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Midwife HIPAA Privacy Statement Mobile App

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please have patients use the Midwife HIPAA Privacy Statement mobile app to carefully review your HIPAA privacy statement using a smartphone or tablet. GoCanvas apps can be made HIPAA complaint for your patient’s privacy.

GoCanvas has a collection of apps developed for Midwives and Doulas. They are all Free with your GoCanvas Subscription. Check them out in our Application Store!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

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Take a peek inside the Midwife HIPAA Privacy Statement Mobile App

Included Features

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Included Fields

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    THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN...

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    <Insert Name>Midwifery Services is required by law to:

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    Maintain the privacy of protected health information (PHI)

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    Give you this notice of your legal duties and privacy practice regarding your health information

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    Follow the terms of our notice that is currently in effect

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    How We May Disclose Health Information:

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    The following describes the ways we may use and disclose protected health information (PHI) that ...

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    For Treatment.

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    For Payment.

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    For Health Care Operations.

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    Appointments, Reminders, Treatment Alternatives, and Health Related Benefits and Services.

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    Individuals Involved in Your Care or Payment for your Care.

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    As Required by Law.

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    Military and Veterans.

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    Workers' Compensation.

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    We may disclose PHI to health oversight agencies for activities authorized by law.

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    Data Breach Notification Purposes.

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    Lawsuits and Disputes.

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    Law Enforcement.

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    USES AND DISCLOSURES THAT REQUIRE US TO GIVE YOU AN OPPORTUNITY TO OBJECT AND OPT OUT.

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    Individuals Involved in Your Care or the Payment for Your Care.

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    Disaster Relief.

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    YOUR WRITTEN AUTHORIZATION IS REQUIRED FOR OTHER USES AND DISCLOSURES

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    The following uses and disclosures of your PHI will be made only with your written authorization:

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    1. Uses and disclosures of PHI for marketing purposes; and

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    Disclosures that constitute a sale of your PHI.

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    Other uses and disclosures of PHI not covered by this notice or the laws that apply to us will be...

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    You have the following rights regarding PHI we hold about you.

  • ...and More!

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