Web Site Terms and Conditions of Use

1. Terms

By accessing this web site, you are agreeing to be bound by these web site Terms and Conditions of Use, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained in this web site are protected by applicable copyright and trade mark law.

2. Use License

1. Permission is granted to temporarily download one copy of the materials (information or software) on Angelic Lift’s web site for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not:
   1. modify or copy the materials;
   2. use the materials for any commercial purpose, or for any public display (commercial or non-commercial);
   3. attempt to decompile or reverse engineer any software contained on Angelic Lift’s web site;
   4. remove any copyright or other proprietary notations from the materials; or
   5. transfer the materials to another person or “mirror” the materials on any other server.
2. This license shall automatically terminate if you violate any of these restrictions and may be terminated by Angelic Lift at any time. Upon terminating your viewing of these materials or upon the termination of this license, you must destroy any downloaded materials in your possession whether in electronic or printed format.

3. Disclaimer

1. The materials on Angelic Lift’s web site are provided “as is”. Angelic Lift makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties, including without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights. Further, Angelic Lift does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on its Internet web site or otherwise relating to such materials or on any sites linked to this site.

4. Limitations

In no event shall Angelic Lift or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption,) arising out of the use or inability to use the materials on Angelic Lift’s Internet site, even if Angelic Lift or a Angelic Lift authorized representative has been notified orally or in writing of the possibility of such damage. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you.

5. Revisions and Errata

The materials appearing on Angelic Lift’s web site could include technical, typographical, or photographic errors. Angelic Lift does not warrant that any of the materials on its web site are accurate, complete, or current. Angelic Lift may make changes to the materials contained on its web site at any time without notice. Angelic Lift does not, however, make any commitment to update the materials.

6. Links

Angelic Lift has not reviewed all of the sites linked to its Internet web site and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement by Angelic Lift of the site. Use of any such linked web site is at the user’s own risk.

7. Site Terms of Use Modifications

Angelic Lift may revise these terms of use for its web site at any time without notice. By using this web site you are agreeing to be bound by the then current version of these Terms and Conditions of Use.

8. Governing Law

Any claim relating to Angelic Lift’s web site shall be governed by the laws of the State of Florida without regard to its conflict of law provisions.

General Terms and Conditions applicable to Use of a Web Site.

Privacy Policy

Your privacy is very important to us. Accordingly, we have developed this Policy in order for you to understand how we collect, use, communicate and disclose and make use of personal information. The following outlines our privacy policy.

• Before or at the time of collecting personal information, we will identify the purposes for which information is being collected.
• We will collect and use of personal information solely with the objective of fulfilling those purposes specified by us and for other compatible purposes, unless we obtain the consent of the individual concerned or as required by law.
• We will only retain personal information as long as necessary for the fulfillment of those purposes.
• We will collect personal information by lawful and fair means and, where appropriate, with the knowledge or consent of the individual concerned.
• Personal data should be relevant to the purposes for which it is to be used, and, to the extent necessary for those purposes, should be accurate, complete, and up-to-date.
• We will protect personal information by reasonable security safeguards against loss or theft, as well as unauthorized access, disclosure, copying, use or modification.
• We will make readily available to customers information about our policies and practices relating to the management of personal information.

We are committed to conducting our business in accordance with these principles in order to ensure that the confidentiality of personal information is protected and maintained.

Service Areas

United States:

• Florida: Dr. Tinuade Olusegun (MD)
• Texas: Dr. Cassandra Brandon (MD)
• Louisiana: Dr. Cassandra Brandon (MD)

Telehealth Services Available In above states.

“Please note that this list is regularly updated to reflect the current licensing and regulatory status of our practitioners. Patients are advised to verify the availability of telehealth services in their specific region at the time of scheduling.”

 

 

HIPAA Notice of Privacy Practices

Angelic Lift is required to abide by the Notice of Privacy Practices and we respect our legal obligation to keep health information that identifies you private. We are obligated by law to give you notice of our privacy practices, therefore, please review our Notice of Privacy Practices on our website. This Notice describes how we protect your health information and what rights you have regarding it. A written copy of this document will always be available to our patients in the office or by request.

Notice of Privacy Practices Summary

Effective April 14, 2003

In 1996 Congress passed  the Health Insurance Portability and Accountability Act. Included in this act is “The Privacy Act” which was approved August 14th 2002.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review this document carefully.

Who will follow this notice?

This notice describes our practices and that of:

• Any health care professional authorized to enter information into your chart.
• All department and units of each health care provider listed below.
• Any member of a volunteer group we allowed to help you while you are a patient of Angelic Lift.
• All employees, staff and other personnel of Angelic Lift.
• All medical clinic and other Healthcare Providers owned and/or operated by a legal entity owned or controlled by Angelic Lift.

The entities, sites and locations listed above are treated as a single affiliated covered entity, are referred to in this notice as “Angelic Lift” and follow the terms of this notice. These entities, sites and locations may share medical information with each other for treatment, payment or health care purposes and as otherwise allowed by Texas and federal law.

