Effective Date: April 15, 2020
We, at Laura Cipullo Whole Nutrition and Yoga and L’ifestyle Lounge understand that protected health information about you and your health is personal. We are committed to protecting health information about you. This Notice applies to all records of your care generated by LCWNY and LL, whether made by LCWNY or LL personnel or your personal doctor.
This Notice will tell you about the ways in which we may use or disclose protected health information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of protected health information. Federal law requires us to:
We are required to follow the procedures in this Notice. We reserve the right to change the terms of this Notice and to make new Notice provisions effective for all protected health information that we maintain by:
The following categories describe different ways that we may use and disclose protected health information without your written authorization.
For Treatment. We may use protected health information about you to provide you with, coordinate, or manage your medical treatment or services. We may disclose protected health information about you to doctors, nurses, technicians, medical students, or other LCWNY and or LL personnel, including persons outside of our office who are involved in your medical care.
LCWNS and or LL staff may also share protected health information about you in order to coordinate your care for such reasons as prescriptions, lab work, and x-rays.
We may use and disclose protected health information to contact you as a reminder that you have an appointment for treatment or medical care at LCWNS and or LL. We may use and disclose protected health information to tell you about or recommend possible treatment options, treatment alternatives, or health-related benefits or services that may be of interest to you.
For Payment for Services. We may use and disclose protected health information about you so that the treatment and services you receive at LCWNS and or LL may be billed to and payment may be collected from you, an insurance company, or a third party. For example, we may need to give your health plan information about nutrition services you received at [insert clinic name] so your health plan will pay us or reimburse you for the service. We may also tell your health plan about the nutrition services you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.
For Health Care Operations. We may use and disclose protected health information about you for LCWNS and or LL health care operations, such as our quality assessment and improvement activities, case management, coordination of care, business planning, customer service, and other activities. These uses and disclosures are necessary to run the facility, reduce health care costs, and make sure that all of our patients receive quality care.
For example, we may use protected health information to review our treatment and services or to evaluate the performance of the dietitian who is providing your services. We may also combine protected health information about many LCWNS and or LL patients to decide what additional services LCWNS and or LL should offer, what services are not needed, and whether certain treatments are effective. We may also disclose information to doctors, nurses, technicians, medical students, and other LCWNS and or LL personnel for review and learning purposes.
Subject to applicable state law, the law allows or requires us to use or disclose your health information without your authorization in some limited situations for purposes beyond treatment, payment, and operations.
As Required by Law. We will disclose protected health information about you when required to do so by federal, state, or local law.
Research. We may disclose your protected health information to researchers when their research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information. We may permit researchers to review records to help identify patients who may be included in their research projects or for similar purposes as long as the researchers do not remove or take a copy of any health information.
To Avert a Serious Threat to Health or Safety.. We may use and disclose protected health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
We may also disclose protected health information about you to a government authority if we reasonably believe that you are a victim of abuse, neglect, or domestic violence. We will only disclose this type of information to the extent required by law, and we will only disclose it if (a) you agree to the disclosure, or (b) the disclosure is allowed by law and we believe it is necessary to prevent or lessen a serious and imminent threat to you or another person.
Judicial and Administrative Proceedings. We may disclose your protected health information in response to a court or administrative order. We may also disclose your protected health information in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made, either by us or the requesting party, to tell you about the request or to obtain an order protecting the information requested.
Business Associates. We may disclose information to business associates who perform services on our behalf (such as billing companies). However, we require that these associates appropriately safeguard your information. Our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our contract.
Public Health. As required by law, we may disclose your protected health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
Health Oversight Activities. We may disclose protected health information to a health oversight agency for activities authorized by law. These activities include audits, investigations, and inspections, as necessary for licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.
Law Enforcement. We may release protected health information as required by law, or in response to an order or warrant of a court, a subpoena, or an administrative request. We may also disclose protected health information in response to a request related to identification or location of an individual, a victim of crime, a decedent, or a crime on the premises.
Organ and Tissue Donation. If you are an organ donor, we may release protected health information to an organ donation bank or to organizations that handle organ procurement or organ, eye, or tissue transplantation, as necessary to facilitate organ or tissue donation and transplantation.
