure that protected health information (“PHI”) that identifies you is kept private.
Give you this notice of my legal duties and privacy practices with respect to health information.
Follow the terms of the notice that is currently in effect.
II. How I May Use and Disclose Your Health Information:
The following describes the ways Revitalize Mental Health & Integrative Medicine may use and disclose PHI. Except for the purposes described below, Revitalize Mental Health & Integrative Medicine will use and disclose PHI only with the individual’s written permission. The individual may revoke such permission at any time by writing to Revitalize Mental Health & Integrative Medicine.
For Treatment: We may use and disclose PHI for the individual’s services. For example, Revitalize Mental Health & Integrative Medicine may disclose PHI to doctors, nurses, technicians, or other personnel, including people outside Revitalize Mental Health & Integrative Medicine, who are involved in the individual’s medical care and need the information to provide the individual with medical care only with your written permission.
For Payment: We may use and disclose PHI so that our office may bill and receive payment from the individual, an insurance company or third party for the treatment and services the individual received. For example, we may tell the individual’s insurance company about a treatment the individual is going to receive to determine whether the individual’s insurance company will cover the treatment.
For Health Care Operations: We may use and disclose PHI for health care operation purposes. The uses and disclosures are necessary to make sure that all Revitalize Mental Health & Integrative Medicine patients receive quality care and to operate and manage our office.
Appointment Reminders, Treatment Alternatives, and Health Related Benefits and Services: We may use and disclose PHI to contact the individual to remind them that they have an appointment with Revitalize Mental Health & Integrative Medicine. We also may use and disclose PHI to tell the individual about treatment alternatives or health-related benefits and services that may be of interest to the individual.
Research: Under certain circumstances, Revitalize Mental Health & Integrative Medicine may use and disclose PHI for research. For example, a research project may involve comparing the health of patients who received one treatment to those who received another, for the same condition. Revitalize Mental Health & Integrative Medicine will ask for the individual’s written authorization before using the individual’s PHI or sharing it with others to conduct research.
Incidental Use and Disclosure: We are not required to eliminate every risk of an incidental use or disclosure of your PHI. Specifically, a use or disclosure of your PHI that occurs as a result of, or incident to an otherwise permitted use or disclosure is permitted as long as I have adopted reasonable safeguards to protect your PHI, and the information being shared was limited to the minimum necessary.
We DO NOT AND WILL NOT share data with third parties for affiliate marketing purposes. Opt-in data will NOT be shared with third parties!
If you wish to stop receiving text messages, reply "STOP" to any text message sent by Revitalize Mental Health & Integrative Medicine. This will automatically remove you from our text messaging list for future communications. Alternatively, you can contact our office directly to request removal from our messaging list. Opting out will not prevent you from receiving essential communications about your care, such as appointment reminders or emergency updates.
III. Special Situations in Which I May Disclose PHI Without Your Consent:
As Required by Law: We will disclose PHI when required to do so by international, federal, state, or local law.
To Avert a Serious Threat to Health or Safety: We may use and disclose PHI when necessary to prevent a serious threat to the individual’s health and safety or the health and safety of others. Disclosures, however, will be made only to someone who may be able to help prevent or respond to the threat, such a law enforcement or potential victim. For example, we may need to disclose information to law enforcement when a patient reveals participation in a violent crime.
Law Enforcement: We may release PHI if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons or similar process; (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, Revitalize Mental Health & Integrative Medicine is unable to obtain the individual’s agreement; (4) about a death Revitalize Mental Health & Integrative Medicine believes may be the result of criminal conduct; (5) about criminal conduct on Revitalize Mental Health & Integrative Medicine premises; and (6) in an emergency to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
Abuse or Neglect: We may disclose your PHI to a state or local agency that is authorized by law to receive reports of abuse or neglect. However, the information we disclose is limited to only that information which is necessary to make the required mandated report.
Essential Government Functions: We may be required to disclose your PHI for certain essential government functions. Such functions include but are not limited to: assuring proper execution of a military mission, conducting intelligence and national security activities that are authorized by law, providing protective services to the President, making medical suitability determinations for U.S. State Department employees, protecting the health and safety of inmates or employees in a correctional institution, and determining eligibility for or conducting enrollment in certain government benefit programs.
Business Associates: We may disclose PHI to any business associates that perform functions on our behalf or provide Revitalize Mental Health & Integrative Medicine with services if the information is necessary for such functions or services. All of Revitalize Mental Health & Integrative Medicine's business associates are obligated to protect the privacy of the individual’s information and are not allowed to use or disclose any information other than as specified in our contract.