Duties of Angelic Lift

Angelic Lift is required by law to:

• Maintain the privacy of protected health information
• Provide patients with notice of its legal duties and privacy practices
• Abide by the terms of the notice of privacy practices currently in effect
• Prominently display and make available Notice of Privacy Practices.
• Angelic Lift reserves the right to change the terms of its Notice of Privacy Practices as directed by HIPAA and to make the new notice provisions effective for all protected health information that it maintains.

Angelic Lift Permitted Uses and Disclosures of your Protected Health Information

Angelic Lift may use and disclose information about you (e.g. name, address, social security number) and your medical condition(s), including past, present and future, for the following purposes:

• Treatment: such as disclosed information to a specialist, hospital, laboratory or pathologist to evaluate and address your medical needs (including amended information).

• Healthcare operations: information disclosed to evaluate and maintain the functions of Angelic Lift (e.g. the quality of care it provides or to perform business analysis)

Angelic Lift may use your protected health information to contact you regarding:

• Appointment reminders
• Lab and x-ray results
• Information about treatment alternatives
• Other health-related benefits and services that may be of interest to you

Angelic Lift may also use and disclose your Protected Health Information without further consent from you in the following circumstances:

• Public Health Agencies: For the purpose of reporting disease, Vital Statistics, or adverse effects from drugs, supplies or equipment.
• Serious threats to Health/Safety: In cases of medical emergencies or instances where imminent and serious health or where safety threats exist.
• Deceased Patients: To coroners, medical examiners, funeral directors and organ donor officials.
• Law enforcement: To law or military officials for the purpose of health delivery oversight, judicial or administrative proceedings, law enforcement and National Security.
• Required by law: To State officials for the purpose of management and financial audits, program monitoring and evaluation, licensure and certification.
• HealthCare Oversight: To the Department of Health and Human Services for purposes of compliance investigations and reviews.
• Research: To researchers when their research has been approved by Institutional Review Board who reviews research proposals and establish protocols to ensure the privacy of protected health information.
• Worker’s Compensation: To Employers as required by Texas Worker’s Compensation Laws in case of a work-related injury.
• Victims of abuse, neglect or Domestic Violence: May be required to disclose medical information if there is evidence of abuse or neglect to appropriate enforcement agencies.
• Individuals involved in your care or payment for your care: To a friend or family member who was involved in your medical care.
• Military or Veterans: To a member of the Armed Forces as required by military command authorities.
• Lawsuits and disputes: To a court or administrative representative regarding a lawsuit or dispute.

• Non-routine Uses and Disclosures: Those uses and disclosures which exclude treatment, payment and Healthcare purposes will be made ONLY with your written authorization of which you may revoke at any time.

 

Patient’s Bill of Rights and Responsibilities

Rights:

The observance of the following guidelines will provide more effective patient care and greater satisfaction for the patient, the physician and the individuals that make up the practice. It is in recognition of these factors that these rights are affirmed.

The patient has the right to considerate and respectful care; cultural psychosocial, spiritual values, beliefs, and preferences will be respected and care will be given in a safe setting.

Patients with vision, speech, hearing, language and cognitive impairments have the right to effective communication.

The patient has the right to receive from his/her physician information necessary to give informed consent prior to the start of any procedure and/or treatment. Except in emergencies, such information for informed consent should include but not necessarily be limited to the specific procedure and/or treatment, the medically significant risks involved, and the probable duration of incapacitation.

Where medically significant alternatives for care or treatment exist, or when the patient requests information concerning medical alternative, the patient has the right to know the name of the person(s) responsible for the procedures and/or treatment as well as the person(s) responsible for their sedation and anesthesia.

The patient has the right to every consideration of his/her privacy concerning his/her medical care program. Case discussion, consultation, examination, and treatment are confidential and should be conducted discreetly.

The patient has the right to expect that all communications and records pertaining to his/her care should be treated as confidential. Those not directly involved in his/her care must have permission of the patient to be present.

The patient has the right to obtain from the physician complete current information concerning his/her diagnosis, treatment, and prognosis in terms the patient can be responsibly expected to understand. The patient has the right to be involved in decisions about their care, treatment and services and the patient has the right to have their pain assessed, managed and treated as effectively as possible.

The patient has the right, and when appropriate, the patients family to be informed of unanticipated outcomes of care, treatment, and services that relate to sentinel or adverse reviewable events.

The patient has the right to obtain information as to any relationship of this facility to other health care and educational institutions insofar as his/her care is concerned. The patient has the right to obtain information as to the existence of any professional relationships among individuals, by name, which is treating him/her.

The patient has the right to expect reasonable continuity of care. The patient has the right to expect that this facility will provide a mechanism whereby he/she is informed by his physician of the patients continuing health care requirements following discharge.

The patient has the right to know the mechanisms for grievance as well as suggestions.

The patient has the right to change their choice of physician.

The patient has the right to refuse care, treatment, and services in accordance with law and regulation.

The patient has the right to dispute information in their medical record.

The patient has the right to examine and receive and explanation of his/her bill and to expect ethically billing practices.

