This Notice applies to protected health information ("PHI") created or received in connection with care arranged through Zorlo. Your care is provided by independent licensed providers in the LocumTele network and dispensed by independent licensed pharmacies (each a "Covered Entity"). Each Covered Entity is responsible for its own privacy practices and may give you its own notice. Zorlo acts as a business associate of these Covered Entities where it handles PHI on their behalf, and is bound by the same restrictions.
Our duties
We are required by law to keep your PHI private, to give you this Notice of our legal duties and privacy practices, to follow the terms of the Notice currently in effect, and to notify you if there is a breach of your unsecured PHI.
How we may use and disclose your PHI
Treatment
To provide and coordinate your care. For example, your provider shares your prescription with a pharmacy so it can be filled.
Payment
To bill and collect payment for services and medications you receive.
Health care operations
To run our services, for example quality review, training, auditing, customer support and legal compliance.
Other uses permitted or required by law
- When required by federal, state or local law.
- For public health activities, such as reporting adverse drug reactions or product problems.
- For health oversight activities, such as audits and inspections by government agencies.
- In response to a court order, subpoena or other lawful process.
- To law enforcement, as permitted by law.
- To prevent a serious threat to health or safety.
- For workers' compensation claims, as authorized by law.
- For specialized government functions, such as military and national security, as required by law.
Uses that require your written authorization
We will not use or disclose your PHI for marketing, sell your PHI, or use or disclose psychotherapy notes without your written authorization. Other uses not described in this Notice will be made only with your written authorization, which you may revoke in writing at any time, except to the extent we have already relied on it.
Your rights
- Get a copy of your records. You can ask to see or get an electronic or paper copy of your medical record. We will provide it, usually within 30 days. We may charge a reasonable, cost-based fee.
- Ask us to correct your record. If you think your information is incorrect or incomplete, you can ask us to correct it. We may say no, but will tell you why in writing within 60 days.
- Request confidential communications. You can ask us to contact you in a specific way or at a different address. We will agree to reasonable requests.
- Ask us to limit what we use or share. You can ask us not to use or share certain information. We are not required to agree, except that if you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer.
- Get a list of disclosures. You can ask for a list of the times we have shared your information in the six years before your request, other than for treatment, payment, operations and certain other disclosures.
- Get a copy of this Notice. You can ask for a paper copy at any time.
- Choose someone to act for you. A person with your medical power of attorney or your legal guardian can exercise your rights.
Complaints
If you believe your privacy rights have been violated, you can contact us at support@zorlo.co. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or by visiting hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.
Changes to this Notice
We can change the terms of this Notice, and the changes will apply to all information we have about you. The new Notice will be available on this page and by request.
Contact
Privacy Officer
Zorlo Health LLC
1309 Coffeen Avenue, STE 1200, Sheridan, WY 82801
support@zorlo.co