Lawsuits and Disputes: If the individual is involved in a lawsuit or a dispute, Revitalize Mental Health & Integrative Medicine may disclose PHI in response to a court or administrative order. Revitalize Mental Health & Integrative Medicine also may disclose PHI in response to a subpoena, discovery request, or other lawful request by someone else involved in the request or to allow the individual to obtain an order protecting the information requested.
Health Oversight: I may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies and organizations that provide financial assistance to the program (such as third-party payors) and peer review organizations performing utilization and quality control. If we disclose PHI to a health oversight agency, we will have an agreement in place that requires the agency to safeguard the privacy of your information.
Psychotherapy Notes: If kept as separate records, we must obtain your authorization to use or disclose psychotherapy notes with the following exceptions. We may use the notes for your treatment. We may also use or disclose, without your authorization, the psychotherapy notes for my own training, to defend myself in legal or administrative proceedings initiated by you, as required by the the US Department of Health and Human Services to investigate or determine my compliance with applicable regulations, to avert a serious and imminent threat to public health or safety, to a health oversight agency for lawful oversight, for the lawful activities of a coroner or medical examiner or as otherwise required by law.
IV. You Have the Following Rights with Respect to Your PHI:
The Right to Request Limits on Uses and Disclosures of Your PHI: You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.
The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full: You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
The Right to Choose How I Send PHI to You: You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.
The Right to See and Get Copies of Your PHI: Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within APPLICABLE TIME FRAME (CHECK STATE/FEDERAL LAWS) of receiving your written request, and I may charge a reasonable, cost-based fee for doing so.
The Right to Get a List of the Disclosures I Have Made: You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within applicable time frame of receiving your request. The list I will give you will include disclosures made within an applicable time frame unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost-based fee for each additional request.
The Right to Correct or Update Your PHI: If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within within an applicable time frame.
The Right to Get a Paper or Electronic Copy of this Notice: You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it. (This notice will be available in your client portal).
Right to Get Notice of a Breach: Revitalize Mental Health & Integrative Medicine is committed to safeguarding the individual’s PHI. If a breach of the individual’s PHI occurs Revitalize Mental Health & Integrative Medicine will notify the individual in accordance with state and federal law.
Right to Request Restrictions: Individuals have the right to request a restriction or limitation on the PHI Revitalize Mental Health & Integrative Medicine uses or disclose for treatment, payment, or health care operations. Individuals also have the right to request a limit on the PHI we disclose to someone involved in the individual’s care or the payment for the individual’s care, like a family member or friend.
To request a restriction, the individual must make their request, in writing, to the Department in which their care was provided. Revitalize Mental Health & Integrative Medicine is not required to agree to the individual’s request unless the individual is asking us to restrict the use and disclosure of the individual’s PHI to a health plan for payment or health care operation purposes and such information the individual wishes to restrict pertains solely to a health care item or service for which the individual has paid Mindful Way Out-of-pocket in full. If we agree, we will comply with the individual’s request unless the information is needed to provide the individual with emergency treatment or to comply with law. If we do not agree, we will provide an explanation in writing.
Out-of-Pocket Payments: If the individual pays out-of-pocket (or in other words, the individual has requested that Revitalize Mental Health & Integrative Medicine not bill the individual’s health plan) in full for a specific item or service, the individual has the right to ask that the individual’s PHI with respect to that item or service not be disclosed to a health plan for purposes of payment or health care operations, and we will honor that request.
HIPAA & Notice of Privacy Practices
Revitalize Mental Health & Integrative Medicine is committed to maintaining and protecting the confidentiality of the individual’s PHI. Revitalize Mental Health & Integrative Medicine is required by federal and state law, including the Health Insurance Portability and Accountability Act (“HIPAA”), to protect the individual’s PHI and other personal information. Revitalize Mental Health & Integrative Medicine is required to provide the individual with this Notice of Privacy Practices regarding their specific policies, safeguards, and practices. When Revitalize Mental Health & Integrative Medicine uses or discloses an individual’s PHI, Revitalize Mental Health & Integrative Medicine is bound by the terms of this Notice of Privacy Practices, or the revised notice of Privacy Practices, if applicable.
I. My Pledge Regarding Your Personal Health Information:
I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
Make sure that protected health information (“PHI”) that identifies you is kept private.
Give you this notice of my legal duties and privacy practices with respect to health information.
Follow the terms of the notice that is currently in effect.
