Medium

Available on

Apple Android Windows

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
  • oxy
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Midwife HIPAA Privacy Statement Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

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

  • Ico statictext

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

  • Ico statictext

    Maintain the privacy of protected health information (PHI)

  • Ico statictext

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

  • Ico statictext

    Follow the terms of our notice that is currently in effect

  • Ico statictext

    How We May Disclose Health Information:

  • Ico statictext

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

  • Ico statictext

    For Treatment.

  • Ico statictext

    For Payment.

  • Ico statictext

    For Health Care Operations.

  • Ico statictext

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

  • Ico statictext

    Individuals Involved in Your Care or Payment for your Care.

  • Ico statictext

    As Required by Law.

  • Ico statictext

    Military and Veterans.

  • Ico statictext

    Workers' Compensation.

  • Ico statictext

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

  • Ico statictext

    Data Breach Notification Purposes.

  • Ico statictext

    Lawsuits and Disputes.

  • Ico statictext

    Law Enforcement.

  • Ico statictext

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

  • Ico statictext

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

  • Ico statictext

    Disaster Relief.

  • Ico statictext

    YOUR WRITTEN AUTHORIZATION IS REQUIRED FOR OTHER USES AND DISCLOSURES

  • Ico statictext

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

  • Ico statictext

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

  • Ico statictext

    Disclosures that constitute a sale of your PHI.

  • Ico statictext

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

  • Ico statictext

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

  • ...and More!

Related Health Care & Social Services Apps... and they're all free for GoCanvas subscribers!

App Name

Midwife General Statement and Pregnan...

The Midwife General Statement and Pregnancy Care Agreement mobile app is designed for midwives that offer an alternative...

App Name

Midwife Medicaid Consent

If your patient currently has Medicaid coverage, you will want to make them aware of your contract status and the requirem...

App Name

Midwife Sperm Sample Consent

Intracervical Insemination (ICI) and Intrauterine Insemination (IUI) involve the placement of sperm or semen into the cerv...

App Name

Birth Record Sheet Doula

Use a smartphone or tablet with the Birth Record Sheet Doula mobile app to document newborn births. The app records client...

App Name

Midwife PDR Consent

This Midwife PDR Consent Mobile App allows midwives and birthing centers to collect and share medical health data with the...

App Name

Midwife IUI Consent

Intrauterine Insemination (IUI) is the placement of specially prepared sperm into the uterus for the purpose of becoming ...

App Name

Midwife Lab Tests with Well and GYN C...

At your well woman exam we may recommend screening tests such as a pap smear, or other blood tests to monitor your health...

App Name

Midwife Self Pay Agreement for Client...

Birthing centers and midwives do not have the ability to give a “quote” before or at the time of the visit. This is becaus...

More Information