THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT UNITED STATES RESIDENTS MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Dot Laboratories, Inc. (“DotLab™” or “we”) is committed to protecting the privacy and confidentiality of your personal and health information. The personal and health information that may identify you and relates to your past, present or future health condition, treatment, or payment for services is known as Protected Health Information (“PHI”)
DotLab is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) to maintain the privacy and security of your PHI and to provide you with a notice of our legal duties, our privacy practices, and your patient rights.
Uses and Disclosures of Your Health Information
DotLab may use or disclose your PHI for the following purposes:
- Treatment. We may use or disclose your PHI for purposes of providing you medical treatment. For example, we use and disclose your PHI to perform our testing services and provide results to your physician and other health providers involved in your care.
- Payment. We may use or disclose your PHI for purposes of billing and collecting payment for our services. For example, we may disclose PHI to your health plan in order to obtain payment for our services.
- Healthcare Operations. We may use or disclose your PHI to facilitate our laboratory operations. For example, we may review your PHI internally as part of an audit to confirm quality of our services and accuracy of our testing.
- As Required by Law. We may use or disclose PHI if required to do so by federal or state law.
- Representatives and Individuals Involved in Your Care. We may disclose your PHI to your approved friends or family members who are involved in your care, including those who are responsible for paying for your care. We may also disclose PHI to your personal representative, as established under applicable law, or to an administrator or authorized individual associated with your estate.
- Communication about Products and Services. We may use and disclose your PHI to contact you about other DotLab products and services which we believe may be of interest to you. We do not disclose your PHI to third-parties for marketing purposes without your written authorization.
- Disclosures to Business Associates. We may disclose your PHI to companies who provide services to DotLab. Entities we contract with for certain administrative services who may have access to PHI are called Business Associates. These Business Associates are required to protect the privacy and security of your PHI and notify DotLab of any improper disclosure of information.
- Legal Proceedings. We may disclose your PHI as required to comply with a court or administrative order or in response to a subpoena, discovery request, or other legal process.
- De-Identification of PHI. We may de-identify your PHI by removing identifying features as determined by law to make it extremely unlikely that the information could identify you.
- Research. Under certain circumstances, we may use or disclose your de-identified data for research purposes within DotLab and with research collaborators outside of DotLab who are under contract and are also obligated to protect PHI. All research projects at DotLab are subject to review by a committee responsible for ensuring the protection of individual research subjects, appropriate patient authorization, and an adequate plan to safeguard PHI.
- Health and Safety. We may disclose your PHI to prevent or reduce the risk of a serious and imminent threat to the health and safety of an individual or the general public.
- As Permitted by Law. DotLab may also use or disclose your PHI in other ways as permitted by law including to:
- Health Oversight Agencies
- The Food and Drug Administration
- Military Command Authorities
- National Security and Intelligence Organizations
- Correctional Institutions
- Organ and Tissue Donation Organizations
- Coroners, Medical Examiners and Funeral Directors
- Law Enforcement
- Social Services or Protective Services Agencies
- Workers Compensation Agents
Uses and disclosures of PHI for purposes other than those described above will not be made without a written authorization signed by you or your personal representative. Once you sign an authorization, you may revoke it by contacting DotLab at any time unless it has already been relied upon to use or disclose PHI.
Your Rights Regarding Your PHI
You have the following rights with respect to your PHI. To exercise any of these rights, please contact our Privacy Office using the contact information provided at the end of this Notice.
- Access PHI. You or your authorized representative have the right to inspect and copy your PHI. You will need to complete a HIPAA authorization form in order for DotLab to provide you with your PHI. You can request this form by emailing email@example.com.
- Correct or Update Your Information. If you believe that there is an error in your PHI, you may request that we update it.
- Restriction Requests. You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to honor such requests unless the requested restriction involves a disclosure to a health plan and you have paid for the applicable services in full and out of pocket.
- Alternate Communications. You may request that we communicate with you about your PHI in a specific means or to an alternative postal mail or email address.
- Accounting of Disclosures. You may request a list, or accounting, of certain disclosures of your PHI made by DotLab or our Business Associates for purposes other than treatment, payment, healthcare operations and certain other activities. The request must be in writing and the accounting will include disclosures made within the prior six years.
- Copy of Notice. You have the right to obtain a paper or electronic copy of this Notice upon request.
DotLab is required by law to notify you following the discovery that there has been a breach of your PHI, unless DotLab reasonably determines, after investigating the situation and assessing the risk presented, that there is a low probability that the privacy or security of your PHI has been compromised. You will be notified in a timely fashion, no later than 60 days after discovery of the breach.
Changes to our Notice
DobLab reserves the right to amend this Notice from time to time. When changes are made, we will promptly post the updated Notice on the DotLab website at www.dotlab.com.
Questions and Complaints
If you have any questions or comments about this Notice, or if you have any complaints about DotLab’s privacy practices, please contact DotLab using the contact information provided below. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services. DotLab will not retaliate against you for filing a complaint.
When communicating with DotLab regarding this Notice, our privacy practices, or your privacy rights, please contact the Privacy Office using the following contact information:
Dot Laboratories, Inc.
Attn: Privacy Officer
780 East Main St., Suite 1
Branford, CT 06405
Effective Date of Notice: September 25, 2020
Last Updated: September 25, 2020