Special Government Functions. If you are a member of the armed forces, we may release protected health information about you if it relates to military and veterans activities. We may also release your protected health information for national security and intelligence purposes, protective services for the President, and medical suitability or determinations made by the Department of State.
Coroners, Medical Examiners, and Funeral Directors. We may release protected health information to a coroner or medical examiner. This release may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose protected health information to funeral directors, consistent with applicable laws, to enable them to carry out their duties.
Correctional Institutions and Other Law Enforcement Custodial Situations. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release protected health information about you to the correctional institution or law enforcement official as necessary for your or another person’s health and safety.
Worker’s Compensation. We may disclose protected health information as necessary to comply with laws relating to worker’s compensation or other similar programs established by law.
Food and Drug Administration (FDA). We may disclose to the FDA, or persons under the jurisdiction of the FDA, protected health information relative to adverse events with respect to drugs, foods, supplements, products, and product defects, or postmarketing surveillance information to enable product recalls, repairs, or replacement.
Fundraising. We may also contact you as part of fundraising efforts. You have the right to opt out of receiving such communications.
Unless you object, or request that only a limited amount or type of information be shared, we may use or disclose protected health information about you in the following circumstances:
If you would like to object to use and disclosure of protected health information in these circumstances, please call or write to the contact person listed on page 1 of this Notice.
You have the following rights regarding protected health information that we maintain about you:
Right to Inspect and Copy. You have the right to inspect and copy protected health information that may be used to make decisions about your care or payment for your care. If we maintain your protected health information electronically, you can request that we provide access in an electronic form and format that is readily producible, or in a form and format agreed to by us.
To inspect and copy protected health information that may be used to make decisions about you, you must submit your request in writing to Laura Cipullo, Laura@Lauracipullo.com If you request a copy of the information, we may charge a fee for the costs of copying, mailing, or supplies associated with your request. We may not charge you a fee if you need the information for a claim for benefits under the Social Security Act or any other state or federal needs-based benefit program. We will respond to your request no later than 30 days after we receive it. There are certain situations in which we are not required to comply with your request. In these circumstances, we will respond to you in writing, stating why we will not grant your request and describe any rights you may have to request a review of our denial.
Right to Amend. If you feel that protected health information, we have about you is incorrect or incomplete, you may ask us to amend or supplement the information.
To request an amendment, your request must be made in writing and submitted to Laura Cipullo Laura@Lauracipullo.com. In addition, you must provide a reason that supports your request. We will act on your request for an amendment no later than 60 days after we receive it.
We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In these circumstances, we will provide a written denial stating why we will not grant your request. In addition, we may deny your request if you ask us to amend information that:
Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of protected health information about you.
To request this list of disclosures, you must submit your request in writing to Laura Cipullo Laura@Lauracipullo.com. You may ask for disclosures made within the six years before your request. The first list you request within a 12-month period will be free. For additional lists in that 12-month period, we may charge you for the costs of providing the list. We are required to provide a list of all disclosures except the following:
Right to Request Restrictions. You have the right to request a restriction or limitation on the protected health information we use or disclose about you for treatment, payment, or health care operations, or to persons involved in your care.
We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment, the disclosure is to the Secretary of the Department of Health and Human Services, or the disclosure is required by law.
To request restrictions, you must make your request in writing to Laura Cipullo Laura@Lauracipullo.com.
Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
To request confidential communications, you must make your request in writing to Laura Cipullo Laura@Lauracipullo.com. We will accommodate all reasonable requests.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this Notice at any time. To receive a paper copy, contact Laura Cipullo at Laura@Lauracipullo.com.
Right to Receive Notice of Breach. You have a right to be notified upon a breach of any of your unsecured protected health information.
Rights for Out-of-Pocket Payments. If you paid out of pocket in full for a specific item or service, you have a right to ask that your protected health information with respect to that item or service not be disclosed to a health plan for purposes of payment or health care operations. We are required to agree to your request unless the disclosure is otherwise required by law.