II. How I May Use and Disclose Your Health Information:
The following describes the ways Revitalize Mental Health & Integrative Medicine may use and disclose PHI. Except for the purposes described below, Revitalize Mental Health & Integrative Medicine will use and disclose PHI only with the individual’s written permission. The individual may revoke such permission at any time by writing to Revitalize Mental Health & Integrative Medicine.
For Treatment: We may use and disclose PHI for the individual’s services. For example, Revitalize Mental Health & Integrative Medicine may disclose PHI to doctors, nurses, technicians, or other personnel, including people outside Revitalize Mental Health & Integrative Medicine, who are involved in the individual’s medical care and need the information to provide the individual with medical care only with your written permission.
For Payment: We may use and disclose PHI so that our office may bill and receive payment from the individual, an insurance company or third party for the treatment and services the individual received. For example, we may tell the individual’s insurance company about a treatment the individual is going to receive to determine whether the individual’s insurance company will cover the treatment.
For Health Care Operations: We may use and disclose PHI for health care operation purposes. The uses and disclosures are necessary to make sure that all Revitalize Mental Health & Integrative Medicine patients receive quality care and to operate and manage our office.
Appointment Reminders, Treatment Alternatives, and Health Related Benefits and Services: We may use and disclose PHI to contact the individual to remind them that they have an appointment with Revitalize Mental Health & Integrative Medicine. We also may use and disclose PHI to tell the individual about treatment alternatives or health-related benefits and services that may be of interest to the individual.
Research: Under certain circumstances, Revitalize Mental Health & Integrative Medicine may use and disclose PHI for research. For example, a research project may involve comparing the health of patients who received one treatment to those who received another, for the same condition. Revitalize Mental Health & Integrative Medicine will ask for the individual’s written authorization before using the individual’s PHI or sharing it with others to conduct research.
Incidental Use and Disclosure: We are not required to eliminate every risk of an incidental use or disclosure of your PHI. Specifically, a use or disclosure of your PHI that occurs as a result of, or incident to an otherwise permitted use or disclosure is permitted as long as I have adopted reasonable safeguards to protect your PHI, and the information being shared was limited to the minimum necessary.
We DO NOT AND WILL NOT share data with third parties for affiliate marketing purposes. Opt-in data will NOT be shared with third parties!
If you wish to stop receiving text messages, reply "STOP" to any text message sent by Revitalize Mental Health & Integrative Medicine. This will automatically remove you from our text messaging list for future communications. Alternatively, you can contact our office directly to request removal from our messaging list. Opting out will not prevent you from receiving essential communications about your care, such as appointment reminders or emergency updates.
III. Special Situations in Which I May Disclose PHI Without Your Consent:
As Required by Law: We will disclose PHI when required to do so by international, federal, state, or local law.
To Avert a Serious Threat to Health or Safety: We may use and disclose PHI when necessary to prevent a serious threat to the individual’s health and safety or the health and safety of others. Disclosures, however, will be made only to someone who may be able to help prevent or respond to the threat, such a law enforcement or potential victim. For example, we may need to disclose information to law enforcement when a patient reveals participation in a violent crime.
Law Enforcement: We may release PHI if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons or similar process; (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, Revitalize Mental Health & Integrative Medicine is unable to obtain the individual’s agreement; (4) about a death Revitalize Mental Health & Integrative Medicine believes may be the result of criminal conduct; (5) about criminal conduct on Revitalize Mental Health & Integrative Medicine premises; and (6) in an emergency to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
Abuse or Neglect: We may disclose your PHI to a state or local agency that is authorized by law to receive reports of abuse or neglect. However, the information we disclose is limited to only that information which is necessary to make the required mandated report.
Essential Government Functions: We may be required to disclose your PHI for certain essential government functions. Such functions include but are not limited to: assuring proper execution of a military mission, conducting intelligence and national security activities that are authorized by law, providing protective services to the President, making medical suitability determinations for U.S. State Department employees, protecting the health and safety of inmates or employees in a correctional institution, and determining eligibility for or conducting enrollment in certain government benefit programs.
Business Associates: We may disclose PHI to any business associates that perform functions on our behalf or provide Revitalize Mental Health & Integrative Medicine with services if the information is necessary for such functions or services. All of Revitalize Mental Health & Integrative Medicine's business associates are obligated to protect the privacy of the individual’s information and are not allowed to use or disclose any information other than as specified in our contract.