The patient has the right to exercise all rights without discrimination or reprisal, abuse or harassment.

• Request restrictions or limits on certain uses and disclosures of your protected health information. Angelic Lift is not required to agree with your request. However, if we do, we will abide by your request except as required by law. Your request must 1) be in writing, 2) describe the information you want restricted, 3) state if the restriction is limited to our use or disclosure, and 4) state to whom the restriction applies.
• Request different ways for us to communicate with you regarding your protected health information. For example, you may prefer we contact a family member instead of you regarding your appointment reminders. This request must be made in writing.
• Inspect and copy your protected health information. Angelic Lift will act upon your written request within 15 days of receipt, if records are on site or 30 days if off site. If we deny your request, we will send you a written denial. In this case, you may request a review of the denial. A scheduled appointment is required for requests to inspect information. Angelic Lift may charge you a fee to copy of your records.
• Request an amendment of your protected health information if you believe your health information is incorrect or incomplete. You must submit the request in writing stating the requested amendment and reason for amendment. Angelic Lift will act upon your request within 60 days of receipt. Your request may be denied, if Angelic Lift believes the information is complete and accurate, or the information is not part of the medical information that you would be permitted to inspect or copy, Angelic Lift did not create the information.
• Object or agree to certain uses and disclosures of your protected health information that we may share about your condition with family members or a public agency in emergency situations.
• Receive an accounting of any disclosures that Angelic Lift has made of your protected health information for non-routine purposes only. This right applies to disclosures for purposes other than treatment, or payment or healthcare operations. You may request a list of disclosures Angelic Lift has made of your medical information for the six years prior to your request. You may not request an accounting for dates of service prior to January 1, 2016 as Vedure Exclusive was not in operation until this date. Your first request within a 12-month period is free, however Angelic Lift may charge for additional requests within the same 12-month period. Angelic Lift will act upon your request within 60 days of receipt.
• Receive a paper copy of this notice, upon request. You may also request a detailed listing of this notice.
• File a complaint if you believe Angelic Lift has violated your privacy rights. You may file a complaint with the Angelic Lift or directly with the Department of Health.

Responsibilities:

The patient has the responsibility to provide the physician with the most accurate and complete information regarding present complaints, past illnesses, hospitalizations, medications, allergies and unexpected changes in the patient’s condition.

The patient is responsible for asking questions when they do not understand what they are told or what they are expected to do. If the plan of care is agreed upon, the patient has the responsibility to follow the plan of care or express concerns with compliance.

The patient and family are responsible for following the pre and post procedure care plan. The patient and family are responsible for the outcomes if they do not follow the plan of care.

The patient and family are responsible for promptly meeting any financial obligation agreed to with the practice.

Patient-Physician/Office Staff Communication

Angelic Lift requires our staff to obtain prior authorization to leave a detailed message/information via text, email, or voicemail for the patient. This policy is in accordance with HIPAA regulations concerning protecting the patient’s confidentiality. Please review the “Communication Consent” section below.

COMMUNICATION CONSENT

I hereby authorize the staff to call and leave their name, the doctor’s name, and additional information on an answering machine, email, text, or with a specific individual. Unless notified in writing, this consent will remain in effect permanently.

By signing this form, I give my consent to Angelic Lift providers and/or staff to leave a message regarding treatment, test results and other necessary information.

1) On the answering machine at my home number provided

2) On voicemail at my cell phone number provided

3) By SMS text on at my cell phone number provided

4) By email at my email address provided

5) By SMS text via Telemedicine app

____________________________________________________________________________________________________

IF YOU DO NOT CONSENT TO ABOVE “COMMUNICATION CONSENT” PLEASE INDICATE SO BY SENDING A OPT OUT LETTER OR NOTICE TO US IN WRITING STATING:

I DO NOT Consent to any messages being left on an answering machine, voicemail,  SMS text, or email other than caller’s name and phone number asking me to call, email or text back.

Medical Records

Per HIPAA guidelines, copies of medical records must be requested in writing. Please do so by completing the “Authorization For Release Of Medical Record Information” form that is available in the office and on our website. To ensure your privacy, a form for release of medical information must be completed prior to receipt of these materials.

The law allows Medical Offices 30 days to complete requests for records. However, our medical records department puts forth every effort to respond to these requests in a timely manner. There is a $50 charge, dependent on quantity of records, for patients who request copies of their medical records for personal use.

Medical records that will be faxed, mailed, or electronically submitted to another provider’s office for continuity of care will be free of charge.

Authorization for Release of Information to Family Members/Friends

Many of our patients allow family members such as their spouse, parents, or others to call and request medical or billing information. Under the requirements of HIPAA we are not allowed to give this information to anyone without the patient’s consent. If you wish to have your medical or billing information released to family members you must provide consent.

Send in a written form to allow us to give information to family members/friends.

I understand I have the right to revoke this authorization at any time and that I have the right to inspect or copy the protected health information to be disclosed.

I authorize Angelic Lift to release my medical and/or billing information to the individual(s) I’ve identified as my emergency contact on my profile.