Most uses and disclosures of psychotherapy notes require us to obtain an authorization from you. In addition, in most instances, we cannot use or disclose your protected health information for marketing purposes or sell your protected health information without your written authorization. Finally, any other use or disclosure not described in this Notice will be made only with your authorization. Any time you provide us with a written authorization, you may revoke it any time in writing, to the extent that we have not already taken action in reliance on your previous authorization.
We will obtain your written authorization before using or disclosing your protected health information for purposes other than those described in this Notice (or as otherwise permitted or required by law). You may revoke this authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing your information, except to the extent that we have already taken action in reliance on the authorization.
If you believe your privacy rights have been violated, you may file a complaint with [insert clinic owner’s or privacy officer’s name] or file a written complaint with the Secretary of the Department of Health and Human Services. A complaint to the Secretary should be filed within180 days of the occurrence or action that is the subject of the complaint.
If you file a complaint, we will not take any action against you or change our treatment of you in any way.
We reserve the right to change this Notice and make the new Notice apply to health information we already have, as well as any information we receive in the future. We will post a copy of our current Notice in our office. The notice will have the effective date clearly marked at the top of the first page.
Laura Cipullo, RD, CDE, CEDRD, RYT of Laura Cipullo Whole Nutrition and Yoga and the L’ifestyle Lounge on April 16, 2020.
Friending/Following Social Accounts:
Instagram– @lauracipullo @lifestyleloungnj
Facebook Page– Laura Cipullo Whole Nutrition and Yoga and the L’ifestyle Lounge
I keep an Instagram account(s) for my professional practice to allow people to share my blog posts, practice updates, relevant information, and share inspiration with other Instagram users. All of the information shared on this page is available on my website. If you as a client choose to follow my social networking sites, please be aware that this can compromise your confidentiality, as all Instagram users may view my list of followers.
I have no expectation that you as a client will want to follow my blog or postings. However, if you use an easily recognizable name on your account, this name is accessible to all users for viewing.
Do not use Wall postings, @replies, or other means of engaging with me in public online if we have an already established client/therapist relationship. Engaging with me this way could compromise your confidentiality. It may also create the possibility that these exchanges become a part of your legal medical record and will need to be documented and archived in your chart.
If you need to contact me between sessions, the best way to do so is by email or SMS text message.
If you choose to communicate with me by email, be aware that all emails are retained in the logs of your and my Internet service providers. While it is unlikely that someone will be looking at these logs, they are, in theory, available to be read by the system administrator(s) of the Internet service provider. You should also know that any emails I receive from you and any responses that I send to you become a part of your legal record.
Thank you for taking the time to review our Social Media Policy. If you have questions or concerns about any of these policies and procedures or regarding our potential interactions on the Internet, do bring them to my attention so that we can discuss them.
DISCLOSURE: These private practice social media policies have been adapted from Keely Kolmes, Psy.D. – Social Media Policy 1
Laura Cipullo (“we”, “us” or “Company”) respects your privacy and are committed to protecting it through our compliance with this policy.
This policy describes the types of information we may collect from you or that you may provide when you visit our website https://lauracipullo.com (the “Website”) and our practices for collecting, using, maintaining, protecting, and disclosing that information.
This policy applies solely to information we collect:
It does not apply to information collected by:
The Website is not intended for children under 13 years of age. No one under the age of 13 may provide any information to or on the Website. We do not knowingly collect personal information from children under 13. If you are under 13, do not use or provide any information on this Website or on or through any of its features, including your name, address, telephone number, e-mail address, or any screen name or user name you may use. If we learn we have collected or received personal information from a child under 13, we will delete that information. If you believe we might have any information from or about a child under 13, please contact us via the information on our Contact page.
We collect certain types of information from and about users of our Website, including information:
We collect this information:
The information we collect on or through our Website may include:
As you navigate through and interact with our Website, we may use automatic data collection technologies to collect certain information about your equipment, browsing actions, and patterns, including:
We also may use these technologies to collect information about your online activities over time and across third-party websites or other online services (behavioral tracking).