Lawsuits and Disputes: If the individual is involved in a lawsuit or a dispute, Revitalize Mental Health & Integrative Medicine may disclose PHI in response to a court or administrative order. Revitalize Mental Health & Integrative Medicine also may disclose PHI in response to a subpoena, discovery request, or other lawful request by someone else involved in the request or to allow the individual to obtain an order protecting the information requested.
Health Oversight: I may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies and organizations that provide financial assistance to the program (such as third-party payors) and peer review organizations performing utilization and quality control. If we disclose PHI to a health oversight agency, we will have an agreement in place that requires the agency to safeguard the privacy of your information.
Psychotherapy Notes: If kept as separate records, we must obtain your authorization to use or disclose psychotherapy notes with the following exceptions. We may use the notes for your treatment. We may also use or disclose, without your authorization, the psychotherapy notes for my own training, to defend myself in legal or administrative proceedings initiated by you, as required by the the US Department of Health and Human Services to investigate or determine my compliance with applicable regulations, to avert a serious and imminent threat to public health or safety, to a health oversight agency for lawful oversight, for the lawful activities of a coroner or medical examiner or as otherwise required by law.
IV. You Have the Following Rights with Respect to Your PHI:
The Right to Request Limits on Uses and Disclosures of Your PHI: You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.
The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full: You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
The Right to Choose How I Send PHI to You: You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.
The Right to See and Get Copies of Your PHI: Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within APPLICABLE TIME FRAME (CHECK STATE/FEDERAL LAWS) of receiving your written request, and I may charge a reasonable, cost-based fee for doing so.
The Right to Get a List of the Disclosures I Have Made: You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within applicable time frame of receiving your request. The list I will give you will include disclosures made within an applicable time frame unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost-based fee for each additional request.
The Right to Correct or Update Your PHI: If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within within an applicable time frame.
The Right to Get a Paper or Electronic Copy of this Notice: You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it. (This notice will be available in your client portal).
Right to Get Notice of a Breach: Revitalize Mental Health & Integrative Medicine is committed to safeguarding the individual’s PHI. If a breach of the individual’s PHI occurs Revitalize Mental Health & Integrative Medicine will notify the individual in accordance with state and federal law.
Right to Request Restrictions: Individuals have the right to request a restriction or limitation on the PHI Revitalize Mental Health & Integrative Medicine uses or disclose for treatment, payment, or health care operations. Individuals also have the right to request a limit on the PHI we disclose to someone involved in the individual’s care or the payment for the individual’s care, like a family member or friend.
To request a restriction, the individual must make their request, in writing, to the Department in which their care was provided. Revitalize Mental Health & Integrative Medicine is not required to agree to the individual’s request unless the individual is asking us to restrict the use and disclosure of the individual’s PHI to a health plan for payment or health care operation purposes and such information the individual wishes to restrict pertains solely to a health care item or service for which the individual has paid Mindful Way Out-of-pocket in full. If we agree, we will comply with the individual’s request unless the information is needed to provide the individual with emergency treatment or to comply with law. If we do not agree, we will provide an explanation in writing.
Out-of-Pocket Payments: If the individual pays out-of-pocket (or in other words, the individual has requested that Revitalize Mental Health & Integrative Medicine not bill the individual’s health plan) in full for a specific item or service, the individual has the right to ask that the individual’s PHI with respect to that item or service not be disclosed to a health plan for purposes of payment or health care operations, and we will honor that request.
Terms and Conditions for Communication via Call and Text
By providing your contact information to Revitalize Mental Health & Integrative Medicine, you consent to receiving calls, text messages, and automated communications related to your healthcare. Please review the following terms and conditions regarding communication practices:
1. Consent to Receive Communication
By providing your phone number, you agree that Revitalize Mental Health & Integrative Medicine may contact you by phone call, text message, or automated systems (e.g., appointment reminders, lab results, prescription updates, or general office communications).
You acknowledge that the use of text messages and phone calls is an essential part of our communication process, especially for appointment scheduling, reminders, health updates, and other non-emergency communications.
2. Purpose of Communication
Communications may include but are not limited to appointment reminders, billing updates, general health information, prescription notifications, and office updates.
Communication will not include confidential medical information unless required for your care, and all communication will be handled in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
We DO NOT AND WILL NOT share data with third parties for affiliate marketing purposes. Opt-in data will NOT be shared with third parties!
3. Opt-In and Opt-Out Options
By providing your phone number and opting into communications, you consent to receiving text messages and phone calls.
You have the right to opt-out of receiving text messages or calls at any time. To opt-out, reply "STOP" to any text message or contact our office to request removal from our communication list.
Opting out will not affect your ability to receive critical communications regarding your care or emergency notifications.
To receive additional assistance, reply "HELP" to any text message and someone from our office will reach out. You can also reach us by calling 727-242-880 or email admin@revitalizeimh.com
4. Frequency of Communication
Calls and text messages will be made as necessary to manage your healthcare needs. Standard messaging and data rates may apply.
Text messages may be sent for appointment reminders, follow-ups, and other essential communications. Message frequency may vary.
5. Privacy and Confidentiality
Revitalize Mental Health & Integrative Medicine is committed to protecting your privacy. All communications are conducted in compliance with HIPAA regulations, and patient information is stored securely.
For certain communications, we may use automated services to ensure you receive timely reminders and updates. However, please be aware that text messaging is not a secure method of transmitting sensitive information. If you require more secure communication, please contact our office directly.
You can view our privacy policy by clicking this link: https://Revitalize Privacy Policy
6. Automated Calls and Text Messages
By providing your phone number, you agree that Revitalize Mental Health & Integrative Medicine may use automated systems or prerecorded messages to communicate with you regarding non-urgent matters, such as appointment confirmations or reminders.
You understand that you are responsible for providing accurate contact information and keeping it updated with our office.
7. Emergency Communications
In case of emergencies, please contact our office directly or seek immediate medical attention. Text messages and phone calls are not suitable for emergency communications.
8. Modifications to Communication Policy
We reserve the right to update or modify this communication policy at any time. Any changes will be posted on our website or communicated directly to you. Continued use of our services after changes to the terms will be considered acceptance of those changes.
9. Acknowledgment
By providing your contact information, you acknowledge that you have read, understood, and agree to these terms and conditions.
Terms and Conditions for Communication via Call and Text
By providing your contact information to Revitalize Mental Health & Integrative Medicine, you consent to receiving calls, text messages, and automated communications related to your healthcare. Please review the following terms and conditions regarding communication practices:
1. Consent to Receive Communication
By providing your phone number, you agree that Revitalize Mental Health & Integrative Medicine may contact you by phone call, text message, or automated systems (e.g., appointment reminders, lab results, prescription updates, or general office communications).
You acknowledge that the use of text messages and phone calls is an essential part of our communication process, especially for appointment scheduling, reminders, health updates, and other non-emergency communications.
2. Purpose of Communication
Communications may include but are not limited to appointment reminders, billing updates, general health information, prescription notifications, and office updates.
Communication will not include confidential medical information unless required for your care, and all communication will be handled in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
We DO NOT AND WILL NOT share data with third parties for affiliate marketing purposes. Opt-in data will NOT be shared with third parties!
3. Opt-In and Opt-Out Options
By providing your phone number and opting into communications, you consent to receiving text messages and phone calls.
You have the right to opt-out of receiving text messages or calls at any time. To opt-out, reply "STOP" to any text message or contact our office to request removal from our communication list.
Opting out will not affect your ability to receive critical communications regarding your care or emergency notifications.
To receive additional assistance, reply "HELP" to any text message and someone from our office will reach out. You can also reach us by calling 727-242-880 or email admin@revitalizeimh.com
4. Frequency of Communication
Calls and text messages will be made as necessary to manage your healthcare needs. Standard messaging and data rates may apply.
Text messages may be sent for appointment reminders, follow-ups, and other essential communications. Message frequency may vary.
5. Privacy and Confidentiality
Revitalize Mental Health & Integrative Medicine is committed to protecting your privacy. All communications are conducted in compliance with HIPAA regulations, and patient information is stored securely.
For certain communications, we may use automated services to ensure you receive timely reminders and updates. However, please be aware that text messaging is not a secure method of transmitting sensitive information. If you require more secure communication, please contact our office directly.
You can view our privacy policy by clicking this link: https://Revitalize Privacy Policy
6. Automated Calls and Text Messages
By providing your phone number, you agree that Revitalize Mental Health & Integrative Medicine may use automated systems or prerecorded messages to communicate with you regarding non-urgent matters, such as appointment confirmations or reminders.
You understand that you are responsible for providing accurate contact information and keeping it updated with our office.
7. Emergency Communications
In case of emergencies, please contact our office directly or seek immediate medical attention. Text messages and phone calls are not suitable for emergency communications.
8. Modifications to Communication Policy
We reserve the right to update or modify this communication policy at any time. Any changes will be posted on our website or communicated directly to you. Continued use of our services after changes to the terms will be considered acceptance of those changes.