The information we collect automatically is statistical data and may include personal information, or we may maintain it or associate it with personal information we collect in other ways or receive from third parties. This information helps us to improve our Website and to deliver better and more personalized services by enabling us to:
Laura Cipullo reserves the right to host tools and calculators on https://lauracipullo.com that provide the ability for visitors to connect to certain Google products, like Google Analytics. If Laura Cipullo uses these tools, the Laura Cipullo tools may ask for different permissions, so it is important to review the requested permissions before allowing access.
In order for these Laura Cipullo applications to work properly, a user must begin the process by clicking the ‘Connect’ button. The user will be taken to a secure page on Google.com via a new window or tab, where the permissions the tool requires will be displayed. If the user consents to grant Laura Cipullo ‘ permission, Google will issue a token that our tools can use to access the requested information.
For these tools and calculators, Laura Cipullo only requests temporary access to a user’s Google application. After receiving permission, Laura Cipullo can, within the scope of the approved access, request information about, or data from, any account the user has access to. By default, our access to a user’s information expires after one hour.
By default, these tools are able to see the email address of the of the user’s account, if the user opts to use our tools and provides authentication. We do not capture or store this information on our servers. Our tools do not ever see or store a user’s password, as that is entered on a secure window or tab on Google’s website and is not visible to us.
As no information is stored by default, no Laura Cipullo employee or other individual has access to user email addresses or the results of the tools, including the data received from Google, unless the user explicitly opts-in to sharing results via email or signing up for email newsletters.
We do not request the ability to extend the lifetime of the token (termed ‘Offline Access’). We do not store or receive the token on our server anywhere; the token itself is only accessible by the user’s browser.
To monitor whether tools from Laura Cipullo , and others have been granted access to your information, and to see which permissions have been granted, review your connected applications here: https://myaccount.google.com/permissions.
The information that we request is used by our tools in calculations and visualizations about your selected data. Again, we do not store your information by default; however, depending on the tool, we may ask if you would like to share or email the results of your information. If offered, this step is voluntary but may allow us to receive a copy of your information so that we may provide recommendations, analysis, or follow-up support regarding your use of the tool or your individual results. If you share your results with others via email, or specifically ask for Laura Cipullo to follow-up, we may follow up infrequently to offer support, answer questions, or offer services.
Laura Cipullo maintains several email newsletters to help communicate information about our recent blog posts, upcoming trainings, and other general informational and marketing purposes. You can opt-out of these electronic communications at any time by following the instructions in our emails.
When you register for blog updates, we will send you content related to your choices. At any time, you may update your subscription settings to change the frequency or types of emails, or opt-out completely of these electronic communications by following the instructions in our emails or by contacting us via the methods listed on our Contact page.
We use information that we collect about you or that you provide to us, including any personal information:
We may also use your information to contact you about our own and third-parties’ products and services that may be of interest to you. If you do not want us to use your information in this way, please click the unsubscribe link in an email (see Choices About How We Use and Disclose Your Information).
We may use the information we have collected from you to enable us to display interest-based advertisements to our advertiser’s target audiences. Even though we do not disclose your personal information for these purposes without your consent, if you click on or otherwise interact with an advertisement, the advertiser may assume that you meet its target criteria.
We may also disclose your personal information:
We strive to provide you with choices regarding the personal information you provide to us. We have created mechanisms to provide you with the following control over your information:
We do not control third parties’ collection or use of your information to serve interest-based advertising. However, these third parties may provide you with ways to choose not to have your information collected or used in this way. You can opt out of receiving targeted ads from members of the Network Advertising Initiative (“NAI”) on the NAI’s website.
We have implemented measures designed to secure your personal information from accidental loss and from unauthorized access, use, alteration, and disclosure. The safety and security of your information also depends on you. Where we have given you (or where you have chosen) a password for access to certain parts of our Website, you are responsible for keeping this password confidential. We ask you not to share your password with anyone.
Unfortunately, the transmission of information via the internet is not completely secure. Although we do our best to protect your personal information, we cannot guarantee the security of your personal information transmitted to our Website. Any transmission of personal information is at your own risk. We are not responsible for circumvention of any privacy settings or security measures contained on the Website and the Company is not and shall not be responsible for any loss or fraud as a result of such circumvention.