9. Acknowledgment
By providing your contact information, you acknowledge that you have read, understood, and agree to these terms and conditions
Consent to Receive Text Messages
I hereby give my consent to Revitalize Mental Health & Integrative Medicine to send me text messages for the purpose of communication regarding my healthcare. By providing your phone number and opting in, you consent to receiving text messages regarding appointment reminders, health-related updates, and other non-emergency communications. Please read the following terms:
1. Consent to Receive Text Messages
By providing your phone number, you agree that Revitalize Mental Health & Integrative Medicine may send you text messages related to your healthcare, including appointment confirmations, reminders, prescription updates, lab results, and general office communications.
Text messages will not include sensitive or confidential medical information unless specifically necessary for your care.
2. Opt-In Procedure
By providing your phone number, you are explicitly opting in to receive text messages from our office, Revitalize Mental Health & Integrative Medicine.
You may opt out at any time by replying "STOP" to any message or by contacting our office directly to request removal from the messaging list.
3. Opt-Out Procedure
If you wish to stop receiving text messages, reply "STOP" to any text message sent by Revitalize Mental Health & Integrative Medicine. This will automatically remove you from our text messaging list for future communications.
Alternatively, you can contact our office directly to request removal from our messaging list.
Opting out will not prevent you from receiving essential communications about your care, such as appointment reminders or emergency updates.
4. Help Procedure
If you need assistance or have questions about the messages, reply "HELP" to any text message sent by Revitalize Mental Health & Integrative Medicine, and you will receive further instructions or contact information for support. You can also reach us by calling 727-242-880 or email admin@revitalizeimh.com
5. Message Frequency and Content
Message frequency may vary depending on the services provided.
You acknowledge that the frequency of messages may change depending on your interaction with our office.
6. Data Rates and Charges
Standard messaging and data rates may apply depending on your mobile carrier and plan. Please check with your carrier for details regarding any charges that may apply to text messages.
7. Privacy and Security
We take your privacy seriously and will handle your personal information in accordance with applicable laws, including HIPAA. Text messages may contain appointment reminders or other non-sensitive healthcare information.
For any urgent or confidential matters, please contact our office directly via phone or visit our office in person.
We DO NOT AND WILL NOT share data with third parties for affiliate marketing purposes. Opt-in data will NOT be shared with third parties!
Consent to Receive Text Messages
I hereby give my consent to Revitalize Mental Health & Integrative Medicine to send me text messages for the purpose of communication regarding my healthcare. By providing your phone number and opting in, you consent to receiving text messages regarding appointment reminders, health-related updates, and other non-emergency communications. Please read the following terms:
1. Consent to Receive Text Messages
By providing your phone number, you agree that Revitalize Mental Health & Integrative Medicine may send you text messages related to your healthcare, including appointment confirmations, reminders, prescription updates, lab results, and general office communications.
Text messages will not include sensitive or confidential medical information unless specifically necessary for your care.
2. Opt-In Procedure
By providing your phone number, you are explicitly opting in to receive text messages from our office, Revitalize Mental Health & Integrative Medicine.
You may opt out at any time by replying "STOP" to any message or by contacting our office directly to request removal from the messaging list.
3. Opt-Out Procedure
If you wish to stop receiving text messages, reply "STOP" to any text message sent by Revitalize Mental Health & Integrative Medicine. This will automatically remove you from our text messaging list for future communications.
Alternatively, you can contact our office directly to request removal from our messaging list.
Opting out will not prevent you from receiving essential communications about your care, such as appointment reminders or emergency updates.
4. Help Procedure
If you need assistance or have questions about the messages, reply "HELP" to any text message sent by Revitalize Mental Health & Integrative Medicine, and you will receive further instructions or contact information for support. You can also reach us by calling 727-242-880 or email admin@revitalizeimh.com
5. Message Frequency and Content
Message frequency may vary depending on the services provided.
You acknowledge that the frequency of messages may change depending on your interaction with our office.
6. Data Rates and Charges
Standard messaging and data rates may apply depending on your mobile carrier and plan. Please check with your carrier for details regarding any charges that may apply to text messages.
7. Privacy and Security
We take your privacy seriously and will handle your personal information in accordance with applicable laws, including HIPAA. Text messages may contain appointment reminders or other non-sensitive healthcare information.
For any urgent or confidential matters, please contact our office directly via phone or visit our office in person.
We DO NOT AND WILL NOT share data with third parties for affiliate marketing purposes. Opt-in data will NOT be shared with third parties!